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ARPLICATId.J FOR CONSTRIJCT�ON PERMIT � <br />TO BE COMPLETED IN BLACK INK-PLEASE PRINT <br />OUILDINGDEPARTMENT CHEATINGSYSTEM: :JGAS iJELECTRIC ❑ —I <br />259-8810 <br />. DEMOLITION ��. I COMBINATION �' BUILDING i.-.MECHO'JCAL i7PLUMBING .�. SIGN <br />.,v�n� nui�mnn�ss urv zir r��ave <br />j'a,;, � JH,v! r,r.,�.�„o i, 7�„' �,,yr-c .c,�+�:r.<•.� < v�-i': r 98v? ; s ��- s`�i.T <br />Il�;nlll MPILRO�PE55 LItY IIP PN'JIIE <br />n.�'.�ullCfUV10E51GNFF BALLM�FE55 LItY ZIP -- CIqNE <br />OV�fflAtCpliflLCiOP 'IAILADOIIE55 Lltt ZIV PNpNE S1AlELICENSE� <br />-- .i `i�%i /!t ol!/Uf � -- - <br />i..Gr�pNiCµLONLMCiOfl YAM1ADOPE55 Cli! ZIP P1qNE STAiELICENSE• <br />PibNP:�IGCONLMCTOP MtiLADOPE55 LIiV ZIP PNONE 511tFLiCENSE• <br />(: J`111iACi PPICE OF WOfIN <br />I:f SCfllof WJ11K AYD $OU��E LW IAGE INV(,<VtU <br />.ri%r�i iv,yr_� <br />!-��Ar�ci/J �'F/"�.voF E�S�' <br />%✓A/G iP . <br />�mo=aseouseacaunnir+c <br />,YGi/J,LivC E <br />l! GAL OCSC1iIP1pN OL PPOPEFIY ISMOWN BE W W 011 �iUCN t WOCOFIF51 <br />iCl� BIOLK OF <br />%7�.7� L L'4/ L2 ✓IiQ���f r <br />� < </.'- L✓.�I - ,Q t9,• d� <br />fAIICEL i/JI I � N{IMBEN <br />._Gi so-q"J�-F/�9-os(�2 <br />_o�snucria����EHOEa. eon�Ess. rE�EPr�otiE HUMo�n <br />IJ �.�--_ — <br />8 <br />FOR OFFICE USE ONLY: <br />Ii1C'Ii5C1pRLK OURSfIORLN <br />v.[tobE �OtaNG <br />» iy Of CONSL NO.OF 6iOflIE6 <br />':':I OfOIOG RRf5PH11MLEHSRE09 <br />oCCU:RIGYLO�O FlflEAIAN�ARE00 <br />nie nN <br />�f1iU.( pY 1'1.1115APPf10VE08Y <br />❑ YES "7 NO <br />�µLV\L� pfMtllU:Wi1S <br />0.s <br />❑ VES i 1 NO <br />CITY OF EVENETT <br />�LOCALSOLES <br />, TA%CO�E153105 <br />CONLALiPER50NANOPIpNENO. <br />I HERE9V CFRTIFV THAT I HAVE READ qN0 EYAAiINED THIS <br />APPLICATIOW AN� NNOW THE 3AME TO HE Tqt1E AND CORRECi ALl <br />PROVISIONS OF LAWS ANU ORD�NAP:CES GOVERNING THIS TVPE OF <br />WORK WILL BE COMPLETED WITH \'METHER SPECIFIEO HEREIN OF <br />kOT. THE GRANTING OF P PERMIT DOES NOT PflESl1ME TO GIVE <br />/ UTHOHITV TO VIOLATE �F CANGEL THE PRGVISIONS OF ANV <br />C iHER STATE OR LOCAI LAW REGUTATIM1,9 CONSTfll1CTION OR THL <br />PERFORMANCE OF CONSTFUCTION. TNAT I AM AUTHORIZE� BY TNE <br />OY�NER OF THIS PROPERTV TO PERFORM TI1E V,'ORK FOR WHICH <br />APPLIGAiION IS h1ADB ANJ I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RGW AND 296200 WAC. <br />X�„��,����� o„�'� �C� f'� <br />OUIIDiNG <br />PIUMBING <br />MEGNRN�LAL <br />r1DDI1:ONAL PLAN CHEGK <br />OTHER <br />STATE OWL�MG Sl1RCNAHGE <br />PUOIIC WORNS <br />TOTAL <br />v[e I n[coen�a <br />