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APPLICATI� J FOR CONSTRUCT. JN PERMIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />HEATING SYSTEM: ❑ GAS U ELECTRIC ❑_ I <br />BUILDING DEPARTMENT <br />259-6810 <br />� DEMOLITION �� COMBINATION yl BUILDING ��. � MECHANICAL �. �� PLUMBING SIGN <br />OWNEP MAitA�ORESS LIiV Ilv P�qNE <br />-+�t� 6✓6i'�,� ����Z, i�r-�-r��Ua�� {z�,�tT GS',� ,� 7�_ �-c,c� <br />iENAN M�IL�ONESS Lltt ZIP PIqHE <br />�-.'i, �, i,�/ I �inr �;tr',G9' - � ^ / / l�.r/�a t �,r"���% �} 7iJ'�� �J F f' O lJ <br />•f1CHRECTOR0E5K+N[R M�0.AODRE55 ���r T�P <br />� ♦/ <br />li �� .�')i�%I �� <br />GCNE11µ 1RACfOF ♦ 1AAAA��flE55 CIiY 21P PIqNE Si�¢LICENSE• <br />/ 1..�9 ��%I �i <br />MECHANIL CGWiPACiG� MAhA00FE55 f,liY ZIV PNONE $��tELICEN$EI <br />MAILLDOPE55 <br />55 CF WOFK <br />NEW .' AODITION jeALTERATION �� flEFAIR DEMOUTION WOOOSTOVEFRPLINSERT BWLDINGqELOCATION <br />c�m�c*vn¢coFwonx �-/,�c�_ <br />oEscniAewp n� µosau�nEcoo*nee �� <br />1 i /,/,/✓ �-� ;�,fj�- <br />•��r <br />rnoroseo ose ov em�mxc <br />� - ���� '�'f L�� �� <br />L-GAL 0[.iCfiiPiqN Oi PPOPE�ffl' ISHOWN BE101 <br />io* eia. _ ov <br />FOR OFFICE USE ONLY: <br />F110NLSEtBALN REAR'. <br />NO <br />OCNPANCY LORD <br />nusor+ <br />• „�.� .ti ;�rr+�ay-oo� <br />I HEREBY CEflTIFY THAT I HAVE flEAD AND EXAMINED THIS <br />APPLICATION AND NNOW THE SAME TO BE TRUE AND CORflECT. ALL <br />toPresi PROVISIONS OF LAWS AND OfiDINANCES GOVERNING THIS TVPE OF <br />WORK WILL BE COMPLETED W�TH WHETHER SPECIRED HLREIN OR <br />NOT. TME GRANTING OF A PERMIT DOES NO7 PRES' IM� TO GIVE <br />AUTMORITV TO VIOLATE OR CANCEL THE PFOVIS�ONS OF ANY <br />OTHER STATE OR LOCAL LAW REGl1LATING CONSTRUCTION OR iHE <br />PERPORMANCE OF CONSTRUCTION. THAT I AM AIRMORIZED �Y TNE <br />OWNER OF THIS PHOPERTV TO PERFORM THE WORN FOF VINICH <br />APPLICATION IS MAOE AND I COMFiV WITH THE STATE <br />CONTRACTORS LAW 1827 RCW ANO 29fi200 WAC. <br />,(' i/S_ <br />- i ..,. -i' <br />SIDE SETBACK <br />NEIGXL LIMIiLiION <br />rax r.00e is 3ios <br />BUIIDING <br />PLUMBING <br />NECMANICAL <br />AOOITiONr1L PIqN LNEGK <br />SPRINNLEfl <br />STATE BWL�ING SORLNAPGE <br />vueuc wor+Ks <br />TOTRL <br />�� <br />J <br />