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APPLICATIQ 1 FOR CONSTRUCT' 1N PERMIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE ��INT <br />BUII DING DEPARTMENT HEATING SYSTEM: � GAS ❑ ELECTRIC U_ � <br />25��8810 <br />�' DEMOLITION i I COMBINATION I] BUILDING !✓MECHANICAL ;✓PLUMBING I=; SIGN <br />f�WNEP Y�RI�WRCS$ OlY ZiP CI�CHE <br />�yBy /✓o.er.v /Ji£f�acaRoa�r .4rE. Ev�dEIL 917a3 3s5-.3�/oa- <br />iFN.1Ni M�&A�M[S$ GiY IIP PICN[ <br />SNmE <br />�NCHRECi0FDE5q EP Y�iAD�PE55 f�tt IIP VNCNE <br />G'NEMlLqlipeCi011 \P4�DDFE55 CI1Y IIF�Jf/-gj�r�]�P11O6[ SiUEIICENSE• <br />rF,oy. Nc-�or�A..e /9�.ai-Gt<n.Ar� i,J_ .C-rin✓wo2n 98e.76 �rv�-» nn� r.0 <br />4fC.�+NiCqCCYiP�Cfqi RMLADDPE55 Cltt IIV PN,]NE S�REISENSE• <br />A�� _ <br />RUMP:`�GLONiML10B V\l�[fOPES$ 1 ZIP P11�,NE SGIELKCNSE• <br />i � <br />C-(�Mi1QR� 1'f1iLf OF WqIF � <br />�CSCRipf W011tl AI'0 <br />PNOMiED USE OL BUrtOmG <br />iccr.i ocuwarau a anacA*v �•,r�orvu eF�ow on ni*�cH rwo mwcsi <br />10i-- PLCCM Of .— — <br />sy9�- a��—t1/_�—� p O / <br />��„�c[ii.:io nuuecA <br />�.wsrr+ucrnrv iwr� <br />U <br />=R <br />FOUNTAIN <br />ETC.� <br />FOR OFF�CE USE ONLY: <br />FPONiSRpICK REAPSFiB�C< <br />USESOMC IOi�REA <br />Irvta[a1s1 �a.arsrotEs <br />S�ZECftll�6 ��qESFP'NN1E115NE00 <br />CLCUPAM:VLWD �INEN�1N411COO <br />aE� AN <br />Ni�F[OY I r•�MS�OPVqVEDBY <br />I o��¢ <br />50E SEt&�Cx <br />V�GNt S�tE <br />�': YES .-��. NO <br />�avw ianwum�.ivn <br />LKII <br />BASE4E�? <br />i YES i : NO <br />rvCN'iHiUMrtRipl <br />CITY OF EVEflETf <br />LOC�L 511LES <br />T11X COOE IS 3105 <br />AV <br />I HEREBV CERTIFV THAT I MAVE READ AND h%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND COFRECT. ALL <br />PRGVIS�ONS OF IAWS ANO OPOINANCE� GOVERNING THIS TVPE OF <br />WOPK WILL BE COMPIETED WITH WNETHER SPECIFIED MEREIN OR <br />NOT. TME GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITV TO VIOLPTE OR CANCEL THE PROVISIONS OF AN': <br />OTHER STATC OR LOCAL LAW REGULATING CONSTFUCTION OR TH[ <br />PERFOFMANCE OF CONSTRUCTION. THAT ! AM AUTHORIZED BV TME <br />'J\YNER OF THIS PROPERTV TO PERFORM TNE WORK FOR WHIGH <br />APPIICATION IS MADE AND I COMPLV WITH TNE STATE <br />LONTPACTORS LAW 1827 RCW AND 29fi200 WAC <br />x ,��i �.�- �—a �_s.3 <br />s..v.mv. oni <br />ouaowc <br />MUMBING _ <br />MECNRNIGPL <br />�OOItIONAt PUN [NFCK <br />OtHEfl —'-- <br />SLATE PUIl01� S0R[r1ARG[ <br />PU&if. WORRS <br />TOT1l <br />