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A�PPLICATI�`I FOR CONSTRUCT.'1N PERMIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT �o/� <br />HEATING SVST . AS U ELECTRIC U <br />BUILDING DEPARTMENT <br />259-8810 i7 SIGN <br />1 DEMOLITION -. I COMBINATION ��� BUILDING �� CHANICAL i l PLUMBING <br />Y /.I1DPE55 C11V �� �' ����ri��r_ �/l1 <br />�c���, 6�« n��1. ���\������a�,a �d, ��- � a�03 O(`J O�JV`+' <br />�cn�Ht untwon[ss t�rv Iw owr� <br />.� � .� <br />SOLARE <br />� �. �-\. <br />rrarosco ,�,�r <br />icwioEscn:vipHa vnorE <br />LOi BIOGfl <br />renec�rnam Huune« <br />ux�ooncss ' ��^' <br />inar.00ncss �'n' <br />�1�p0 �-�� \1 F\�� �� <br />� ��f��C�n�ri��li � <,r <br />�D <br />I�GE IHYQVEO <br />q4 � FU v �� �— <br />� <br />isrwwn onrnvon enece mv corics� <br />— d <br />M[SS,iELEPMONENVMOPH <br />FOR OFFICE USE ONLY: <br />�RONiSLiBALN PEAFSRBACF <br />vSL:CM[ LOiME� <br />��norcoxs� raorsrauc <br />�cruru <br />n[e°AM <br />m�/KE B <br />o��f <br />sroesEre�c. <br />VACANi$liE <br />❑ VES ❑ NO <br />ROMK� �OqA.t'.lM1ii <br />cwr <br />B/SEMEVi <br />❑ VES i_i NO <br />Ncavi uuir•*arv <br />CITY OF FVEHET <br />LOCRL SALES <br />TAX CODE IS 31f <br />wqNErq <br />1 HEREBY CERTIFV iMAT I HAVE READ AND E%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BL TRUE AND COHRECT ALl <br />PflOVISIONS OF lAWS AND ORDINANCES GOVERNING THIS NPE OF <br />WOFK WILL BF COMPIETED KITN WHETHER SPECIFIED HEREIN OR <br />NOT. THE GR�NTWG OF A PERMIT DOES NOT PPESUME TO GIVE <br />AUTNORITY TO VIOLATE OR C�NCeL THE PROVISIONS OF ANV <br />OTHER STATE OR IOCAI LMY FEGULATING CONSiRUCTION OR TME <br />PERFOPMANCE OF CONSTRUCTION. THAT I AM AUTIIOR2ED BV THE <br />OWNER OF TNIS PROPEFiTY TO PERFORM THE WORK FOR WMICM <br />APPLICATION IS h1ADE AND 1 COMPLV W�TH THE STATE <br />CONTRACTORS LAW 1 B27 RCN' AND 296.Y00 WAC <br />E__ i� V _ lCV �l ��(V-�� � �U <br />OUILOING <br />PlUM81NG <br />MEGIUNICAL <br />AOUITIONAL PUN LHEGK <br />Oi11ER <br />SidTE BWLOING SIIRCNARGE <br />PIIBLIC WORhS <br />iOTAL <br />�+o <br />