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APPLICATIQ 1 FOR CONSTRUCT )N PERMIT <br />TO BE COMPLETED IN BLACK !NK—PLEASE PRINT <br />BUILDING DEPARTMENT I HEATING SYSTEM. Yl 13AS - 1 <br />259-8810 J CV lZ-Iz6a..l T LN - <br />DEMOLITION COMBINATION 1 <br />oPaEI i 1 BUILDING x MECHANICAL <br />MARAIMRESS CITY 1 SIGN <br />L PLUMBING I <br />'E tL�te.iC, SY1 .l r_.z L2rm P <br />ED <br />r��(yT>71c tii 9f31d 2a rn,n <br />M✓NIE —L EN —STATE W—. <br />ME[NAHCAt Cp1TgAClpq yAE ADMESS <br />LIiY 2M <br />PNCNE Si"TE IK£NSEP PIUMBWp LdRRACIDq <br />MAEADNREI CITY <br />ZIP PIgNE <br />STATE ICENSEP <br />LOTm¢R <br />oR <br />PARCEL TAX ID NUM6E,, — <br />Cd15TgMCigNIOAH lENOER. ADDRESS. TELEPNEWE NOMEER <br />FOR OFFICE USE ONLY. <br />TIN <br />❑ YES No <br />near wva No <br />❑ YES O NO <br />DATE I TAX COOS IS <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />AUTHORITY NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />TVIOLATE <br />OTHER STATEOR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br />."�i��r����iz 3�3 <br />aAw�LVNM,a <br />BUILDING <br />_-� <br />PLUMBING <br />MECHANICAL <br />ADDITIONAL PLAN CHECK <br />OTHER <br />�- <br />STATE BUILDING SURCHARGE <br />------------------ <br />PUBLIC WORKS <br />TOTAL <br />