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APPLICATI�1 FOR CONSTRUC7�N PERMIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />HEATMGSVSTEM: �- GAS UELECTRIC U <br />BUILDING DEPARTMENT <br />259 8810 <br />�� DEMOLITION �. � COMBINATION �. �. BUILDING �MECHANICAL f i PLUMBING I'. SIGN <br />r.ivrn��j� �wpron u�n�ooness �- \ ��^•-��-�• <br />-��s�1-4�1F� t 1T_^ 1 � i�ATI=� 7.��� (}�(:C�t n� ��`� k � 1- � A j�` f�GI�! Fi /,(1 I{ 1 D� <br />vtc��+vcucor� a+.c*oa u�a+nonEss cnr z�v rr�w�F s��E�K[HSE. <br />��.�unmccorvrn�cron uuuooncss crtr ziP ���a+c srereiKSNsc. <br />ra:ta¢tv� - <br />'` �S� - <br />c�Escnmcvrcu+�nosou�ncroo*�ccwvavto corv*�crvEnyon�vovrqricuo / ���i, . .�� . . � ,— <br />���,��I 'l�l: -� <br />rWo�osru use or eunoiuo <br />� t G4 DESCnin�ipry p1 vqpa[qiv Igw'MM BELOW OR UiG[M <br />��e� eioen w — <br />�mu«*n i vuMern <br />��oo(��- C>oa G(�1 � <br />rcr.59mcrroNla�NUPDtn m�erss leLLrr�aY[nuuo[a <br />PROJECTADUNESS <br />i6��- �Il�,i.1�IC <br />WAT[R CLOSET <br />9AiMTl1B <br />L�V4TORY pY�S <br />SIIOIYEfl <br />KITCHEN SINK 8 <br />OISHWASNER <br />LAt1Y0RY TRAV <br />CIOTME5lYA5M <br />URINAL <br />ORMKING FOU� <br />� FLOOH �RAIN <br />BACKFLOIY PRE <br />PEPldIT S <br />- ---�- -- 70TAlFEE 5 — <br />FOR OFFICE USE ONLV: <br />n i �:onr. -.-__� a�u�snnn:. ls.ni�;emnc. <br />..:�rt �o��ne� <br />.� "'� L��H51 NO Gf 910PiF5 <br />: � n� ptDG IiP[ SoqrryntEn5FE09 <br />..'.�'RNCYIO�D fIIIE�L>NNflCO� <br />� ay <br />, ,-��, � amnrrnovonr <br />—� irn,t <br />I HEREBV CERiIFY THAT I H�`. � �Ef.p AND EXAMINEO THIS <br />APPLICATION AND KNOW THE Sf.NE TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AN� OR�.NANCES GOVERNING THIS TVPE OF <br />WORK WILL BE COMPLETED WITN WMETMER SPECIFIED HEREIN OR <br />NOT. TME GRANTING OF A PEFMII' DOES NOT PRESUME TO GIVE <br />AIITMORITV TO VIOLATE OR CANCEL TNE PROVISIONS OF ANV <br />OTHER STATE OR LOCAL LAW PEGULATING CONSTRUCTION OR THE <br />PeRFOAMANCE OF CONSTRUCTION. iHAT I FM AUTHORIZED BV TME <br />OWNER OF THIS PROPERTV TO PERFORM THE WOHK FOR WMICH <br />APPLICATION IS A7AOE AND I COMPLY WITH THE STATE <br />CONTFACIORSLA � 200WAC <br />tix. � uxr (o� <br />� VES NO BUitOING <br />�pWM�ING <br />�L� <br />�se�rtHt MECHANiCnL <br />VES NO <br />=.icNtuviunON RDOiTIONAIPIRNCNECrc <br />OIHER <br />9niC PwLDiNG SUPGHARGE <br />CITY OF EVEflETT rueuc wonKs <br />LOC�L SIILES <br />TAX COOEIS 3105 TOtAL <br />