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APPLICATla 1 FOR CONSTRUCT(�1N ��RMIT � <br />TO BE COMPLETED IN BLACK IkK—PLEASE PRINT <br />IHEATINGSI'STEM: �GAS '�.1FLECTHIC ❑ � <br />BUILDING DEPARTMENT � <br />259-BB10 <br />�. �� DEMOLITION �. ! COMBINATION -. '. BUILDING I 1 MECHANICAL :. I PLUMBINIi .: SIGN <br />SV{NE� MAR �DDl1155 CitV IiP M1q11[ <br />t'�ic f� /.' �n7.20 /'.(v.:si..%s �Jti�r�' 9if.tn3 3�3 YI��S� <br />1CAI.N1 MAILAOOflE55 CI1Y SiF VNOME <br />�PCNi1ECTqIDESqNEN M�ilA00PE55 CILY 2�p P1�Cl1E <br />fiCN[R4CQYiMCLOfl Y�ilA00RE55 LILY IIP P1qNC SUIELKFHSF• <br />A[/�J''/�N4ALCCNt�l.G10R AU0.�OORF55 <br />[ i//7h21��J <br />tuu a�ccorrtrucron u�nwon�ss <br />CC4iP�CiPHCCWWOFR <br />lUi BLOLM <br />4`�i.GCI i�1110 NNABEfi <br />IlWStFUL1iONlWNIfl <br />URINAL <br />F�ppR <br />POOF <br />FOR OFFICE USE ONLY: <br />rn�is[m�cx nF�n: <br />V:LZONf IOLM <br />nr� m mxsr � a <br />SII[OFHl00 flitE6i <br />�:���nnncviwo nnEu <br />nt n..oq <br />INIR�[HV PlANS <br />,.� <br />f.!i <br />UiV <br />urr , <br />S <br />LONi�GiPEfl$CNAND�1qNEN0 <br />1 HcREBY CERTIFY THAT I HAVE RFAD PND EXAMINED THIS <br />APPUCATION AND NNOW iHE SAME TO BE TRUE AND CORR[CT �LL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />N'ORK WILL BE COMNLETE� WITH WHETMER SPECIFIEO MEF[IN OR <br />NOT THE GRANTING OF A PERMIT DOES NOi PRESUME TO GIVE <br />AUTNORITY TO VIOLATE OR CANCEL THE PROVISIDNS OF AN'I <br />OTHER STATE OA LOCAL LA1Y flEGULATING CONSTRUCiION OF THE <br />PERFORAIANCE OP JONSTRL'JTION. TMAT I AM AUTHORREO BY THE <br />OIYNER OF THIS PROPERTY TO PERfORM TNE WORK FOR VlHICH <br />APPLICATION IS MAUE AND I COMPLY WIiH THE STATE <br />CONTRACTORS LAW 1037 RCY! AND 296200 WAC. <br />/ [//r %���J� <br />]L{9.f�-L/a� �i/J ''�... _ � U� `� <br />U�11 <br />VENTILATION FpN <br />HEATER <br />SUBTOTAL $ <br />PERMIT 5 <br />TOTALFL'c S <br />� rcc AEc[�r.Ho <br />i! VES �. �. NO OWLDING <br />no n rvmua,�„rrs <br />ua�. � p�UMBiNG <br />\5[M[Ni M[CHANICAL <br />i'�. VES I . NO <br />[n:rrtuur,;noq AODIiIONALPUNGNEGK <br />OTMCP <br />STATE BUiL�iNG SURGMARGE <br />CITY OF EVEHETT ruauc woaKs <br />LOCIIL SRLES <br />TA% CODE IS 3105 *a��� <br />