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APPLICATIQ 1 FOR CONSTRUCT� )N PERMIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT �/ <br />�����1 <br />HEATING SVSTEM: U G4S O ELECiRIC O —� <br />BUILDING DEPARTMENT <br />259-8810 <br />f! DEMOLITION ! I COMBINATION I 1 BUILDING !!MECHANICAL i•�PLUMBING U SIGN <br />ONNEP AU�t�I'ORi55 CpV 2�n vIK,nC <br />`.�i�.!.•(.1.�� i'f-_fli'�r�'-� ='i'�IC��� �lL��i'�,�,I{fi ;���.��-J.�(-��.tl�l 61.'r� `l�'k�.J <br />ILN�NI MAllApp9E5$ ' C1�Y ZIC i`N^ME <br />I.R[NRCClOBO[SiGNEN A4M1ApDNE55 CITY $Ip PNON[ <br />ccucn�icorvtn�cron ',�j'{A!'�'��RAS f.C�•�"G1ENT CO..II:C arv Z�P — PNONE •Nb SrnreicEr�sc� �� — <br />ie � Ma ��a � A.'Rll(�i� 1� I I I�l'�_ iq�l <br />MF6UNiCAlLNI1fl�CTOR M�.n,wp{�f55 r Llry jip pNpNE S1tlElICENSC� <br />CVlY�II� �v8$i1�flgi011 �'tl2�] <br />Q� �Ad 1 <br />�l1:M91NGCqifPACiON MAR.�WPE55 diY ZIP FNCNE SiRElKENSE• <br />LCH111I.C1 PIItCF OG 1VJfl1( <br />JESCRIBE Wd1N�NU$OIIAPf <br />— / � �, I <br />I�..� . � �, t <br />raorosco use ar nuRorxi <br />i w]I(� <br />lE6U DC.�9ieil[M' W PqC% <br />lOi-- PLCL\ <br />MRCEI IAM I O NIIMOEN <br />� ��L <br />( '. � <br />`e,4�wavco -f i i� <br />� <br />� )� � <br />:_t'_ . <br />4MI OEIbN ON ALi�LN tYN COPIE51 <br />_ � <br />CONS1PUCipr1LOAN\[NCEN.�ODRESS.�GLERIPYENUMBEP <br />URINAL <br />� <br />PriEVEN'iERS <br />FOR OFFICE USE OP7LY: <br />rnovrscro�cK nun: <br />WFtONE LOt�i <br />mttpCOMsr MOac <br />SQEOFB�OG fIPES� <br />OCCUP�INLYLWO i�NE4 <br />nE�50N <br />m�nx[er nervr. <br />O��E <br />�''�I� ��)��1�.,� �'L <br />SiDE SFIBACM <br />V�UNL SIIE <br />" VES �' NO <br />aun�.. n V [x.iutu <br />c+a. <br />IEQD BASEYENL <br />Ci YES f'. NO <br />NEIGMI LMII�IpN <br />a� CITY OF EVEHETT <br />IOCRLS�LES <br />T�U! CODE IS 3105 <br />LONiACi PEOSON AN� PNIXIE NO <br />'/ 1.'f�(l� l .�,%tlA'- <br />i HEREBV CERTIFV THAT I HAVE fiEAD AND E%AMINED THIS <br />APPLICATION AND NNOW TNE SAME TO 6E TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND OR7INANCES GOVERNING THIS TVPE OF <br />WORK WILL BE COMP�ETED WITM WMET4ER SPEGFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT UOES NOT PRESUME TO GIVE <br />AUTNORITv TO VIOLATE OR CANCEL TME PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFOFMANCE OP CONSiRl1CTION. TNAT I AM AUTHORIZED BY THE <br />OWNER OF iH15 PROPERTV TO PERFORM tHE WORK FOR WHIC4 <br />APPLICATION IS MADE AND I COMPLY WITN THE STATE <br />CONTRACTORS LAW 1827 RCW AND 29G.200 WAC. <br />Xw��.��, \'i�il`,._ 1—��,'��:� �(."j <br />— o�il <br />AIR <br />CLOTHGSORYERS <br />RANGCHO00 <br />OWLDING <br />PlUM91NG <br />MECN�NIGPL <br />ROO171pN�L PL�N CIIECK <br />O7HER <br />SIAiE BUIt01NG SURCNRPGE <br />ruouc wonKs <br />TOTAL <br />SUBTOTAL 5 <br />