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APPLICATIO� FOR CONSTRUCTAN PERMIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT �oz�err <br />__— — f_---- _� <br />BUILDING DEPARTMENT I`���TING SVS7Eha: �GAS J ELECTRiC J ___ <br />259 8810 <br />DEMOLITION _ COh181NATION BUILDING "MECHANICAL PLUMBING SIGN <br />u—n— — ^.sror,cs: a:r n�o�.[ <br />� <br />1 rtwis J� xi1 „7 31 � 1/ir ���i /�.�C ��c:�l(- �`�QiLal y15 -291 - 9381 <br />.! I41ai Il�ILI.JpqC.aS LIIY T�� PIIp1[ <br />P��C��'�1fCiq1pE5Ki11[11 Y.ULAppqF55 �ItY lip pp�.E <br />G[M1FRe�LLNiR/.C1011 Y�0.�WIIE55 GItY ZiV PN'JN[ Si�1CLiCENSC• <br />' CiIY Iiv pNpry[ Sil.i[I�CCNSE• <br />E.�.�n µo��oe �182�2 '�0�794'7'�cr,. (nsNEAGt1u7JD <br />surc uccns. <br />r ���s rn vmn. <br />_ NEW ADDITION X ALTERATION REPAIR �EMOLITION WOODSiOVE:FqP�INSERT BUILDMGRELOGATICV <br />�� co.iucrrensrn�uinm�a:cr�o �U -- <br />;.:;�m�otw�awwonr �J�UUD� �OC� �Cb�D'1 794-7jC(�� <br />-��-mur�oeneriosou�acvaoreceirvvav�o pro q. — - <br />�:d� aa�; 1'w„«a waklsAlv.� bosl+.c tin�1....�. <br />io� <br />nr�n <br />J <br />BICLN pF <br />IWASM <br />FOR OFFICE USE ONLY: <br />� � �.-a s[re��x eEensi io¢n <br />1� I .'O•�E lOtAqEA <br />.�.r�cm�sumx.ea rvno�ca1snc <br />1q OFSfOq25 <br />�iaSONfONSPPiNKIER: <br />I•.:P�.[ �Y <br />I HERE�Y CERTIPY THAT I HAVE READ AND E%AMM[D iHIS <br />APPLiCATION AN� KNOW iHE SAME TO BE TFUE AND GORFEC7. ALL <br />PFOVISIONS OF I.�WS AND OPDINANCES GOVERNING THIS TVPE OF <br />WORN WILL BE COIdPLETE� WITN 1NHETHER SPECIFlED HEREIN OR <br />NOT. TME GRANTING OF A PEFfAIT �OES NOi PRESUldE TO GIVE <br />AUfHORITV TO VIOL4TE Oq CANCEL THE PROVISIGIJS OF ANv <br />OTHER STATE Oii LOC�L LAW REGULATINO GONSTRUC110N OR T�1E <br />PERPOFAIANCE OF CONSTRUCTION. THAT 1 Ah7 AUTMORIZED �Y iHE <br />OWNER OF THIS PROPER7Y TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MqDE AND I COlAPLV WITH THE STATE <br />CONTR4CTOR5 �AW IB 2 i RCV! AND 236 20: WAC. <br />�x ��pk . P l➢J e�-= ��'b — <br />uwr <br />wni�n <br />siocsuoecn ri.v,ortcrnrr.�mie <br />ewioi�+c <br />m..rc. n-";.��..•.�..,�� -- <br />��� PIUAIpING <br />4SEMFNI Id[CMANICAL <br />:IGMl�uueu0v A�OITIONALPLANCNELK <br />____—_ " SPR�Nr.�[R <br />51NL p111L�ING SORLIURGE <br />CITY OF EVEflETf ruaucwoans <br />LOCALSALES <br />iR% COOE IS 3705 *orni <br />�, �� <br />-�1U. M EA. '--- <br />IA _-- '-- <br />IMNEY <br />SUBTOTAL 5 <br />PERMIT $ �� <br />TOTALFEE 5 « � <br />�ff(�Pir�J <br />VALUATION FEE <br />