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APPLiCAT10N FOR CONSTRUCTION PERMIT �i� <br />.- <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT ��"�� <br />` ,, <br />DUILDING DEPARTMENT �-- <br />259•8810 <br />DEMOLITIOtI COMBINATION <br />UY�NLR MRII M1bORk55 <br />��pu—��x.ato �906 ��r <br />ii.Hn��� �- unnnuuiicss <br />n��dmecronn�sicr�en,. , uun.auoni:ss <br />i <br />N��L <br />Ct n:S � �.'Onrc <br />' I NEW � ! ADDITION ! � ALTERATION <br />DESGRIBE WOHN AND SOUAPE FOOT��E INVOlVEO <br />l2i y'' u�ul -�ov <br />vnoi'OSEo u5E Oi nililolNG <br />��s� a4,�s.E <br />I IIIi�L IIESCIIIPfION Of PIIUPEptY (5110YM tlELOW OR <br />���7 � � Ul(JGN y i ✓ UF � <br />HEATING SYSTEM: �J GAS IJ ELECTRIC !J <br />19uULCIA1N�11LS. ��[ � <br />,-�00/ • �� v - <br />OR <br />8 <br />FOR OFFICE USE ONLY: <br />�if10NT5ET0ACK 11EI1NSEItl�CY <br />%�% / <br />IbL 2tN1E <br />_L��� <br />I+PL (H C11NI5.1 <br />SIiL (1� OLIK. <br />w nti�n n <br />nro�ni nr <br />BUILDING <br />/fn1Y--_ <br />.'v.!1 t �r'f . <br />cur <br />cnv <br />CIIY <br />MECNANICAL PLUMBING <br />NP I91UI1E ' � "-- <br />�i8�ol aob zf9 7�59� <br />SIGN <br />�iP PIIONL <br />!IV Pf10HE ti1�tE UCLNSL � <br />�++���]+/y�� E%htUG-Mi —) I olG <br />tIF PMONE SIAIEIIGEN56� <br />!iP PMONE SiATE IICENSE I '- <br />! DEMOLITION � WOODSTOVBFRPI INSERT I i BUIIDING RELOCATION <br />I f.p111�CI PERS[N! AND PIIONE NO. <br />t HEREBV 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 />NOT. THE GRANTING OF A PERMIT DOES N0T PRESUME TO GIVE <br />AUTI10f1ITY TO VIOLATE OP CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL lAW REGULATING CONSTRUCTION OR THE <br />PERfURMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM TfiE ORK FOR WH�CH <br />— APPLICATION IS MADE AND I COMPLY WITH STATE <br />CONTPACTOFS LAW 1827 RCW AND 296.200 WAC. <br />////����� qp <br />- %Y_ ' rv___—���____—'.iin�i--/� � T�-1 <br />NO. I TVPE OF <br />AIR <br />Fi <br />8 <br />tot nn[n VAG�NT 517E FEES � <br />F3UILDMG <br />Iv14pLUNSl.l,6'IWl uWnwr.;r woo��nww.�mns — - <br />,� / J '_ ` PLUMOING <br />NOOftii01U[5 045FMEIIT MECIIANICAI <br />1 i�[ SP(U�NI[RS NEVD 11BGU�T uM�it �1� ADDRANAL FLAN CHECK <br />4�___ SPRINKIUI <br />SiA1L OUILUIIJG SUIICHARG[ <br />rinrr,nrrn�viunr CITYOFEVEAETT ruaucwui�hti <br />LOCAL SALES <br />Ju „/„ /� TAR COOE IS 3105 TOT�L <br />-- `� �' '�Z - --_ ..... . <br />SUB T� <br />PERMi <br />TOTAL <br />�E�iY �� �7E9r�� <br />� �� <br />.� <br />�J 0 <br />