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APPLICATION FOR CONSTRUCTION PERMIT � <br />TO BE C��?LETED IN BLACK INK—PLEASE PRII^ <br />BUILDINQ DEPARTMENT L <br />259-8810 <br />❑ DEMOL1710N ❑ COMBINATION <br />o� .� `. \ _ ►u� �ooncec ` <br />loT LLOCM OF <br />f: �: �3 <br />HEATING SYSTEM: �GAS l] ELECTRIC O <br />,,,,,::;: ��.. �:, <br />FOR OFFlCE USE ONLY: <br />F110NfN1MCK REMBETB�CK <br />O�TE <br />❑ BUILDING <br />>� a <br />cm <br />cm <br />cin <br />crtv <br />SIDE SETB/�CK <br />V�GW7 SITE <br />❑ YES ❑ NO <br />acm..c. xoawnuwc� <br />aar <br />L15EMEM <br />❑ VES ❑ NO <br />❑ ?LUMBINO <br />ZIP <br />CONT�CT PERSON N!D PIIONE /q. <br />---�d�— <br />- 4'Srza � <br />i HEREBV CERTIFV THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW TIiE 3AME TO BE TRUE AND CORRECT, ALL <br />PROVISIONS OF UWS AND ORDINANCE$ OOVERNINCi THIS TVPE OF <br />WORK WILL BE COMPLETEO WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE �RANTINO OF A PERMIT DOES NOT PRESUME TO OIVE <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br />OTHER STATE OR IOCAI LAW REDULATINO CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTMORIZED BY THE <br />OWNER OF THIS PROPERTV TO PERFORM THE WOHK FOR WNICH <br />APPLICATION IS MADE AND I COMPLY WITH THE 8TATE <br />CONTMCTORS LAW 18R7 RCW AND �9E.700 WAC. <br />Y � ���.�.,lu � ,�.e�.� l�i� J�� <br />�,�T � a <br />CLOTHES DRV <br />VENTIUTION I <br />RAN�EHOOD <br />P4W <br />BUILDING <br />PLUMBINf3 <br />MECHANIC�L <br />ADDITIONAL PLAN CHECK <br />OTHER <br />STATE BUILDING SURCMARGE <br />PUBUC WORKS <br />TOTAL <br />RECEIPT N0. <br />