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APPLICATIO . FOR CONSTRUCT:7N PERMIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />BUILDING DEPARTMENT '— <br />259-iid10 <br />, I DEMOLITION i COMBINATION <br />pyMER � _ � �� , MAIL�ODRFSS � � <br />HEATING SYSTEM: ,�GAS O ELECTRIC U <br />'' BUILDING �Mr'CHANICAL ' PLUMBING f � SIGN <br />CRy ZIP PHONE <br />�...o1f� t �zo3 �-Sg /yoZ <br />TENANT � MAILAD�RESS CITY Z�P ��t <br />ARGHITECTORDESIGNER MAILADDPE55 QTV 21P PHONE <br />GENERI�LCONTRACTOR MAILAD�RE55 CITY Z�P PHONE STATELICENSE� <br />ME-Cy�NICQGON ACT R MAILADDRESS <br />`f�.,,, /(<52Z� <br />PjLfUM81NGCONTRACTOR M�IL�DDRESS <br />GLASS OF WaiiK <br />I 1 NEW I' ADOITION �ALTERI <br />CONTMCT PRICE OF WOFII( I�7�/ <br />LE6AL DESCRIPTION OF PROPERTY <br />lOT BLOCK _ <br />3bZ�j 6 <br />SINK <br />TRAY <br />.OW OR <br />OF <br />FOR OFFICE USE OkLY: <br />FRONTSLTB�CK REAHSETIIAGK <br />nR <br />SIZE <br />FIRE <br />INTAKE BV <br />� <br />REO'D <br />��lJG��S�PY�'!!/e <br />� <br />ZIP PHONE <br />STATE LICENSE � <br />STATE LICENSE • <br />�. . REPAIR �, � DEMOLITION ��� ��. WOODSTOVE/FRPL INSERT I I BUILDING RELOCATION <br />i HEREBY 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 iHIS TYPE OF <br />WORK WILL BE CGMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO CaIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAI LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br />�--�� q��/93 <br />AiUflE iE <br />GAS <br />$ <br />S <br />AIR <br />DRYEFS <br />ON FAN <br />& <br />MCANT SITE �cca � <br />BUIIDING <br />occuoexcr xo aowtuixcunns — <br />�^�P ' PLUMBING <br />BaSEUEnT MECHANICAL <br />HEIGHT LIMITnTION ADDITION.4L PLAN CHECK <br />SPRINKLER <br />STATE BUILDING SURCHARGE <br />CITY OF EVEHETT PUBLIG WORNS <br />LOCAL SALES <br />TAI( CODE IS 3105 T�TAL <br />$ <br />S <br />a <br />a <br />a <br />