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0 <br />FROM�EUEZETT HUILDING DER'- T0: 2066433475 �'°aN 17� 1992 2:13PM i�41 ' P.02 <br />APPLICA'!'IOM FOi; CONSTRUCTION PERMIT <br />TO BE COMPLETED IN BLqCK INK—PLEAS� PRINT � <br />BUILDING DEPARTMENT HEATING SYS7FM: GAS � FLECTRIC U_� _ � <br />259•8810 <br />I I DEMOLITION I I COMBINATION � BUILDING l 1 MHCHANICAL I I PLUMBING <br />OWNeF MAILAOORCfiS � � S��?N <br />�� Z�P PHONt ' <br />�.����.�nc. iy�1Q��i. �a� q8o0� cD�lu-�3� <br />TGNANT. MAILADOpl55 �iiy =,� oi�cu�E <br />��CHITF�T UN bB310NCfi Mql� /�UMlYS C%Y Zp ' <br />d fIIONF ' <br />� � l ��� . <br />OENEMLCLMRM1CTOR MAILADDPC6S GTY 217 PHON! STATF.IJCCNSU � <br />S •�.�$_.�.�Z'> C1oi.o��r�-�1�7P1� <br />uFCMuaron�comm�cTna M�vtAUuness � � Cnr �' iiY ` . <br />PMON6 61ATlLICGNbF.1 <br />PIUMbINGCQVTMCTpq MAILAUCIIl99 CIIY ZIP pNONC "— <br />. 6TAlG UCCH$F � <br />�ci � s v� wonK <br />EW I I qpDITION <br />( <br />CONTRAGT YkIC! UF WOfiN � <br />I I ALTERATION � I REPAIq I I DEMOLITION I I WOODSTOVFJFRPL INSERT I I BUILDING RELOCATIUN <br />� CONTA�T PER60N AND PI IONF N0. <br />����� � �-1�1-2323 <br />�GC MVp VE0 <br />•�•^• -/v--G•,•• •,.^ ,,, .�,+�•� � Uanunn ettuW Un ATTACH FOUR fAPIES) <br />lOT CU / _, BLOCK OF <br />—_i�C�m nahrex� K <br />_ �/��ti ��/ <br />_._ . _ l��i'G /77 <br />PItOJEC1A00RC55 <br />��� <br />CLOTHES <br />� <br />SINK & <br />FOR OFFICE USE ONLY: <br />`�10NTSDTNALK fiCARSGT. <br />USk ZU�y.y � l01 ANU <br />NO. <br />:inNEBY j f'LNIS <br />� .,��..� <br />37 VACANI Sll <br />isL�Cil4l acW�oyuc wnnn <br />i`� �.J, � <br />%A�FS OM1SEMFNf <br />,� . <br />KIFq5qEOv MEIGIITLWITATI01� <br />�t/d 27� <br />3105 <br />t MEREBY CERTIFY THAT � HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAMp TO BE TRUE AND CORRECT. ALL <br />PAOVISIONS OF LAWS AND ORDINAPiCES GOVERNINCi THIS 7YPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPE;IFIED HEREIN OR <br />NOT. THE GRANTINO OF A PERMiT JOES NOT pFESUMC TO GIVE <br />AUTHORITY TO VIOLqTE OR CANCEL THE PROVISIONS OF ANY <br />OThER STATE OR LOCAL LAW REGULATING CONSTqUCTION OR THE <br />PER�OFMANCE OF CONS7RUCTION. THAT I AM AUTHORIZED BY THE <br />OW,VER OF THI3 PROPERTY TO PERFORM THE WORK FOR WH�CH <br />APPLICATION IS MqpE AND I COMPLY WITH 1HE STATE <br />CONTRACTORS LAW 1827 RCW 4ND 296.200 WAC. <br />BUILDING <br />PLUMBING �V <br />MF.CIIANICAL <br />ADDRIONAI. PLAN CIiCCK <br />�.(jINKI FA � A- �/ <br />BTATE BUILDINp SURCHARGE <br />ruauc wonKs <br />TOTAL <br />nCIY�/J �('.�--/ ' [ S _ <br />NT/ <br />PMENT FEE <br />.P. , <br />�B,T.U. �A E.A. •.. � <br />M '— - — <br />`� G <br />--... ..A O : <br />� <br />