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APPLICATIa FOR CONSTRUCT�N PERMIT��� <br />CRV OF EVEREf 7• BUIIDING DNISION <br />3200 CEDl.fi STREET,•. EVEREIT, WA 9820� •(426) 257•BB70 <br />❑ UEMOLITION (�.( CGMBINATION ❑ BUILOINO O MECMANICAL ❑ PLUMBIN6 U S�6N <br />PROJECTAUORE55: �L�O/ — 2/ � D�• �' W • �✓F�=r — <br />/.(�2rWC�sr�e'i,'CegP---f �'_6ax 3'{d EDmnNat l,N� 5)7ozn (`fts.-)77�-3/�4/ _ _ <br />ox+an uuiuvnn��: an nr narit � <br />i� ��ne — —_ um nrx+rtss - nn �m ww+r � _ <br />Nu{ <br />�IL�T.��QLZ� ��.—_��IS ZSZ 91.,0—... <br />�nr �m r.<nr <br />�b+iu�lDS_� nto (Y�s) %�y-il�Yl Noa-m�ni <br />tm ) r . r�vt�E cuq �KtwR � <br />�avAucc-v �cun�ia6- IZ�Fi�I Nt�.�,Q9 5 u„ t r2 c-�-�-�- ��� s) v�-s!� AD�AtJPFFOzzPS <br />rl�luBmGCOu�u4tCn uuUpMEss cirr Ite vrqr�F SLR�K[M5f• <br />1u.�in.crr��au�hon. MEATINGSYSTEM: �GAS ❑ELECTRIC ❑ � <br />NEcJ CU�T�2 `c�"/on� - <br />Uf':lRlp(W�IIR�NII[l���f+l CO��G(INVq.v[II CONl�L1VfP�OM�MI�WMFNO / _ � ����_flnile���.�ai�C <br />� <br />rnoro=rnust cr nnn[nrc: <br />i i ar, m s/r.r.n•7�v� or nnorenrv �•�ro�m ya o� <br />�o� . _!p — aioca _'_ o� <br />�1f�ff1 ��� 11 �nIM�1�1 • . <br />ICIf1Y1(14i <br />1 HEFEBY CERlIFY TNAT I MAVE READ AND E%AMINEO TNIS <br />APPVCATION NID NNOW THE SAME TO BE TRUE ANO CORRECT ALL <br />PROVISIONS OF LAWS AND OR111NANCES GOVERNING 1H15 TYPE OF <br />WORK WII L BE COMPIIED WITH WHETHER SPECIFIEO HEREIN OR <br />NOT. THE GAANiING OF � PERMIT DOES NOT PRESUME TO GIVE <br />ApTHORITY TO VIOLATE OR CANCEL THE PHOVISION OF ANV <br />OTMER STATE OP LOC/d.IAW REGUUTINO COtiSTRUGTION OH TNE <br />PEPFORMANCE OF CONSTRUCTION. TM�T I AM �UTMOH�ZED BY THE <br />OWNER OF THIS PPOPERTY TO PERFORM TNE WORK FOA M�MICM <br />RPPLICATION IS MADE AND I CONPIY WITN THE $TATE <br />GONTRACTORS LAW 182� RCW �N� 206200 WAC <br />/1.��� �!Qe,ww--_.__��95 <br />x ! ��l <br />5!GNA1111�E <br />CrtvlU9NESSliCFNSf w0 _ _ <br />� , DAChiLOW PREVENTERS <br />SINK (SERVILE — BAP. ETC ) <br />SUB TOTAL S <br />—""' — VERAIIi f <br />iOTeLFEE S <br />FOR OFFICE USE ONLY: <br />nn r.i cnn�rn nrms <br />L.i roG�O� - �oi�n <br />2-S�(�Ri�-- <br />,.,,�:,,,�,��,.p,��� ,o,� <br />�O� u.ny <br />lM1���l��.. • ��..iil� (Nll�l <br />,..��.L Z. <br />i.i., ,�. .irva�o�o —_ nr.�a <br />1:1�1� <br />s.k <br />54E <br />-.�....... ...i ' rn.,n 1 <br />� � �r f1A il:l'�1�� /'� <br />V <br />7t -� ___ ,,.,� 6/5/SS _ <br />� \ <br />LM <br />�ES ❑ � Rt1lMM. <br />w eia.�� — <br />' 1 L9 $ f. a�wnwn . __ _— <br />�tlVfYl / Yf1:�1�F1f11 <br />O�(s ��n ' <br />--.— �un�mvuri�wn�tr.� . <br />onKn <br />sun nunuwcsu.x.uem.a <br />CRYOFEVEHETT ��r��=�+��' <br />LOCALS�LES -� -- <br />TAX CODE IS ]105 To7�L <br />_ _i_ <br />SUBTOTAL f <br />PEAMIT S <br />tOTAL FEE f I <br />—7^ nrrnmr.n <br />X�_ ._' _ FEE._— __— <br />VAlU11TION _ _T_.. _ <br />,19,�oz3_ ._1Lo._,r;7S <br />v� <br />_.__-- _ g� ov <br />_�. _�____ `J.._��� <br />' � - .�v�_v_C <br />----- L-- l �vQ �a5 <br />