Laserfiche WebLink
caw <br />1� <br />APPLICATIO-. FOR CONSTRUC"I"i PERMIT <br />TO BE COMPLETED IN BLACK INK -PLEASE PRINT E''z'rr <br />HEATING SYSTEM: L1 GAS ❑ ELECTRIC J <br />BUILDING DEPARTMENT <br />259-8810 <br />DEMOLITION COMBINATION BUILDING MECHANICAL -PLUMBING SIGN <br />OIVNER MAILADDRESS CITY 21P PHONE <br />Ki art `t73I /LfAs ikF N� TJ'4�nic 4d/y.f 31i-0Soo <br />TENANT MAII ADDRESS CITY ?,P PHONE <br />ARCHITECT OR DESIGNER <br />MAILADDRESS <br />CITY <br />ZIP <br />PHONE <br />GENERALCONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />STATE LICENSER <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />STATE LICENSER <br />NEW "'ADDITION -ALTERATION REPAIR DEMOLITION WOODSTOVE/FRPL INSERT <br />CONTACT PERSON AND PHONE NO <br />BUILDING RELUIJAI IUN <br />CONTRACT PRICE OF WORK <br />DESCRIBE WORK AND SOUARE FOOTAGE INVOLVED <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />( <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />ExFTsri 6 I� I ' <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />IEca DESCRIPTION OF PROPERTY ISN BELOW OR ATTACH FOUR coPlEsl <br />LOT_ U.MK OF <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED DY 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 18.27 RCW AND 296.200 WAC. <br />ly <br />scKAroac DATE <br />PROJECT ADDRESS <br />35'31 Svc—. <br />ryEFs,.,4 ETl <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />ABC—AHNDLG UNITS—H.P. <br />BATHTUB <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />2— <br />LAVATORY IWASH BASIN) <br />D <br />UNIT HEATERS-B.T.U. M <br />/ <br />SHOWER <br />-' <br />CLOTHES DRYERS <br />' <br />KITCHEN SINK 8 DISP <br />_ <br />VENTILATION FAN <br />DISHWASHER <br />rRANGE <br />HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />_ <br />URINAL <br />METAL FIREPLACE 8 CHIMNEY <br />' <br />_ <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />i <br />_ <br />FLOOR DRAIN <br />HEAT PUMP <br />' <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />ROOF DRAINS-RAINLEADERS <br />I <br />EXHAUST FAN <br />SINK (SERVICE -BAR. ETC.) <br />SUBTOTAL $ <br />�.1� <br />SUBTOTAL $ <br />PERMIT $ <br />/d <br />PERMIT $ <br />_ <br />TOTAL FEE $ <br />' <br />TOTALFEE $ <br />v T ICI_ nA I v. <br />rvn vs . -- .... <br />FRONT SETBACK <br />REARSETBACK <br />SIDESETBACK <br />PIAN CHECK�NUMBER <br />IEE <br />— <br />RECEIPT NO <br />C'I/ e A <br />USEZONE <br />LOT AREA <br />WCANT S';E <br />FEES <br />VALUATION <br />PEE <br />BUILDING <br />TYPE OF CONTS ALLOWABLE <br />TYPE OF CONST. ACTUAL <br />asuvexn <br />DF., <br />KalM IT RG nits— <br />I <br />:eo <br />PLUMBING <br />_ <br />3S <br />SIZE OF SLOG. <br />NO OF STORIES <br />BASEMENT <br />MECHANICAL <br />ADDITIONAL PLAN CHECK <br />i <br />OCCUPANCY LOAD FIRE SPRNKLERS REOD HEIGHT LIMITATION <br />I <br />SPRINKLER <br />REASON FOR SPRINKLERS <br />STATE BUILDING SURCHARGE <br />INTAKE BY PLANS APPROVED BY <br />CITY OF EV Ej <br />PUBLIC INTO <br />LOCAL SA <br />TAX CODE ISTOTAL <br />