Laserfiche WebLink
' APPLICATIOi FOR CONSTRUCT�N PERMIT � <br /> � TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDINGDEPARTMENT HEATINGSYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> 259-8870 <br /> �. ': DEMOLITION �,�1 COMBINATION I.��. BUILDING ❑MECHANICAL f.7 PLUMBING X SIGN <br /> om;cn u�abon[ss cirv xiv rnoHe <br /> A�rn� nv K,N� �IO PROS �'E71th'MflµFUNL�l �rPD[L� ia'� Gt�n,a�iFrtu.s qru�. �3f,o�691 SSK� <br /> iEN\Ni Y�RADDPE55 CIfY SiY PIqVE <br /> C`ni-i S�Cr'[- 1F I110 I'��onpWny Ev�z��1' q�'l�l (4zS��s9-Nbl9 i <br /> ���C�.f6IOPDESGNEP M/.rt/.00PE55 CIIY SIP hqNE <br /> GCNEF4CONiqlLiOq M�4MDR65 GIiV TIP %ILNE Si4ELICEN5E1 <br /> FlPc�-w nleu� INc,. 1y�2i-II�TM hv- �IW Mn�rsv��� `1`�'�-�1 I�ILOIbil-36�-4 RPou�i qyyo� j <br /> 1AECN�NiCKCpItqACtON MALLApDflE55 CIIV jiP PMJNE S1�iElC[NSE� I <br /> ft1140V�GCCNiMCTIX1 YA4�OORE55 CIiY ZIP pN'J11E S1AiElICENSE• <br /> cwun+n vwce a v.9Rx q <br /> � I���N <br /> OFv. igEWIXl�nI,�p SW�RE fWL�GEMVIXVED fpNiACiPCNSbNI.NOP1qNENp. <br /> �w_�W EI.cZTi�1'�N4u SIW.11, 1 UJ N�i.l {�'LSGttRe <br /> 32� Ntq-ILLJ.��Hh�Z+q rt+. au S. S�- 3bo-1,51- YL <br /> � �YCM�T� 4 � F SI� U��Nl-J POtLL FCU1Nh• 1 HEREBV CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> mc�rosm usE or Bunmvc(� pppLICAT10N AND KNOW THE SAME TO BE TRUE AND COPRECT ALL � <br /> I�t�Vt l.- PROVISIONS OF LAWS AND OROINANCES GOVERNING TNIg TVPE OF I <br /> um�o[scn:oiqnorrnrocqrv�s�ww�xnowonenecNiwocori¢si WORN WILL BE COMPLETEO WITH WHETHER SPECIFIED HEflEIN OR <br /> ior �� a NOT.THE GRANTING OF A PERMIT DOES NOT PflESUME TO GIVE <br /> AUTNORITY TO VIOLATE OR CANCEL THE Pf70VI510N5 OF ANV <br /> OTMER STATE Ofi LOCAL LAW REGl1LAiING CONSTRUCTICN OR THE <br /> PERFORMANCE OF CONSTflUCTION.TNAT I AM Al1TNOR2[D BV THE <br /> OWNER OF THIS PROPERTV TO PERPORM THE WORK FOR WHICH <br /> r�uctiurionuuetq APPLICATION IS MAOE ANO I COMPLY WIiH TH'c STATE <br /> 1�z.�I C�ZD CONTRACTORS LAW 1827 RCW AND 29fi.700 WqC. <br /> CONi111UCiKN WI.N IENDEN.ADONRS,fElEP11d1E NWBEN c I <br /> PflOJECTADDPE55 X `,1��n�`�'�- �-`1�-�� <br /> VLUMBINO MECHANICAL'^ <br /> N0. iYPEOFFI%NREOPITEM FEE NO. TYVEOFEOUIPMENT FEE <br /> VJATER GLOSET(TOILE77 A'C-A�NNOLG 11NITS-HP. <br /> f3ATMTUB FORCEDAIqSY5TEM5-B.TU. M E.A. <br /> :�VATORY�WASHBASIN� UNITHEAT[R$-�.T.LL M <br /> SNOWER CLOTHLSDRVERS <br /> _ KITCHENEINK8015P VENTILATIONFAN <br /> �ISl/WFSMER RANGE HODD <br /> LAUNDRV TRAY WATER HEATER <br /> CLOTHES WASHEF WOOD STOVE <br /> URMAL META�FIREPLACE(WOOD BURNING� <br /> �F�NRING POUNTAIN FIREPLACE INSERT <br /> FLOOF DRAIN NEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPINO <br /> HOOF CRAINS-RAWLEADERS E%MAUST FAN <br /> _ SINN�SERVICE-BAR,ETC.) <br /> _ SIIBTOTAL S SUBTOTAL § <br /> _ PERMIT S PERMI7 $ <br /> TOTAL FEE S TOTAL FEE $ <br /> FOR OFFICE USE ONLY: <br /> fH01:1q,0AG6 FC�OSELBMR 50EGE1B�CR PIANpIEGI(NIM'JP[q� fFE � PECEIPtNO <br /> /J/C�� <br /> u•,cmaen iorm[� v�cµi6rte FFES VALWTION FEE <br /> f)'�� ;-vE5 ['� NO � <br /> Orlrrf�rys� NOOF5i0R�Es BU�lDINO �� � <br /> IC(tsy{� pdptilikUFti <br /> °��'` PLUMBiNG <br /> SdL W OIOG iinESFnRMLFn5PE0D B�SEYENi MECNANICAI <br />� :�: VES �. NO — <br /> ocCurAHCrt00U vmEAeFunE00 MEICMIInLuiqN �D�IiIONALPUNCNECK <br /> OtNER <br /> NE�SON � <br /> T' <br /> StAIE OUIIDiNG SURCNARGE <br /> i�vuncar ru�+s��v�oev CITYOFEVENETT vuoutwORKS <br /> /L LOCAL SALES <br /> w,e� � �c TAXCOUE153105 TOT�� <br />