Laserfiche WebLink
APPLICATION FOR CONSTRvCTION <br /> PERMIT <br /> t�e[.ery,e-+n <br /> CiTV pF - <br /> � everett ie <br /> � OUIIDiNG DcPARTMENT I <br /> � 259�d8t0 TO BE COMPIETED IN INK- PLEASE PRINT � <br /> >H N �aEe �.�,��.rn:e., ctiorv� <br /> 4 <br /> � �3 Donald Dahlstrom 2Q08 Acla�a, AvP, F,ver_ _��5-7H12 <br /> K' CD �cra�Nr — inaiinooeess . - . QC�_-_ _ �Q�_ _ __ _ _ _ _ _ <br /> c^� a«oae <br /> ��� �fiCNRECTOPpE$pNEN M�IL�OpRE55 . . . . -. �$v � � �l�P � PHONE � <br /> (A f 1 <br /> �'y � .:EHEMLCONiRACiOR MMLAOOBl55 - � � �� p.rv [�p .. . � � <br /> cnrnE .�CENse• <br /> O Pv r ni�ild r 1nC_�_�bOh_F=grFr�e^ Wa�.__EYELet.[_—____ 9A20'i -3�,3-p�LGl_EYF.RF.B*301PH <br /> Q�"'I MECN�NICµ�pNiqACiON MAq�pDRE55 ��Jy <br /> ��g ,���=E. - <br /> pw A vWMPINGCpN1fl�O0P MniIOpORF55 �� GIv -- <br /> 9 y� 2iC cnONE LIGENSk. � <br /> C�aS50FMAqK I <br /> �J� y ❑ NEW ❑ PDDITIJN ❑ A�TERATiON REF',IR ❑ DEMOLiTiON ❑ WOO�STWbiRPL iNSEFT <br /> H •ElaexfiMiROVEMENiOeiNiERiOFFE!eOUELON�v � � ❑ BUIL�iNG RELUC4fION <br /> �p vj WN1FCi VERSON 4Np GNONE NO - <br /> C�G�� con.ruc,PniceorwoaK ------ - L_A. on s 353-71b_1_Z- -------------- - _ - <br /> ��Cd OESCNIBFWORMANOSOU�REiWA iNVOLVED <br /> y p y Tear off and reroof hoy�g and yarape (�omo) <br /> a�rocciseousEo�ewiowc --- - -------- <br /> I HEREBV CERTffY THAT i MAVE REnD AND EXAMINED THIS APPIICATION AND <br /> i15450-027-001-0006 KNOWTHEBAMETOBE�RUEANDCOFRECfA�LPROVISIONSOFLAW$AND <br /> �ECu�oESCamno�+OrcaoPEnrv�sHpvngE�qyoeenncnrouqcoviEs� -�� OROINANCE£GOVEFNiNG1M15TVPEOFJyORNWILLBECOMPLETEDWITM ' <br /> — WHETMERSPECIFlEDHERFINORNUTTMEGRAN'fINGOfAPEFMIfDOESNOT I <br /> �O*1,Z.3,4gip�rc_2� ppPlat of Pinehurst Div R PRESUMET031VE4JTMORITV�OVIOLATEOFCANCELTME�AObi51f1N5 F <br /> FpRMANCEOFCO�^-.'RUCTIONVTH T�IAMIAUTHOqSZEDBV'TONEO'.NNEROF � <br /> THIS PHOPEAi'/TC�'ERFORM THE WORK FOR NINiCM APPLIC/TION IS MADE <br /> AND 1 COMPLV WI�N THE ST4:E CONTRAGTpq� �qyy ifl2) RCW AND <br /> 296.200 WAC. <br /> _ SiGun'uFE Nr 't;,n-.,_:.�.��JuilfC�aGfN1 -:qiF <br /> � n <br /> PNQIELinDORE55 -- —_--_ ---- ��L/ [,'C����('Ie.L . � -� /A <br /> � 'I � �" <br /> AGPLiCiN 5 C�1 y BUSINL55 L��:ENS��YO�Nn Bu5iM1F5]NGMF <br /> PLUYBING MECHANICAL <br /> '�' NO. TYPE OP FI%TUpE OR ITEM FEE NO. TYPE OF EOUIPMENT fEE <br /> WATER CLOSET�TOILET A/C-�l'HNDLG UNITS-H P <br /> ' ' _ - -_ -_ _ __—___-__"- .. - . <br /> BATMTUB FORCED.41RSVST.MS-BTU htE4 <br /> � _— _--_ - - <br /> LAVATORVIWAgHBASIN) ��----"---- " -- .. <br /> - UNITHEATERS-B.TU. bt <br /> '�1 _ SHOWER _ _ GLOTHESDRYERS_ -��_'- - - - -- -- <br /> KITCHENS�NK801SP. VENTILATIONFqN � � <br /> '_' DISHWASMER —_ RANGE HppD � .. �- � - -"'—' -- <br /> LAUNDRYTRAY -- -------- - <br /> WATER MEATER <br /> r ��' CLOTHESWASMER —'-__ _ _WOpDSTOVE --- -- � - <br /> �I URINAL METAL FIREPLAGE 8 CHIMNEV <br /> f DRINKING fOUN'9M fIREPLACE INSERT <br /> FIOOR DRFIN _ � � �H�AT PUM1.P � ��� -- -- <br /> ' ' BACNFLOW PREVENTERS GAS PIPING <br /> ' ' ROOFDRAINS-RAINLEADERS _ EXHAUSTFAN __ _ _ <br /> � <br /> SINKISERVICE-BAR,ETCI -� ��— <br /> ' 1 _ ". _ ' __ _ <br /> !f _"_—"- _---" <br /> �' _ SUBiOTAL 5 -�� � - _— SUBTOTRL-- " � g - - - <br /> � PERMR 5 -- - - --- <br /> -_ -_--__._ ___ <br /> _ PERMIT g . . <br /> - _ _ . . _-.'_- "—_'_ .. - . - <br /> � TOTA�FEE S TOTALfEE S <br /> FHONTSEf9�C✓, RE�PSEfBACK SIDESEiBPCF PI�NCMECRNIIMlEN FEE IIElE1VlMO <br /> USEZOME �OL4REP V�G�NiSRE <br /> : rss -�.eo FEES VALUATIO'NY F£E <br /> YOEpiG7M5T OLCUF/iNLVGip11P r�00�pWEL�IHOUM�v - - BUILDING /-(-f(� r`�4]� � / <br /> ♦LLQWBLE/�CTU�L _ -. - _-_. . . _ - - -_. L_'_ ____ . <br /> PWMBING <br /> SiZEOFeLDG NOOFSiORiES BSMi JC4LOW -- - -- � --- - - ---- -- -_ <br /> _ H <br /> MECHANICAL <br /> NEIGXT4MIi�TbN O�HER � �� <br /> i111ESOfINNLE95REWlqEp �.y[5 __ryp - � � <br /> �---- STRTEBWLDWGSIJRCMARGE _ _ /� �i <br /> ST4iEENERGYSURCHAPGE <br /> ��DUC�TiON�(L Bv j G�ANSAVPH BV —� - .�..— <br /> � � PUBUC WOfiNS <br /> _ _' TOT11l I-� I <br />�. <br />