Laserfiche WebLink
r ��E,,,o„a„ TO DE COMPLETED IN INK—PLEASE PRINT � <br /> cnror <br /> �verett HEATING SYSTEM: U GAS Ll ELECTRIC U__ __� <br /> BUILDING DEPARTMENT -- -- <br /> 259-8810 <br /> `�DEMOLITION COMBINA'iION BUILDING MECHANICAL PLUMBING SIGN <br /> - ' OWNEII MMLA�DNESS Li1Y IiP PHtNIL <br /> e � . ���-JG� 31y / vCi_�e�� ��o�- L�t'��'��- �Yi,�n � aS9-�596 <br /> � iENIJIf MMl/.OPiE55 CIiY DV PlqryC <br /> ���J[� �ACNIIECTOqpESIGNER M�K�DDItCfS CRY liP VIpNE <br /> ��+�} _ <br /> ��� G[NEPAL CONiR�LT0l1 / M�IL AD�RESS CIt� IIP PIqNE IiCENSF� <br /> �� �r�.i _ . r; <br /> MECN.WICQGp1tR�QfM MAII�ODPESS CITY ZiP PMONE LKENSE• �, <br /> ��� PWMBWOCONTRACTO�I MAiLACDRE55 CiTY ZIP PNONE IICENSk� t�� <br /> � -- <br /> � LLASSOFWORN <br /> .-� NEW �. ADDITION . : ALTERATION . REPAIR � DEMOLITION WOODSTOVE/FRPL INSERT , ; BUILDIN6 RELOCATION <br /> �ONtACi PEf150N�NO PNq1E NO <br /> �A LONTMCi FItiCE OF YqPN � <br /> �� DESG IBE WO k�NO SIXI PE i00UGE MIOIVED <br /> � �� ��r <br /> vnoroseouseaveuaoi�x: I HEREBV CERTIFV THAT I HAVE HEAD AND E%AMINED THIS <br /> � _ F.PPLICATION AND KNOW TF1E SAME TO BE TRUE AND CORRECT.ALL <br /> yi� lEML0E5CRIPTIONOFVROVlRiV�SK�WNBEIOWOB�iIACHFWRtOPiE51 PROVISIONSOFLAWSANDOflDINANCESGOVERNINGTHISNPEOF <br /> �~ i�i BIOCN � WORK WILL BE COMPLETEO WITH WHETHER SPECIFIED HEREIN Ofl � <br /> NOT. THE GRANTING OF A PERMIT OOES NOT PHESUME TO GIVE <br /> �� AUTHORITV TO VIOLATF OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OF THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> �' "—T•� OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH - <br /> — APPUCATION IS MADE AND 1 COMPLY WITH THE STATE - <br /> CONTRACTORS LAW 18.27 RCW ANU 2962W WAC. : <br /> � SiGN�1UPEOFCONiq�CTGNOH�lIiN0f112ED�0ENT p1TF <br /> FROJECT ADpNE55 � "� �/� G� • /���� .. <br /> �PPLICNITS LITV BUSME55 LICEN51'NO NiD BCSINESS NAME <br /> � � PLUMlINO MECMANICAL <br /> /�� ��'y NO. TYPE OF flXTURE OR ITEM FEE N0. TYPE OF'cOUIPMENT FEE <br /> I ��I WATEflCLOSET�TOILET) A/C—NHNOLGUNIB—H.P. <br /> � BATHTUB � FORCED AIR SYS'EIAS—B.T.U. M E.A. <br /> � � � UVATORV�WASHBASIN) UNIi HEATEFS—B.TU. M � <br /> SHOWER CLOTHESDRVERS <br /> �� � KITCHEN$INK 6 DISP VENTILATICN FAN <br /> I ��' �� D�SHWASHER RANGE HOOG <br /> lAU JDfiV TRAY WATER HEATER <br /> .I � CIOTHES WASHER WOOD STOVE <br /> �� URINAL METAL FIREPLACE 8 CHIMNEY � <br /> '� I ��' ORINKING FOUNTAIN FIREPLACE INSEFT ' <br /> i <br /> �. . FLOOR DRAIN 1._ HEAT PUMP _ T— ' <br /> BACKFLOW PREVENTEFS GAS PIPINIi <br /> �. ��� � ROOF DRAINS—RAINLEADERS �— EXHAUST FAN i ' <br /> �� SINK(SERVICE—BAR.ETC.) <br /> � ��j - �- <br /> � <br /> SU8 TOTAL E SUB TOTAL E _ +_ <br /> I PERMIT f PERMIT ; <br /> I � TOTALfEE S TOTALFEF. f <br /> I �'►' FOR OFFICE USE ONLY: __ <br /> � iNONtS[TBACN qE�RSEIOACN SiDfSEtB�CN i'UNf.��EGnNUMflE�1 -EE RECEIPfNO �. <br /> useza�e IOi�HE� veeu�isire FEES VALUATON FEE � <br /> B61L�ING <br /> fYPEOiCaqLSAIIOW�BiF tYVfOfGNSt�[fWl cdi.wnr- Montvrt.nrwi.F��, <br /> uwar PII�M�ING <br /> 5¢EaelOa rq�usroF,ES BeSEu�Nr MECHANiCIL <br /> OCCUP�ry(.V10�0 FlRESFIINNIlRSNEOD N[IGN!'iM1Uip1 AOUIIIONALPUNCNECK — i <br /> L__ OTNE9 <br /> RE�SOHfuRSPItiNEIEiS — - -- � <br /> S7A7E BIIILDING SVFCHARI E I <br /> iNiM'f PV PL�NSOCVPOVED�� CITY OF EYERE7T ruauc woaKs � <br /> LOCALSAlES I <br /> _�_ TAX COQE IS J105 Tor�� <br /> i ' <br /> �._ ._ <br />