Laserfiche WebLink
� <br /> APPU.ICAT10 : FOR CONSTRUCTijN PERMIT �'��•«'" <br /> �,, �,.,.,,,, , TO BE COMPLETED IN INK—PLEASE PRINT � r <br /> ��.,�� <br /> eVerell HEAT�NGSVSTEf.1: �GAS ❑ELECTRIC O__ _ ____ _. - --- I <br /> BUILDING DEPARTtJIENT - <br /> 259-8810 <br /> �n�" DEl�AOLITION COMBINATION BUILDING ECHANICAL PLUMBING SIGN <br /> o - <br /> � nYM(p IAiIIpDORE55 GTY iP PR(H!E <br /> �1 2rd. { „Y. �/�Z 13�«l�w �.,��tl <br /> � y� f,�H�, unu ooaEs�� ziP ---���oue . <br /> y�c � SF� <br /> � nRCNiiEQOf10E510NEN MML�DDRESS Gi1Y ZIP PHONE <br /> � N � GfNER�IGONiPACTOP 1MILMDRE55 CIIV ZIV PHONE UCENS[• � - <br /> b1 H���---111 <br /> y Y � M!UI�NIGAL GONTR/.LTOR IAAIL/�DDAE6$ y CIiV 21P PIqNF LIG[NSE 11 <br /> oyd /��r�,cu� r�l� 3�/N1Lit3� S«,4 / Ic�uf//Aarqg�/aj 3L7-3S3Y A/1�-11�'LizJC <br /> PLUM9INGCONiRnCrJR MML ODRESS ��n' z�P P�^= UGENSEI <br /> � �8 <br /> O• C'1 ci.nssawonK <br /> ~ �W � ADDITION � ALTERATION REPAIR DEMOLITION WOODSTOVFJFRPL MSEfiT � BUILDING RELOCATION <br /> ZyGpNTRfji��50�ND PNUNE N <br /> HH � � <br /> ,l p�_ I <br /> y CONTRRCt[�RICE U-WCiHN Z �v�v J �� <br /> g � � pF.SCPiBE WORKAND50U�HEiO�T�G INVOLV[0 <br /> CCC _L•���� Nvq � �to,,�l A-dc��� i M. _�(."7� 3S 3�� <br /> 3 [�7 k" raorroseouseovemiowc I HEFEBV CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> z �n APPLICATION AND KNOW THE SAME TO BE 1RUE AND CORRECT ALl <br /> y � � IEGALDESCRIFTIpNOFPqOPERTYISMOMMBEIOWOARTRCHfOUFCOP�E51 PROVISIONSOFLAWSANDORDINANCESt30VERNINGTHISTVPEOF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> iot B�ocK oF NOT. THE GFANTING OF A PERMIT DOES NOT PRESUME TO GNE <br /> AUTHORITV TO VIOLAiE OR CANCEL THE PROVISIONS OF ANV <br /> OTHER STATE OR LOCAL LAW REGULATIIJG CONSTHUCTION OR THE <br /> PF.RFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY?HE <br /> OWNER OF TNIS PFOP6HTV TO PEflFORM THE WORK POR WNICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE � <br /> CONTRACTORS LAW 78.27 RCW AND 296200 WAC. � <br /> SIGNRiUREOfCONiqR ORRUTHORIZ[DAGEM Gn1E /_28-9/ <br /> X � _ <br /> PROJ[!.l f��DRE55/� p�, /� �/ -- r — � <br /> �/Ol.� �/WR-(JW�/ /�°I . f5 iVBU5ME55LILNSENO�OBUSMCSSNa�AE - , ' , � , <br /> PLUMBING EC ANICAL � <br /> I��; NO. WATER CL056T ITOILURE OR ITEM FEE 3 p,C-A'HNDLG UNITS-H P. !(�y. FEE <br /> I BATHTUB FORCEO AIR SYSTEMS-B.T.U. M E.A. <br /> � r LAVATORY(WASH BASIN) I UNIT HEATERS-B.T.U. M <br /> I ��, SHOV/EF ' CLOTHFS DRVERS ' <br /> � KITCHEN SINK 8 DISP ; VENTIU�TION PAN i � <br /> UISHWASHER � RANGEHOOD —T- <br /> LAUtJDRY TRAY :YATEP,i;�ATER <br /> CLOTHES WASHER !^.':ND STOVE � � ' � <br /> � URIIJAI MEiAL FlFEPLACE 8 CHIMNEV - �` <br /> '_ i���,y� <br /> DRINKING FOUNTAIN FIREPLACE INSERT �� �;�� <br /> FLOOR DRAIN HEAT PUMP 2 � /�� � K� <br /> h <br /> BACKFLOW PREVENTERS GAS PIPING I �- '��,'''��.�� '� <br /> , '� ROOF�RAINS-RAINLEADERS Z EXHAUST fAN /2(z �,� k} <br /> Ss� <br /> ��� SINK(SERVICE-BAR,ETC.) �'r ��is�.�:f: � <br /> — i <br /> 1� — <br /> �� <br /> SUBTOTAL $ SUBTOTAL $ ;O <br /> � PflRMiT 5 PERMIT $ /.`_S-'� <br /> 'I 1�'t�t TOTAL FEE 5 TOTAL FEE 5 - <br /> 7 <br /> � FOR OFFICE USE ONLY: " ""` <br /> � FRONTSETBRCv. RC�fiSEi�ACN SIOESETB�CK PLANCNECNNUMBER fE[ AECEIPTNO. +' _,-,.� . <br /> usezone ior�nee vacnNtsrtE FEES VALUATION FEE � s ' -� �� ���� <br /> ' � tr . <br /> BUILOING . . �'*�" � <br /> iVPEOfLON15AllOWABi[ 1V1'fOfCON9.AGip�: acuo�x:r NOdPhtu�xcuxc5 - � <br /> cxwv PLUMBR�G ' 1..,9. �'��. <br /> 5¢EOcOLDG. No.oFSTORIES O�ISEMENT MECHANICAL jl� � � <br /> L <br /> ADDITIONALPLANCHECN � � � � �'�."�' <br /> OLCUiANGYLO�D iIRESPPNNLER5RE0'D NEiGHiL11AIt�T10N . <br /> OTHEfl ' <br /> REASON FOR SVRINNlEFS — ' <br /> STATE BUILDING SURCHAFGE � <br /> i <br /> iNTAN[BV PLANSAPPROVEDBY CITY OF EVEREiT PU�UC WORKS <br /> LOCAL SALES <br /> ._yr_�� TAXCODE153105 TOTA� �-7� ;�:�C <br />