Laserfiche WebLink
APPLICATIC`:"� FOR CONSTRUCT _ �IV PERMIT � <br /> TO BE COMFLETED IN BLACK INK—PLEASE PRINT �+�`��T <br /> � I1E�TINGSYSiEM- JGAS JGLFCIHIC J I <br /> BUILDING DEP�RTMEN7 '. . . . - . .— - .-- ---.. - . - . � <br /> 259 8810 <br /> DEMOLITION COMBINATION BUILDING MECHANICAL —�"PLUMBING SIGN <br /> ,,., _ _ _ _ __ <br /> owNin �.n ni.,ui�, ��r. :�. ��r �p� <br /> ��.�7...v[�e�.�i� C�" ------ iJ-o� y�_�� �... c�..�_%�. � .,,/ �3•'.�> _ 7r�s'ys7 <br /> --. _ _._ -- ----------_ . <br /> il NANI MAR�DUR65 f.I1Y ]iP P110NL <br /> ��ICIIRlC10RD[SIGNER M�IL�O�RE55 CI1Y ZIP PIqNE � <br /> illNERAICONTOACTOR �A�LL�DDRE55 CiTY ZiP PNOfIF St�IEIIGENSE� � <br /> ��H - <br /> � r.�tGUNiCQCONIR�CiOR M�it��0�f55 Cirv I�P Pr�ONE S1�tEUCE115E� <br /> � <br /> `+ �..� - __. . <br /> a�y �'t11M0iNGLONiRAC10R AUIIRODR[55 UiV IiP PHONE SUtCIIf.FNS[• <br /> N � �).l�i/lirl �1�21.5 �Nu /83.��_����'� A�c �J L�.4At...•.:� y�a,t_�?�G—+�t,.�W./�i9/ /W�_ <br /> H H �i nss or wnan � <br /> NEW ADDITION ALTERATION REPAIR Ufld01 i�ION WOODSTOVE'FRPL INSER7 BUILOING RELOGATION <br /> �C y� <br /> ����i nsrni nrm m�or+F rio <br /> 'i1 H'i1 __ _ . . --_. f <br /> y N LONlRACI PPICE OF WORN � <br /> �p DFSCRIpCWORN�NO50UARffO0U0EINVOIVED � <br /> H <br /> � H C ��a_m_� � I <br /> — ------ <br /> Q �i ,•noroseouse �ew�ou+a i HEREBV CERTIFV THAT I HAVE READ AND E%AMWED THIS � <br /> H �g �� /� APPLICATION AND KNOW THE SAM[TO BE TFUE AN�CORRECT ALL � <br /> �" � ir�;nt�scrt�riroNorrnorenrri5�wwr�Beiowo�enncNvouaroniEsi - � � �'�OVISIONSOFLAWSANDOROINANCESGOVE17NulcTHISTVPEOF <br /> WORN WILL BF COMPI ETED WITH WHETHER SPECI;-IF.D HEREIN OR <br /> � y iui_ B�ceK o� ____.___ NC7. THE GRANTING OF A PERMIT DOES NOT FRES'�ME TO GNE � <br /> Hy .1U1�IORITV TO VIOLATE OH CANCEL THE PROViSIJNS OF ANV <br /> �y OiHf R STATE OR LOCAI_ LAW REGULATMG CONS7RUC710N OR THE <br /> p y H PERf ORMANCE OF CONSTRUCTION THAT I AM AU7HORIZED AV iHE <br /> n �y OWNER OF THIS PROPERTV TO PERFORM THC WORK FOR VJHICH �' <br /> i <br /> �'" APP�_IG�71ON IS h1AUE AND I COM1IPLV WITH 7HE STAiE � <br /> y� CON�(IACTOI75 LAW 1827 RCW AHD 296200 WAC <br /> H O Vr _- — _._ _.._ r � <br /> �C d4� /D /! ' sz. � <br /> ---- -- _ X _ ' <br /> _- ---- — - _ � <br /> �•���»��.�����,���;s .� .�, <br /> G.��3 G�/r Rd :-- -- --- - - ; <br /> PLUMBING MECHANICAL i <br /> NO. TVPE OF FIXiUFE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE j <br /> WATEq CLCSET ITOILET� 3 - A C-A HNDLG UNITS-11 P. � <br /> -L-'___ . - - --. _ . _ <br /> f� � �__ BATNTUB _ ___ ___/Y '- FORCEOAIR.SVS7EMS-OTU. ME.A. _ __ _ <br /> �I � LAVATORV(WASH BASIN) $"Z ? UNIi H[ATERS-B.T.U. 1d <br /> �.. -_- — - <br /> �._ SHOWER /�/ ;- CLOTHESURVERS _ �_ � <br /> � NITCHEN SINN d DISP __ _ /`/ � _ VENTILATION FAN _ _ ( <br /> �' i !� DISHWASHER _ ;y- RANGE HO00 _ <br /> " ^+ LAUNDRVTRAV WATERHEATER � <br /> _.'�_ CLOTHES WASFIER /Y r . _ WOOD STOVE _ � <br /> i <br /> f.,,. � _ URINAL __ ' METAL FIREPLACE 8 CHIMNEV _ _ �1 <br /> I DRINKING FOUNTAIN FIREPLAC[INSERT ; i <br /> � T <br /> � <br /> FLOOR DFAIN � N[AT PUMP � ' <br /> — _ _-- __-- _ _. _. _ _- i <br /> BACNFLOW PREVENiERS : CAS�INING i <br /> -_ -___ — —___ . _ .. _ _-__ _ . . _.. . <br /> ROOF DHAINS--RAINLEA�ERS � E%HAUST F�N '� <br /> '^� SINK�SERVICE-BAR ETC.) � � <br /> � .� , _ _-_ - _ _--T <br /> SUBTOTAL S iG J "___"'____ SUBTOTAL $ __�_'__ <br /> ... _ ._ .. _._._ __._.._ .___ _ _ .. _ — _-_. - <br /> � � F[NMIT b ��� � PERMIT E � <br /> , __. _____. . _ -__- .�-_ . <br /> _ _-__1 _--__.. <br /> �` � - ---�- - - - --� - �tOTAL FCE f� �J ' ... TOTAL FEE S <br /> FOR OFFICE USE ONLY: <br /> InUNllftlllrtr.k q[nR�.r�pnin SIOESEIB�CN iinriiiqinNU411111 i11 HILI�I'INO �� <br /> - -- — --- --- <br /> �' .?r yo <br /> ir.i�rur�. ioinnrn WUNiSiLE FEES VALUATION FEE �, <br /> ❑IIIII)ING ' I <br /> nrtOfGON�S�IIOW�BtC IVV[01[ONSI�GIW1 ocanr,r xnri n� .. . � -- - I <br /> 44Wp �+�III.I�11N(i I <br /> ���/ <br /> . _.__ . .. _.__ _ . _ __ ._._ .__.. _'__ .._ <br /> sit!U�BIpG 110 OfSiORiES BASEMENT ����;��pNIGAI I <br /> _J- <br /> u�_U1P�NCVLO�D iinESPNNRFRSnFO[) u�iG�rtlWnnLny M1UIIIONRI.PIANC11FCh <br /> ;PHMNI E R <br /> m nsor�ron s�nwrci rns --�— <br /> til�il BIIII�INGSURCH�RGf , <br /> --_._. � . ._ _-- .__. ' __ <br /> .._ ___ ��� i� <br /> J,in.� o, rur+sePrnovrom CITYOfEVERE7T runi.icwor+Ks i <br /> LOCAL SALES I <br /> TAX CODE�S 3105 To*�� <br />