Laserfiche WebLink
� AP L CATI��..,��FOR CONSTRUCT,.iN PERMIT <br /> TO BE COMPLETFD IN BLACK INK-PLEASE PRINT � <br /> BUILDING DEPARTMENT HEATING SY57EM: U GAS ❑ELEC7RIC U <br /> 259-8810 <br /> i l DEMOLITION I 1 COMBINATION f � BUILDING CI MECHANICAL U PLUMBING ! ! SI(iN <br /> M�II�DDRE55 UTY 7�P PHONE <br /> a �� uS ��1 J�u��esl�w� �,��\c{_�u(��,.�r �� 1R� �as7 �t6�-rs3's <br /> TEN�NT MAII�DDRE55 Uiv ZIP PNONE <br /> �RCNITECTORDESIONER MML�DDdE55 CITY 21P PMONE <br /> OENERAL CONTP�CTOH M�IL I1�ORE55 GTY IIP PHONE STQE LICENSE 1 <br /> U�r v�e ( _— <br /> MECH�NICQ LdJTR�CTOR M�K I100RE55 C�T� LIP PNONE STQE IICENSE� <br /> PLUMBIHOGONTRAGTOH M�II�DDRE65 CITV 21P PHONE STATEIICENSE� <br /> CONiR�CT PR10E OF WONR ' <br /> /,.��Ov <br /> DESCRIBE W011N�ND SOU�AE FOOTAOE INVOIVED GON' ERSON�ND PHONE NO <br /> �� — <br /> i HEHEBV CERTIfV THA1 I HAVE READ AND EI(AMINED THIS <br /> PPOPOSED USE OF BUItDINO APPLICATION AND HNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS ANO ORDINANCES QOVERNINC THIS TYPE OF <br /> LEO�LDESCRIPTIONOFPROPERTVISHOWNBELOWOR�Tt�GNIWOCOPIE51 WORK WILL BE COMPLETED'NITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERM�T DOES NOi PRESUME TO GIVE <br /> �or — e�ocK-- oc -- AUTHORITY i0 VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE , <br /> — PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV 7HE <br /> OWN[R OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> APPLiCATION IS MADE AND I COMPLV WITH THE STATE <br /> P�RCEI T�If 10 NUMBER TqACTORS LAW 18.27 RCW AND 296200 WAC. <br /> CON9iHUCi�IX1�WNlENUER.A0�NE55.TElEPHpNENUMBER /�, I� ` <br /> _� <br /> CTAD 1ES� ^\ � 1 SiO11Ai DAIE <br /> ` W �SI nQ `��lV Cllvtlll5MI5516lNSi b <br /> �V�� MECHANICAL <br /> N0, TYPE OF PDITURE ON ITEM FEE NO. TVPE Of EOUIPMENT FEE <br /> WATER CLOSET(TOILET) NC—AMNDLG UNITS—H.P. <br /> BATHTUB FORCED AIR SVSTEMS—B.T.U. M E.A. ' _ <br /> LAVATORV(WASH BASIN) � UNIT HEATEfiS—B.T.U. M I <br /> SHOWER CLOTHES DRVERS ' <br /> � KITCHEN SINK 8 DISP VENTILATIOM FAN � <br /> DISHWASHER RANGEHOOD _ <br /> LAUNDRY TRAV WATER HEATEP _ ' <br /> � <br /> CLOTHES WASHER WOODS?OVE <br /> UflINAL ;_ METAL FIREi'IACE(WOOD BURNING) O' '� <br /> DRINKING FOUNTAIN FIREPLACE iNSERT __�_ <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREV�''TERS GAS PIPING � <br /> ROOF DRAINS—RAINLEAOERS E%HAUST FAN � <br /> � <br /> SINK(SERVICE—BAR,ETG) __ <br /> � <br /> --� <br /> � <br /> --r— <br /> SUB IOTAL S SUB TUTAL E 7O 'O� <br /> PERMIT E _ PERMIT S ��_ <br /> TOTALFEE S _ TOTALFEE S 7 '—' ��'' <br /> FOR OFFICE USE ONLY: <br /> rRONTSETB�CN NEIIRSETB4CN SIDESETB�GN PUNGIFC NUMPEP FEE RECEIPiNO <br /> �� <br /> USEZONE iorenen WC�NTSIiE FEES VALUATION FEE <br /> "' YES .--�. NO BUIL�ING <br /> rrr[acor�si r+oasroaies ocawM+ �omow�<<�,��,�,�, -- ----- <br /> tnwv p�Um01Nb <br /> RRE OF BI O(3 FIRE SPRINNLERS REO'� A�SEMENT MECHAN.ICAL � <br /> '. VES �,- NO <br /> OCCUP/NCYLWD P^EM�RM!1E00 NEIGHTVMITAtIUN ADDITIONALPUNCHECN <br /> OTHER <br /> RE�SON <br /> SiATE BUILDING SURCHARGF <br /> i INUNE BY PL�NS�PPROVEO P� CITY OF EVEREIT PUBLIC WOfiK$ i <br /> i LOCAL SALES <br /> � �q,F TAX CODE IS 3105 T0T11L <br />