Laserfiche WebLink
APPLICATIM� FOR CONSTRUCI�ON PERMIT e�e�e« <br /> �E�� TO BE COMPLETED IN INK�LEASE PRINf � <br /> CITY OF <br /> QVere�� HEATINO SYSTEM: O4AS. O ELECTRIC O HSf� <br /> BUILDINO DEPARTMENT <br /> 259-BB10 <br /> I I OEMOLITION I 1 COMBINATION I._I BUILDIN4 I.I MECHANICAL LJ PLUMBINQ t J SI(iN <br /> °�^�� w��ooaEea c�rr zro v� <br /> �< F��� �f�C�(fJG�� �GrC� i� llit � lF �ic' S� lil"i[e l_pC�`li�., � l�':� ���lG,'J ��a(e �SS�i'�l <br /> iEN�NT IA�IL�DOREH� � CRY 21P PIqNE <br /> R �oc�.Uti� a�; s �G� . <br /> 11RCNItECTOROEBqNER �R�DDAEB4 GITV 21P PIIONE <br /> OCNERKCONiMCTOR WRADIXIEBH CI7V 21P PIqHE LILENBEt <br /> IAECHIINICKCONf1U�C70R MA11110URF89 CITY ZIP %IONE LILENBEI <br /> PLIMlMOCANTMCTOR MIIILADDIIEBS CITY TIP PIIp�E . IICENBE� <br /> �UM-iNHJtS� (�AU(�C 4Aa;CUAuJ�tlf�� �4:CL'�� I�llU, i/:t:_.�. �1.J1) d ZIJ —(U�C'e'�� (`��'�1{1QMGY�,'7�('✓ <br /> cussawaec MlW C�'.��� Ul.} '1SSUlv <br /> I�1 NEW I_I ADDIiION I I ALTERATION I I FIEPAIR I I DEMOLITION I I WOODSTOVEIFRPLINSERI ❑ BUILDINOIIELOCAf10N <br /> WNT�CT PER90N I1ND PIIONE NO. <br /> CONiMCT PRICEOF WdM - <br /> OFBCpISE WOIIK�ND BOU�RE FOOTAOE INVOLVED <br /> r�aroxuue�orsu�nMo I HEpEBV CERTIFV tHAt 1 HAVE fiEA� AND EKAMINED THIS <br /> I _ ,p� APPLICATION AND KNOW THE BAME 70 BE TRUE AND CORRECT.ALL <br /> iEouceecrxrr�ar� n,�ew�e�iay��*T�c"Fouacor�e� PROVISIONSOFLAW3ANDORDINANCESOOVERNINOTHISTYPEOF <br /> WORK WILL BE CAMPLETEO WITH NMETHER SPECIFIED MEREIN OR <br /> ioT �� ov NOt. THE ORANTINO OF A PERMIT DOES NOT PAESUME 10 OIVE <br /> AUTHORITV TO VIOLAtE OR CANCEL THE PROVI810N9 Of ANV <br /> 0?HER StATE OR LOCAL UW REODUTINO CONS1AUCilON OR THE <br /> PEFFORMANCE OF CON9TRUC?ION.THAT I AM AUTHORI2E0 BY THE � <br /> OWNER OF THIS PROPER7V TO PERFORM 1HE WORK FOR WHICH <br /> APP!ICATION IS MADE AND I COMPLV WITH THE BTATE <br /> CONtRACTOR3 LAW 1l.27 RCW AND 298.200 WAC. <br /> gp1UtUREpFCpN T ORILLRMO�M2EDAOENi 011?E <br /> I'no � X <br /> OIq.IECT�Dd�ElB �iRIGWTE M19 ICEIqEN0.11NDlU8ME89NM1E <br /> ��� MECHANICAL <br /> N0. T�E OF PIXTUIIE 011 ITEM FEE N0. T1'PE Of EWNPMENi fEE <br /> WATER Cl09ET(TOILET) -UQ AICr-AMNULO UNITS—H.P. ' <br /> ) FORCED AIR SYBTEMS—B.T.U. M E.A. ' <br /> Y BATHTUB 1- � <br /> UIVATORY(WA9N BASIN) �C � UNIT HEATERS—B.i.U. M � <br /> � CLOTHESDRVERS ' <br /> 'y KIT�CHEN 81NK 6 DISP `6 VENT�LATION FAN � <br /> �'v DISHWA3HER 4y �fl(,�� FiAN(iE HOOD ' <br /> LAUNDRV TRAV ' WA1ER HEATER I Z� �Uv <br /> i <br /> (. CLOTNE9 WASHER (j WOOD STOVE ' <br /> � MEtAL FIREPU�CE 8 CHIMNEV ' <br /> URINAL � <br /> pqINKINCi FOUNTAIN � FIREPLACE INSERT � <br /> FLOOR DMIN � HEAT PUMP � <br /> BACNFLOW PREVENTERS ' DAS PIPINO <br /> � <br /> ROOF DRAINS—RAINLEADERS � EXHAUST FAN ' <br /> -•— <br /> SINK(SERVICE—BAR,ETC.) � �— <br /> i <br /> � -r� <br /> � � <br /> � <br /> � <br /> � � <br /> BUBTOTAL 1 (; �O(i SUBTOTAL { ' <br /> 2 ��� Cv PERMIT 1 � <br /> PERMIT 1 L <br /> TOTAL FEE { G� 'V � TOTAL FEE { �' 'U ll <br /> FOR OFFlCE USE ONLY: nEce�vr r�o <br /> FRONTBETMCN 11EMBE7MCIf S�DEBETB�CN PIANGNECNNUMBER FEE <br /> �� LOT 11RE11 VIICIJlT 91TE FEEB VALUATION FEE <br /> eu�onw ' <br /> � <br /> IKFdCOMI6 �LLOWMIF trrtawx5��ciuu � +aormrtwvounn � <br /> PLUMBINO ' <br /> � <br /> e�p��pp_ 1q.OF 61aa�s B��r+T MECHIINICAI � <br /> ADDITIONAL PUN CNECK � <br /> occunwcr�ao i1REBPNMCLER8REQ0 NE�OMTWIU�ION � <br /> OTIIEN � <br /> � <br /> rt����E� 8?11TE BUILUR�(18URCHAROE ' <br /> �r�er ruNs�rrnoveoer �LOC�lB�EE vuaucvronKs � <br /> T11X CODE IE a106 *��� ' <br />