Laserfiche WebLink
..�� <br /> APPLICATI(� FOR CONSTRUC7�N PERMIT ���� � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> I H[A71NG SYSTLM� J V��> J FLECTRIC J � <br /> �UILDINGDEPARTMENT `---__ --- _ ____ --.- --. ._- - - <br /> 259 8810 � <br /> DEMOLITION COMBINATION BUILDING Y MECHANICAL PLUM8ING SIGN <br /> — -- _ _ --_ —__ <br /> ��ruu n renii.noon��,�, cn. . .r .,�u <br /> ("��,t.�i Ce-�n•i� III�iT �)`l _�,iri� _ r1r ,_ , `7� a;i =j _ 33�1 - v5 �35 ---- <br /> �fNAHI M�Il �flf��l(•...- .�. _�� I�unNf <br /> u1C1�I1EC10RDf5�ONf'fi M�Il�0I1fiF55 CIIV ZIV PHONE <br /> +l <br /> — �----.... �. .�� hNON[ SL�iELICCNSE• I'. <br /> � � (ANfRMCOMfldf,tOq MRILAflDRC55 QiV .� — <br /> Sd-m� <br /> p � ul C�UHiCRI CONIR�C!OR M�il���RE55 LOv � '� P110NE St�IE ULENSt� <br /> a v�i 5r>rn� _ <br /> huumnccor.rnecron raen nnnne;s cnv �� . ruor+r surc uccNsr.. <br /> H �H _.— -- -___. _ . ..,---�---- :t <br /> M, O cuiLns"s� wwcnn <br /> � x0 /�vEW ADDITION ALTERATION REPAIR_ DEIAOLIIiON WOODSiOVEPRPIINSERT BUILDINGRELOGATION <br /> 'tl N'i! .--- �.�n� i aensor�allor��or�c��o <br /> y~� jb OO�L <br /> y �� IONIRACi PPICE Oi WCAM � . . ._ ------- <br /> �1 <br /> S] O PfSCRiBEWORN�NDSWAqEFi�iMEiNVIXVED <br /> F-�d <br /> ON _ . .__.___ _ . .___— _ _ <br /> �1 Ot7 ��iioroseouseoFnw�owc i NERF�V CEFTIFV Th1AT I N4V[ READ AND E%AMIN[D THIS <br /> ��� �I _ p�L�. _ APPLICATION AND KNOW THE 5l,ME TO�[ TRUE AND CORRECT.ALL <br /> H �� PROVISIONS OF LAWS AND ORftlNANCES GOVERNING THIS TVPE OF <br /> N �IG�LD[SCR�PTroNOFPROPERTYiSMOWNB[IOWORATi1GNfWRCOPIES� <br /> Z y WORK WILL BE COMPLETED W'TH WHETHE(i SPECIfIED HLPEIN OR <br /> ioi eiocx ov NOT THE GRAN?iNG OF A VERh4T DOES NOT P(7ESUME 1�0 GIVE <br /> � y y 1 AUTHOR17V TO VIOLA7E OF1 CANCEL iHE PROVISIONS OF ANV <br /> �y ��J I 2 Cf�Q-STN U'1 _ OThER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> n b y - rEqFOR�dANCE OF CONSTRUCTION THAT I AM AUTHOR12ED�V THE <br /> �d� OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> ��� APPUCATION IS MADE AND I COMPLV WITH THE STATE ' <br /> O y CONTRACTOHS LAW 18 27 RCW AND 236200 WAC �I <br /> ____- <br /> % ��-L'�- __ _ _l-'?.}i""�Z �i <br /> _.-__-_ �-___. . ._ .. ___ _ .... _ , <br /> idi»cc .00�:i�.,, ... _ ._-_-_..� <br /> PLUMBING MECMANICAL ' <br /> NO. TVPE OF FIXTURE OR ITEM FEE NO. iVPE OF EOUIPMENT FEE II <br /> WATER CLOSET ITOILET I � �C A HNfll G UNITS H P __ _____ __. � - I <br /> � _ -_ — .-_ ._ - _.. _- -_.. . _ _'-.-_ _ _ F�RCLD AIR SVtiTF IdS B T U �d EA. � <br /> ' BATHTUB . , . _. ,_- I <br /> _- . ' -_ _ - - _._.__ __-__ <br /> � � LAVATORVIWASH�ASIN� JNITH[ATERS �TU Id <br /> _SHOWER /7j,'� CLO7HESURVERS _ �- <br /> F .,,, �, KITCHEN SWK 6 DISP _ _ __ -y VENTILATION FAN _ �_ <br /> � I _ OISHWASHER ___ __� RANGE HOOD __ <br /> LAUNDRVTRAV WATFR H[ATER _ <br /> -' -- —r- "-�- � � WOOD STOVE -- <br /> CLOTHES WASHEF _ __ <br /> '�' � — _ _ _ . MLTAL FlFEPLACE 8 CHIMNEV <br /> URINAL <br /> �' ! Df71NKING FOUNTAIN fIREPLACE INSERT <br /> ROOF DRAIN HEAT PUMP � � <br /> ' DACKFLOW PPEVENTERS __ _ _ GAS PIPING � <br /> �� I ROOF I]RAINS-RAINLEAOERS __ E%HAUST FAN __ —�- i <br /> I'I SINK�SLRVICC:-_BAR,ETC,� —� __ ' <br /> _ -_—T-' - <br /> I �~� � __- __ __'__' . _. _-i_ _-_ _ __- -__ _ ' , <br /> � <br /> " � <br /> � � <br /> -_ _ '_ '___-_-T-_ _- '__- _ _'_—� <br /> I <br />� SUB TOTAL S ; SUB TOTAL S ___�1___ ' <br /> . _.__ _.__. ___._--.___- . <br /> _.__ - <br /> �I I P[RM17 S . _ : ..____ _._.___ __ PERMIT ___5 _��__ , <br /> -----. -.._. . . . TOiAL FEE S ' TOTAL FEE 5 - <br /> FOR OFFICE USE ONLY: <br /> rnorn�,iianir.. .- ium«iiuu.« �,irnc�innrx �ny,ntr..rr�r.�inn �t� n[ui�rr�o � <br /> i <br /> I <br /> IusFzcx+e �oienre vec�r�tsue - FEES VALUATION FEE . <br />' Itllll UINO ' <br /> - __- _.__._.__�--_ <br /> �mf Ot[OWS�IIOW�BI! fvR 111 CfINS��LIUM �u�vvu a��� - ' . �- � - �- � �i <br /> r•���� PIIIIAHING � <br /> __— __—____. .. .. . . __ _..___—._ —r_"__-_ <br /> s4C OF&DO NO Of StORiES 945CMEN1 ����,��AN��q� I <br /> <n;LUP�NC1'.O�D fiR[SPRNMlERSPEOD ��E�G��1LiMiI�Lo�� AUIJITIONRLPUNCN!`CN � <br /> _ $PRINKI.BR <br /> i <br /> fIF�SpN fOR SPRiNk�tnS <br /> __.___ .__ ._ . _. .._ . . ._. T <br /> i SIA7C 6UILUMG SURCII�IIGf <br /> _ ._ ___.'_-- _ "�— <br /> —' _ . —__ __ __ . .__ "'_— <br /> nrtnkr m puri�,nrrm�n u ur CITY OF EUEREn PUf1UG WORKti ' <br /> LOCAL SALES I <br /> TAX CODE IS 3105 ror�i <br />