Laserfiche WebLink
APPLICATIC_� FOR CONSTRUCT. �N PERMIT �,�; <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT �� <br /> � <br /> LHEATING SYSTEM: U GAS U ELECTRIC U ___� <br /> DUILDING DEPARTMENT <br /> 259-8810 <br /> DEMOLITION COMBINATION BUILDING �C MECHANICAL PLUMBIIJO SIGN <br /> OYRlER M�II�ODR[55 CITY IIP PNONE <br /> �bo�iTS�Ort Seruoo�Sa P•0•�pX 37D7�eS�{+Ie,WkP9bla+� p�E— -- <br /> TEN�NT <br /> 6oeln o.ci6�it.s 6vax�4f-,W � °(B3o 7 _ _ <br /> �RC�HIiECCiO DESIGNER MML�OORESS CITV lIP PNONE <br /> /\�`tJ\ \� �• <br /> 6ENERAI CONTR�CTOR MML�DONE55 CITV 21P PNONE STGTE LIGENSE I � <br /> A,��;n Co P.o.ebx a.357.Eva�+� kwh `►&�03 a�-bboo <br /> MECN�NIC�L LONTR�CiORi M�IL�OORESS pTY IIP PNONF. SI�TE LICENSE/ <br /> Mck.i.�s}�n. �o., P.o.e��a4s��,�h �t8(�4 ��a-a�i I M�v,�-N-a�aNd <br /> PLUMBINO CONiP�CTOR ML���RE55 pTV ZIP PHONE ST�TE UGENS[/ <br /> CL�55Oi WORN <br /> E4Y ADOIiION ALTERATION REPAIR DEMOLITION WOODSTOVEiFRPL INSERT BUILDING RELOCATION <br /> / �y UCT PERSON`NI)PNOHE NO <br /> CONTR�C f PPICE'oF wo = � ��Sa �C`�3`(�3 S���/YO <br /> DESCRiBE WORN�NUSOU�RE F TAf.E�NVOIVE <br /> _ ���i� <br /> rno seouse�euaoir�o i HEREBY CERTIFV THAT I HAVE READ AND E%AMINED THIS <br /> �.m�� 'l�"7 p��� APPLICATION AND KNOW THE SAME TO BE TRUG AND CORRECT.ALl <br /> IE��LOlSCNIPiIONOFPROPERtYISHOYMBEL IORATTACNFUURCOPIES� PROVISIONSOFLAWSANDORDINANCESGOVERNIN6THISTVPEOF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIE�HEHEIN OR <br /> iot etocK oF NOT. THE ORANTIPIG OF A PERMIT DOES N07 PRESUME TO GIVE <br /> AUTHORITV 70 VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> y PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> SE �1�,\'n M1"l � OWNER OF THIS PPOPERTV ?O PERFORM THE WORK FOR WNICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STAiE <br /> a��� � CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> �o, vb x S C �— <br /> PRQIECT�UDRE55 �. • M /1y1. SKN���^�� o�n <br /> ����,� � • ���n� � WQ11[�1 � neus�css�wrr�srxo <br /> PLUMBINII MECHANICAL <br /> NO TYPE OF Fp(�URF.OH ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> � WATER CLOSET(TOILET) NC—NHNDLG UNITS—H.P. _ <br /> BATHTUB FORCED AIF SVSTEMS-8. .U. M E.A <br /> LAVATORV(WASH BASIN) B UNIT HEATERS—B.T.U. M � <br /> SHOWER ' CLOTHES DRVFRS <br /> KITCHEN SINK 6 DISP � VENTILATION FAN <br /> DISHWASHFH RANGE HOGD <br /> LAUNDRY TRAV WATER HEATER S(QA <br /> '_�.OTHES WASHER � WOOD STOVE � <br /> URINAL ' METAL FIREPLACE 6 CHIMNEV <br /> �RINKING FOUNTAIN � FIREPLACE INSERT � <br /> FLOOH DRAIN HEAT PUMP ' <br /> BACKFLOW PREVENTERS GAS PIPING <br /> ROOF DRAINS—RAiNLEADERS EXHAUST FAN � <br /> SINK(SERVICE—BAR,ETQ) I � <br /> —_ ' <br /> � <br /> SUBtOTAL S SUBTOTAL E S U ' — <br /> PERMIT S PEPMIT S <br /> TOTALFEE E TOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> FNONTSETB�CN REARSETB�Ck SIpESEtBACH PLRN�CNNI�EDR^ FEE RFCEIPTNO <br /> lY Q <br /> use ia+e �OT AREA V�C�Ni 51TE FEES VALUATION FEE <br /> BUILDING ' <br /> iYPf Uf LOMIS�LLOW�BIf IYI f 0'fON51�Glll�l oauo�Mt� w a vNfluNr uN�rs — � <br /> ��a1° PLUMBING i <br /> 6REOFBLIX3 NU o�STORIES BASEMENT MECHANICAL � SY] �OG <br /> — — � <br /> OCCUPANCY IO�D FIRE SPNNNlERS REdD NEI6NT IIMIT�TIUN ADDITIONAL PLAN CHFCN � _ <br /> SPRINKIER <br /> — _-- --�— <br /> RE�SON FOR SPRINI4ERS <br /> STRTE BUIl01NG SURCHARGE , <br /> INTANE BY Vl�NS PPROVED Bv CITY OF EVEREIT Pl18LIC WORNS <br /> � LOCAL SALES <br /> � TA%COOE IS 310s *oT�� C S s' s ��� <br />