Laserfiche WebLink
APPLICATIO( FOR CONSTRUCTK N PERMIT � <br /> TO BE COMPLETED IN BIACK INK—PLEASE PHINT <br /> BUILDIN6 DEPARTMENT HEATIN6 SVSTEM: ❑6AS ❑ELECTRIC ❑ � <br /> 259•8810 <br /> ❑ DEMOLITON I 1 COMBINATION I.-I BUILDIN6 ECHANICAL I I PLUMBINO ❑ &aN <br /> GW�<R Wl�(1011F66 U�Y M , RpA <br /> �� s,.an.� ���� /.Q _ 3707 Jrurst� �dr�i.t�o� _ <br /> TEWW! WL.�OOPEB{ G�1 ti RIC�<� <br /> .s��1t, �!o-� amG Ce�.�...,,a cs,�3 -S 4 �t Ffi7.S <br /> N�CN�FC�IdIIR,61P.MFP WLLMpp55 Grv � tw Rql! <br /> l� <br /> OfIEPKfb11N410P Wl/�ppll[64 C��Y tP %IPIf 61A�[lKLfbF1 <br /> LllN�l�1w��.�C. �G�77�.1lST(�E. F��� '3�TYLL4 Q�/Oa 'f//�� <br /> 1E CCNIINLIOP W4 i9 Cllv ry pQ1[ 6f1R1�3 • <br /> �1 ��S�fC �`e.B�x��l�'7 ��rE '&,v�l ��•�ri/ �c�[f�-ar�ko <br /> �0.1Y/qf411q1CtOR WR�Opi[64 G�v (p qq(, 6��iFlKfl6f� <br /> CaxrwC�m[EawaM .��I.7WIW l.�R/ <br /> a�cwcr�viwuasoiwarror�wvarco unG�.,{QE canuinNswuunw�MoM�K/'Kl'Sl� 7�a"1'��x3�9 <br /> r rn <br /> � ? . �. <br /> � 2 � i NEREBY CENTIFY THAT I NRVE flEAD ANO E%AMINEO THIS <br /> rmas[ous[oseuaau APPLICA710N AND KNOW iME SM1E TO BE TRUE AND COPPECL ALl <br /> E Z PROVISIONS OF LAWS AND ORDIN�NCES fAVEPNING THIS TYPE OF <br /> �[auo[aw�ioriaviqr[nrv�wwmeuowoq�tt�nawrcsi WORK WILL BE COMPLETEO WITH WHETHEN SPECIFIEU HEflEIN OR <br /> NOT.THE GRANTING OF A PERMIT DOES NOT PflESUME TO OIVE <br /> w* wac� a — pUTNORITY 70 ViOLATE OH CRNCEL TME PROVISIONS OF ANY <br /> OTNEN STATE OR LOCAL UW REGUUTING CONSTflUCTION OR THE <br /> PEflFORMANCE OF CONSTRUCTION.T1UT 1 AM AUTIIORREO BY THE <br /> OWNER OF THIS PROPEfliY TO PERFONM TNE WOPK FOfl WNICM <br /> APPLICATION IS MADE ANO I COMPLY WITH TME STATE <br /> �MCEi uu�o xiAe[n CONi MCTO S lAW I017 RC W AND 796.Y00 WAC. <br /> i fAXSIRIL141LO411[tOfP.��01�E65.1[l[R�bEMYNN � <br /> -N'� 4.�. G, //30•93 <br /> mgie_m�ooxess �� � _ d„ <br /> JCO <br /> VLUYlMO MECN�NICAL M <br /> N0. 7YPE OF FlIITUNE OM ITEM FEE NO. TYVE OF EOUIVYEM FEE <br /> WATER CLOSET(TOILET) AC—A NNUIG UNIT$—M P <br /> BATHTUB FORCEOAIRSYSTEMS—B.T.U. M E.A. <br /> UVATORY�WASNOASIN� UNITHEAiEFS—OT.U. M <br /> SNOWER CLOTNES DRYERS <br /> KITCNEN SINK 6 DISP V[NTILATION FqN <br /> OISHWASHER qANGE MOOD <br /> UIINDFY TpAY WqTEF HEATEH <br /> CLOiHES WASHER WOOD STOVE <br /> 11NINAL METAL FIflEPUCE�WO00 BURNING� <br /> DRINNING FOUNTAM FIREPUCE INSEPi <br /> FLOOR DRAIN HEAT PUMF <br /> B�CKFLOW PPEVENTEflS GRS PIPING <br /> POOFUflA1N5—PAINLEADERS IXIIAUSTFAN T, — <br /> SINN�SEPVICE—MR.ETL) �� <br /> — �_ <br /> SUB TOTAL S SUD TOTAL S <br /> PERMIT { p RMIT f <br /> TOTAL FEE 5 T TAL FEE 3 <br /> FOfl OFFICE USE ONLV: <br /> fNpli6tIMCR PfMS[i6�CK SIXSEIBACK RA4GNCItMAB[P fff 1E[fifNJ <br /> ua[tvrc lD�/u�� v�urv�s�¢ FE 9 VALU�TON FEE <br /> Il YES I l NO Builowc: <br /> M�pCryq� NOOF6Ip1[6 uvuu[r noow��r.ui�f <br /> � PLUMBiNfi <br /> WR118lLO fM1E6MMIlERifl[OD GSEYFNi MEGUNICAI � <br /> 1� YES '�. : NO --�_ <br /> Of.CU�NCYlMO ip[4AIW11fOO IEIGNIIYIlAl10N ApDITqNI�IpIANGNEGII <br /> on�en <br /> x[�soM <br /> St�i[BU40tl10 6U11C1NRGE <br /> xv+car �trrnovcoer CIIYOFEVEflETT p����ypu�s � <br /> �r� LOC�L SALES �'+ <br /> w�c �1,-� �4� TAII COOE IS 3105 iorei �� � <br />