Laserfiche WebLink
APPLICATIC'1 FOR CONSTRUCT^1N PERMIT �� <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> HEATING SYSTEM: ]GAS �ELECTRIC ❑ <br /> ai�II.DING DEPARTMENT <br /> 259•8810 <br /> i_ DEMOLITION C i COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLllI�ABING -, SIGN <br /> OWNER MAIL AODRE55 pTv 21P PHONE <br /> sTft�f !✓i�-ii�ys ;L3 z0 - /�� ST S�'�#�-�IO LYf✓�v��,:D wa T�'0�� ��e-��c'�- • <br /> i[NFNT MAILADDRESS CRV ZIP PHONE , <br /> ARCHfiECTOqDESIGNER MAILAOORE55 CRY 21P PHONE <br /> GENERRL CONTRRCTOR MAIL ADORESS CITY ZIP PHONE STATf UCENSE� <br /> �VJ Y�'E� — ' <br /> I MEGHANICALCONTPACiON MAILADOiiE55 CITY 21P PNONE STATEUCENSE! <br />� PLUMBINGCONTRAGTOR MAILADDRE55 GtTV ZIG PHONE STATELICENSEJ <br /> II CANiPACTPRICEOFWOPN / /��G _ <br /> J <br /> II DESCRIBEWORKANDSOIJAREFOOTAGEINVOLVED CAF1TRLtPEF50NANDPNONENO ��`. � T ��L`� n..A� <br /> c r•n i <br /> 2_ Z s , — ��.,v`�c� .�r- �� �' -L.,,c�'�- - <br />� I HEFEBY CERTIFY THAT I HAVE READ AND EXAMWED THIS <br />� PROPOSG�USEOFBUILDINO _ J APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECi.ALL <br /> r 1�- ,� � 'e r` PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LEG�LDESCBIPTIONOFPROPEFTVISHOWNAELOWORATTACHiWOCOPIES� �� -� c' WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GFANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ioi e�ocn oF ,//�e��� AUTHOHITY TO VIOLATE OR CANCEL THE PROVISIONS OF AtJY <br /> 1l �� OtHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FON WIiICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> anAce�Tax i.o.nurneea CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> r���o - 3� - ao3 - ono� � � <br /> CONSTRUCTION LOAN LENOER,ADDiiC55.TELEPHONE NUMBER <br /> � /�' �3�� <br /> PROJECTADD ESS srow �nc � ' o�Te <br /> C? LJLQy �l��iQ�TT c eusaess�icrvsc�uo <br /> PLUMBING ECHIINICAL <br /> NO. TYPE OF FO(TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) A�C—AiHNDLG UNITS—H.P. <br /> BATHTUB FORCED AIR SYSTEMS—B.T.U. M E.A. <br />� LAVATORV(WASH BASIN) UNIT HEATERS—B.TU. M � <br /> —r <br /> SHOWER ' CLOTH[S DRYERS ' <br /> KITCHEN SINK 8 DISP ; � VENTILATION FAN ; <br /> DISHWASHER � RANGEHOOD � <br /> LAUNDRYTRAY WATER HEATER ' <br />` CLOTHES WASHER � WOODSTOVE � <br /> URINAL ; METAL FIREPLACE(WOOD BURNING) —�— <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOnR DRAIN ' HEAT PUMP <br /> BACKFLOW PREVENTERS i GAS PIPING i <br /> FOOF DRAINS—RAINLEADERS � EXHAUST FAN � <br /> S W K(SERVICE—BAR.ETG) ; � <br /> � _�_ <br /> i ; <br /> � <br /> i <br /> _ T <br /> 1 <br /> SUB TOTAL $ ; SUB TOTAL $ ' - <br /> PERMIT $ � PERMIT $ <br /> TOTAL FEE $ ' TOTAL FEE $ —T �,� I T!. � <br /> FOR OFFICE USE ONLY: � <br /> FRONi SETBAGK NEAR SETBACK $I�E SEiBACK PLAN GHECK NUMBER FEE RECEIPT NO � - �=.y,� <br /> :�� <br /> I <br /> USE20NE LOTAPEA VALANTSItE FEES VALUATION FEE - t <br /> . �`L <br /> f:i YES '� NO BUi�DiNO ��� ' � <br /> flPEOFCONST. NO.OF6TORIES occU��ncr xowow!urz�cuxirs ��`/ ' � ��— ,� I�,! <br /> �"p1° pLUMBING ' ' +� � <br /> SIZEOFBLDG. FIRESPFINNLEPSFE09 BASEMFNT MGCH�4ICAL ' . � - - <br /> n ves r No , q.,— — <br /> OCCUPMICY LOAD FIPE ALAqM REOD HEIGM LIMITATION ADDITIONAI PLAN GHECK � �. .� � - <br /> i <br /> � <br /> OTHER ' <br /> � <br /> RERSON '. ", <br /> STATE BUILDMQ SURCHARGE 1 <br /> INiAKE BY PLANSAPPFOVEO BV CITY OF EVEREST PUBLIG WORKS i <br /> LOCAL SALES <br /> onre TAX CODE IS 3105 707AL <br />