Laserfiche WebLink
APPLICATIC 1 FOR CONSTRUCT )N PERMIT � <br /> TO BE COMPLETEO IN BLACK IHK—PLEASE PRINT <br /> BUILDINGDEPAflTMENT HEATINGSVSTEM: 'JGAS JELEGTRIC �I <br /> 259-8870 <br /> I : DEMOLITION ' I COMB�NATION !j✓BUILDING ;l MECMANICAI i 7 PLUMBING ' � SIGN <br /> G�w,s�� �A hii�i`=�;Q:�,�P1 crt-v��-c,���� � ss� s�z>> <br /> �EN��—} M/.0.Wp9[6 C�iY aP pKMI[ <br /> •wH�l1�:.IM�[SIGMN M�lI.IlOflE55 CT' SA PI�CNE <br /> ':lNER4C`O^NTnA.'i.W W6IDDRE55 GlY IIV MIp1E 6LI1iEL10E�E� <br /> �l 1v� <br /> NfG4NCKCONiR/iLTDP N1RMdiE% CttY IN %U11E bT�tEIICCHSf• <br /> flVUBMGCONiR.�LTOfI u1A�1WR(55 CrtY W Flqlrt BiAiEIILENSEI <br /> Cp(lPAC1PPILEQM�W( �0 /��_ <br /> .SZYJ-FYtXi � <br /> nr�,raree waw umewurt roonwc rovnv[o toxr�c*nnsa�u.o vrqH[w <br /> I�i�.:� G Pcc�lG�or� ""f ,3��15 Co��o .TC�c:��-c�.5.,.-� ' �S� '�2'S�� <br /> V I � <br /> 3��`� i HEREBY CERTIFY TMAT 1 HRVE READ AND E%AMINED THIS <br /> r�mo'#DusE o�euaDem APP�ICAiION AND KIIOW THE SAME TO BE TqUE AN�CORRECT.ALI. <br /> C� CsI�Pn�� PFOVIS�ONS OF IAWS AN�OR�INANCES GOVERNING TH15 TVPE OF <br /> irGuuscnwianwnnrn[nrv��eeiowan�tlecwtw�fqvKs� WOPKWILLCECOMPLE7EDWITNWHEiMERSPEGFIEDHEFEINO� <br /> i e� � NOT. THE GRANTING OP A P[RIAIT DOES NDT PPESUME TO GWE <br /> /� (� Q AOTHORITV TO VIOLATE OR CANGEL THE PROVISIONS OF ANY <br /> L�1T �J�� !j �1y �R� �)�K�J. 'Z.� -�.� OTHER STATE OR LOCAL LAW REGULATRJG CONSTRUCTION OR THE <br /> - � PEPFORIdA1JCE OF GONSTFUCTION.TNAT I AM AUTHORIZED�Y iHE <br /> L ("� L _ DWNER OF THIS PROPEflTV TO PERFORM TME WORK fOR WHICH <br /> nen;.��rev�ovuvneq APPLILA710N IS AOE AND I COMPIV WITH THE SiATE <br /> '� - - - O (�I COI�iRACTOR lAW 82'PCWAND296200WAC. <br /> CMSiflJL1H1NLOG1:1(NMNMyec lrif CEN40lF � <br /> Sc Q� Y;Uo-..i�.,c� i�ll�' �l_ 6[�.�.,��I� 2 �� �l'� <br /> PXOJECT�ODNESS � \ . � : <br /> 1.�.`) Lr.`�1>l V — —_— .. <br /> PLUMBING � ECH►NIC11L�M <br /> NO. TYPE OF FlKNNE OR ITEM FEE NO. TYPE OF�OUIPMENT FEE <br /> WATER C�OSET(TOII.ET� A'G-A'HryDLG IINITS-H P <br /> BATNTUB FOPGEDAIR3YSiLMS-BTU. M EA <br /> LAV4TORY�W�SHBASIN) UNITNEATERS-9TA. M <br /> SHOWER GIOTNES DRY[RS <br /> KITGHEN SINK 8 DISP V[NPLATION FpN <br /> DISNWASHER RANGE Npp(1 <br /> UUN�RV TRAY WpTF.P NE ATER <br /> r�OTHES WASNER WOOD STOVE <br /> oAINAL METAL fIREPIACE�WOOD BURNINGI <br /> DRINKING FOUNiAM FlREPLACE INSERT <br /> FL009 DRAIN NEAT PUMP r <br /> BAf,NF�OW PREVENTERS 6A5 PIPWG <br /> ROOF�RAINS--RRINLEADfRS E%NAUST fAlJ T— <br /> SINK�SERVICE-BAR,ETC.) <br /> SU9 TO1M S SUB TOTAI E —� I <br /> PEPMIT S PERMIT S <br /> TOTA:FEE E TOTALFEE E <br /> FOR OFFICE USE ONLY: <br /> fM��1Fl1B�Cv, n[sq5E19ACN 510E6EtB�CM REHO�ELMNU4 Fn !�� �6 R!Cfll'1N0 <br /> �CJ !-.� '-� 99 <br /> vsrmnc �menp+ vu:nu*sn[ FEES VALUIITION FEE <br /> �' j ` . '; VES -i NO <br /> eunDux) ��j0 ,9,.p �i_<> <br /> iYRpCOM51 MOLf6iq�R5 VnyuCr nPPttLLM.vn•.5 1 <br /> .T=� � PLUMBING <br /> .lL <br /> SIZEIXflL� fIPES�RMv.lfR5RE60 B�SCM[NI "� <br /> �� VES yryp MECN�N�LRL <br /> 3�}0 $,r, O — <br /> (M,CJ��MCYLUN im[N�!'YXEO[� MqM1lMrtI.�✓al ADOIi10NqLPUNCNECK <br /> '1� <br /> O H OiN[R <br /> nfn^sx� ---- - --- � <br /> SiPTE OUIl01NG SURCHAqGF t�� <br /> nn�rFn. ruxv+�r•m��mn. CITYOFEYERETT ruaur,ww!ts <br /> ��N LOCAL S�LES <br /> o�r� Z � qo� TA%COOEIS7105 ro*s� .�� _ �_.� <br />