Laserfiche WebLink
APPLICATI� FOR CONSTRUC7�N PERMIT <br /> cm oF�+Err.euao�c orvisor� � <br /> 3200 CEDFR STREET•C•VERETT,WA�ZO1•259-E010 <br /> ❑ Of.MOLRION ❑ COMSM/ATION ❑ SUILDMO O MECMAIMCAL ❑ PLIMISNIO ❑ �ION <br /> PR0.IECT AODRE88� U�� CQL� I ._ <br /> • ��a��E65 ^� <br /> �l�f�rilt ?'1�q�1r�.1 ��'hi. <br /> , . rr—�—��w� � <br /> wcnrzaanotsmrn nuiwv� cr, �ro � <br /> �FMf�4LCOM�MCIp1 YYl�qlll[55 p�Y }T Rlpl( {I�i[IIClMY• <br /> MFLlUML4LdiR�CTIX1 YKMMF55 b1Y IX� RiON! t���[lCEMSF• <br /> A�NMiGplMip.�C10P uµ�pp(SS dT' nV IYqYF S1�IflLLMY• <br /> iM[TPq�[pf yNYq ' <br /> � HEATINfi SYSTEM: ❑GAS ❑ELECTRIC ❑_ <br /> nlweEwa+�uosauuEroouot vco r mr��c�ocnsowunn�awrro <br /> C'�i',-Y� /r <br /> /!U 7��taer . � c T �k ?v <br /> 1 HEREBY CERTIFy TM�? I NAVE REI1D I1ND E1c�MINED THIS <br /> aw�os[a ugc or nnpup AVPLICATqN/UJD KNO`N THE S�ME TO BE TRUE I1ND COqqECT ALL <br /> PR6VISIOHS OF UWS AND ONDINMlCE6 GONERNiNb TM5 TYPE OF <br /> IEMLR3C1M1�O1Of01qRfllYl4UW11lElQYOII/�f1�CrytYqC0p1[5) ���LL BE CqMOL1ED WITN WHETHER 5PECIFlED MEREM OR <br /> NOT. TFIE OR�NT@1(1 OF A PEqMIT OOES NOT PRE9UYE TO ONE <br /> ��� �� a AUTHORITY TO VIOUTE OR C�NCEL THE PROVISqN Of ANY <br /> OTHER STATF OR IOGLL.UW REOUTATINb ppl�STHUCTIW pp iNE <br /> — PERFORMANCE OF CONSTRUCTION.TH�T 1 MI AUTIq111ZEp g�'7ryE <br /> OWNER OF iM15 PROPERry TV PERFqiy 711E�YJI�Fpp yNNCN <br /> 11PPlIC�TION IS M�DE �ND 1 COMPLY M/ITN TNE 57�TE <br /> �wc¢na i R _ n J CONTR�CTORS U 21 RCW ANO 4Y6ROp W11C. ' <br /> �/-/,� � 2 <br /> COMSMIIGIRTIIONIIEISER.10Mf65.R1[A�}4MORR % �� <br /> MR — <br /> pn'AISIESS ICCxX MO <br /> K�� ����A� <br /> NO. TrVE OF R[TlllE dl REY FEE NO. 7YIR Of FMll11B/T FEE <br /> WATER CLOSET(TOIIEn �_�Q�$ <br /> ��� FORCFD AIR SYSTEMS <br /> UV�TORV(WASH BASIN) NE�T PUAIP <br /> ��R UNIT IIE�TEHS <br /> NITCNEN SINK 6 DISP CLOTHES DRYERS <br /> DISNW115NER RAN6E HOOD <br /> LAUNDRY TP�Y WATEq NUTER <br /> QOTNES W/�SHEH WOpp STOVE <br /> URINAt MEfAL FIREPIACE(W00�BURNINO) <br /> DRINIlNKi ipNJT�M FIREPUCE INSEpT�WppO BURNINCa) <br />, FIOORDRMN (i45FIREPUCE <br /> &1CKROW PRCVENTENS �qq�E <br /> SINK(SERVICE—BM,ETC.) �p�p�q�y <br /> IXHAUST FAN <br /> SUBTOTAL f SUBTOTAL f <br /> PERMIT f PERMIT f <br /> TOTALFEE f TOT�LFEE f <br /> FOp OFFlCE USE ONLY: <br /> ff1LMIVMM}I RfMSTPM.'M SIOESFTlMk A/JIQ4QMMI(11 fl( IKIYPINO <br /> ussia� ioi�M� w:.u�ra�t FEES VIllU11TION FEE <br /> ❑vE6 O rq �� <br /> N[ICAIIIMNiA1pN Npplpy/�LLOp $1IEp&PYtI —� / � / <br /> IIMIS <br /> RIMV1p <br /> n�TrUICY Mt1�51(q5 OfCUMM1lOW S�if�lMl ����µ � <br /> ❑Y[S pM — <br /> i1RC5PI1MItlEA1COD W�GQY /.Od11CM�l1i�MCMfGr <br /> �T— <br /> OINEII <br /> fpEµNWIC09 M�[pV <br /> [l��f MMOMl151ICW11(If '���/� <br /> 1Y14IXfqN51 q�45M1Tp{pBY - Y1.� <br /> ITYOFEVEREIT nmirwrnxe <br /> LOCAL 51U.ES — <br /> o�it TAX CODE IS 3105 TOTAL ) <br />