Laserfiche WebLink
APPLICATI� FOR COMSTRUCT�N PERMIT ,� <br /> TO 6C-COMPLETED IN BLACK INK-PIEASE PRINT �* <br /> GUiGINGDEPARTMENT I,_ NEATINGSYSTEI,S_JGAS J«ECiHIC_J _ ___, __ _ 1 <br /> ?SJ yp10 <br /> DEMOLITION �, � COMBINATION ! '� BUILDIN6 � .MECHANICAL �. ,PLUMBMG ✓51GN <br /> ..... - wn.�.�;,n:. � cr. n� - �«v� - <br /> Z`ilU <br /> /\F�T_ �„ -rr�i1E� _1'�'��.C�4lb�_�V�—�4''FY�E71-��c./ Z�`)"���__ <br /> . .. . wna,��:�_� Utr T�rv r�qu[ <br /> .�'.?r-'- �1RS�TS 7 Gs`LP_. _(_CLl'��.1 EvFIFTC Cf(�'�GJ_ 33�'1—� II <br /> .......:....e��ecrw.n wKn.�onr» cnr zm r•�wwr <br /> , , ����ut���r :.��a--����i—!14-+`t �5 5 �,d=�n- 9Sz�,'/ 3-17-z•iyS � <br /> ' � ��LwIN.CiOn N�M1�UM[69 cR+ ]'a hAY1F. 5!.Vfu[D�:[• <br /> _ ���t�j <br /> .�u:c��<crn...+on - Meeswr��ss orv zir r�rs+[ _ n�.aNs�r <br /> LE7TE13 IU�1K!?- - <br /> . ..r:y}PK�iLq Y/.il�Od1C59 piV . �W M9NE SI�TELCENtiEs <br /> . .;�rneE o�wonx <br /> �9so.- - <br /> . �-w.+nx�vnsouucrro��ccavav[n Wrvr�ct�nsc��xov�Krtrx� �+ <br /> CIQI �- .6�f2CS�.ut�/J_3_'-�7-?�' ��U _ <br /> 1�-=0.�]!� 2Y.1�i�] � �'ee1 <br /> �1.ry>T!ia � r I HL(iEBY CERTIfV THAT I HAVE REh� ANU E%AMMED TMIS <br /> ��� � ",�iis[ts BuaD�w APPLIWTION AND KNOW THE SAM�TO 0L TRUE AND LOflRECT.ALL <br /> PRJ1q5�ON5 OF LAWS AND OR�MRNCES GOYERNING THIS TVPE Of <br /> � . mvndiorm.:PEmr�A�oNt,enaWoaAtl�txVCOP[6� N'OFN WILI BE COMPLETED WITH WNETHER SPECiF1ED NEREIN OR <br /> NOT TME GRANTING OF A PER1dIT DOES NOi PqF.SL11dE TJ GIVE <br /> --�� a AUTNOFITY TO VIOLATE OR CANCEL THE PPOVISIONS OF ANY <br /> OTHEfl STATE OB LOCAL LAW REGULATING CONSTqUCi�ON OR iHE <br /> �- PERFORMAHCE OF CONSTROCTION.THAT I AIA AUTHOR7ED E3V THE <br /> � � OKMER OF THIS PROPEPTV 70 P[RFORM THE YJCnr. 10'�i iM1'IW;H <br /> APPUCATION IS lAADE AN� I COMPiY WI1H 1�r�1[ SiniE <br /> �� �,�n xuuecn CCNTRAGTO LAW 1827 RCW AND Z96200 W�C <br /> �, � ,ii_n��W4LfNOER�U��iE59RlEi'MJNEH'JVPEN N� <br /> _..._. x ` y, �—V���C�� .2',��.�Z..��l' <br /> PPOJECT IDDRE59 <br /> 'L•'IO�J �'� � 'Si� 2�J2[� _- - - _— . <br /> PWMBING MECHANICAL <br /> ND. TYPE OF FI%NNE Ofl ITEM FEE N�. TVPE OF EOUIPMENT FEE <br /> �;;n i 1.q GtOSGT ITGRET� A C- �HNDLG UNITS-H P <br /> __ � .._ _-__ ._-___' __ —�— <br /> C1,�'�+1U6 ' PLFCL�AIRSVSiEM$-BTL- M EA <br /> I�YATOHVIWASHBASIN� UNITHEAiERS-0.7U. M <br /> SHOWER CLOTMESOPYEPS <br /> �'iiCM[N SINK 8 OISP VGNTILATION FAN <br /> OISHWASHEF R/NG[HOOD <br /> IAUNOPV TRP I wATER HEATE(i <br /> QOTHES W�SMER WOO�STOVE <br /> �1PINAL METAL FIRLPLACE iK'�D BUHNING� � <br /> DaINKING FOUNTAM FIPEPLACE INSEflT <br /> �'LOOH C RAIN HEAT PUMP . . <br /> BACNFW:Y PREVENtER$ GAS PIPMG ' <br /> 9DOF URAINS-flAINLEAOERS E%HAUST GAN � <br /> SINK�SEfiVICE-9AR.ETC.� _ . <br /> SUBTOTAL f SUBTOTAL S <br /> --�--' PERlAIT ! "- FERMIT F � <br /> --- - iOiALfEE S I - — TOtAL fEE S - - - . _ • . <br /> FOR OFFICE USE ONLY: `���' �ati <f_ <✓c �_i '� �� <br /> . . n . -____ n:en.Finr.en sw:sEtMex ttnrvc«rc rnn�orn rec ecccm�no <br /> ��J�L <br /> . r,a:/, vuwi9rC FEES VALURi�ON FEE <br /> -_j.� 3L'� ❑YES ❑ No eultoiNc3 3._./�� - <br /> �.�:i wasmnns ev.«a mww.u:•..�n�i. . .. - . <br /> °��" MUMOrtX3 ' <br /> ..�;n. i�BRIM4LP6trt0➢ OacLM[hi MEGIAN�LAL - -- - � <br /> I-: VES !7 NO ---— <br /> ,-..�ow r�nEuanuKoo ��yrrudrtuwr� nDOR�:INALPUNCNEGI( _ /�',-. <br /> J <br /> ��-t.,rJ�.,�-. onir.n <br /> . , ---------� - - --- .a,muwiDir�r.sunc;�m�;rd. -- - -�� - - - �J' _� <br /> -- - � - ---- - --"�-:�'��. <br /> . � - �'��s"Pf9eT'�a°v � CITYOf NERETf ;!;.iicwoAKs ' <br /> JM I LOCAL SRLES , <br /> ;,,,F z ,z TAX CO�E IS 3105 �omi. � <br />