Laserfiche WebLink
APPLICATII .i FOR CONSTRl�C1 _aN PERMIT � <br /> TO BE COMPL.ETED IN BLACK INK—PLEASE PRi��!' er�rr <br /> � <br /> BUILDING DEPARTMENT HEATING SYSTEM: �GAS ❑ELECTRIC ❑ <br /> 259-8810 <br /> DEMOUTION COMBINATION BUILDING xMECHANICAL PLUMBING SiGN <br /> ON?!ER MR�I.ADDRE55 �ITv 21P PNONE <br /> �3�-��� r�os. 3� oa eoi �, sf ��er�� qsad3 ao� -asa -ia3� <br /> �u.nn� MFILpUUH[5� � CITY zIP FNONE <br /> ARCMITECTOFOESIGNER IdAILA�DNESS �ITV ZIp pppryE <br /> GENERALLONiRACTON MAIL pDDRE55 CITY ZIP PHONE STATE LIGENSE� <br /> MECHI�l11C�LCONTNRC70R MRILADDRE55 �ITV ZIP PHONE STATELICEYSEM <br /> C�uf 4-�an�, li�+c.. � z�ui-coz"'p.uc nlc Rw���,� �18��?����,-4�s-vtio�f c��Nr-izZ,�,,-, <br /> PLUMBING I:ONTRRCTOfl MPIL AbDRE55 CITV ZIP PHONE STRTE LI�ENS[t <br /> CLASS OF WORK <br /> � NEW ! 1 ADDITION XALTERATION � . REPAIR �� DEMOLIT!ON �� � WOODSTOVFJFRPLINSERT BUILDINGRELOCATION <br /> CONTpCT PENSON AND PNONE NO. I I <br /> CONTRACT PRICE OF WORN ��I � (�V...{IZL� �{�..�„�^��{(��I <br /> DESCRIBE WORK A4U SOUARE FppTAGE INVOLVED <br /> ���G'� 1 l��l��� <br /> nPROP'OSEDUSEOFBUIL�ING i HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> � �c+�,y�p��..t� ` APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> LEGALDESCRIPTIONOfPROPERTY�SHOWNBEIOWONATTACHFWflGOPIE57 PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPFOF <br /> WORK WIIL 8E COMPLETED WITH WHETIiEF SPECIFIED HERCIN OR <br /> LOT _ BLOCK __ OF NOT. THE GRANTING OF A FERMI7� DOES NOT PRESUME TO GIVE <br /> . AUTHORITY TO VIOLATE OA CANCEL THE PROVISIONS OF ANV <br /> OTHER STATE OR LOCAL lAW REGULATING CONSTRUCTION OR THE <br /> �/.S/�/-�Z�l -03/-Goo OWNEOR OFN HES PRO EPTY TO PER OFM HE WORKIfOR WHIC i <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRAC �l-AW 18:Pi .200 WAC. <br /> x � 2- � 1-97 <br /> PROJECT�ODPF55 S�c�+eiunt n[ <br /> COYBlI5MR5tK(NSE NO <br /> pLUMBIN6 MECHANICAL <br /> NO. TVPE OF FlXTURE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) � IVC-AMNGLG UNITS-H.P. <br /> BATH7UB ; FORCED AIR SYSTC-MS-B.T.U.'(6M E.A. � <br /> LAVATORY(WASH BASIN) UNIT NEATERS-B.T.U. N <br /> SHOWER � CLOTIIES DRYERS � <br /> KITCHEN S�NK A DISP ; VENTILATION FAN ' <br /> DISHWASHEF � RANGE HOOD <br /> LAUNDRYTRAY � WATER HEATER <br /> CLOTHES WASHEFi WOOD STOVE <br /> URINAL � METAL FI'IEPLACE 8 CHIMNEY <br /> DRINKING FOUNTAIN FIREPLACE INSEFiT ; <br /> FLOOR DRAIN HEAT PUMP � <br /> BACKFLOW PREVENTFRS ; � GAS PIPING ; <br /> ROOF DRAINS-RAINLEADERS � EXHAUST FAN � <br /> SINK(SERVICE-RAR,ETC.) ; � <br /> � ; <br /> - � — <br /> � <br /> � , <br /> SUB TOTAL S ; SUB TOTAL $ Q � <br /> P6RMIT $ � PERMIT $ ' ;[� <br /> TOTAL FEE $ TOTAL F[E S � <br /> FOR OFFICE USE ONLY: <br /> FRONi SEiB4CK qEAR�ETBACK SIDE SETBACN P�pN CHECK NIIMBER PEE RECEIPT NO. <br /> USE20NE LOTqREA VpCAHT5ITE �EES VALUAil011 PEE <br /> BUILDING <br /> iYPEOFCONiS.ALLOWABLE TYPEOFCONSI.ALiWL otturcrwr x00�mvRUNGUHuS � <br /> ceow pLUM81NG ' <br /> SIZEOfBLDG. NO.OfS!ORIcS BASEMENT � <br /> MECHANICAI i <br /> OCCUT ANCY LOAO FIRE SPRNKLERS PEO'D MEIGNT LIMITATION <br /> ADDITIONAL PLAN CHECK ; <br /> i <br /> _"...^FR <br /> PEASONFORSPRINKLEflS -- — --�— <br /> STATE BUILDW3 SURCHARGE ; <br /> INiRKEBY P�pNSAPPROVEDBY � <br /> CITY OF EVEPETT PUBLIC VlORNS <br /> LOCAL SALES <br /> TAX CODE IS 3105 TOTAL <br />