Laserfiche WebLink
APPLICATIOR FOR CONSTWUCT�N PERMIT <br /> cm oF�aerr• ,w�iNa onnsioni � <br /> 3200 CEDAR STAEET•EVERtTi,WA BB201 •(425)257-8810 �f•• <br /> O DEMOUTION ❑ COMBINATION ❑ BUILDIN6 ❑ MECHANICAL ❑ PLUMBINfi � SIGN <br /> PROJECTADDRESS: ��/OS ✓ . � _ <br /> O/ARM wN�0oR6s an iv MCr4 <br /> �n-t� �-rv /si� iyov r'�/ �� �.✓.4 9Baos (�/.as�sG� Qs°S2 <br /> IEWWI WV1�001[55 U!Y b hK1E <br /> �,«,IS T�,�, .�-,/�,'// i�os iir+s�s�r���r/.�.✓,4 9B�o5' (�lss,'335-/ao�./ <br /> M'4NlCLfOP0ES10xFP Yul�0G1E55 GfY M v,SnE , <br /> GEMFMLCpIiP�Cib1 YY��pp1E55 � ' �IIY !I� WO,F yt�IEIICFMlf• <br /> ae„yN�o.,Go. l�•08v.cS1l'y /_.��,,... L_/.� 98D�6 l�/���796�A3y�,ra,rV�.,,. <br /> utcNu�t4 tw�cron u�a�oonEu un tr r�qNE sr.t[l�c[wsE. <br /> PIUYBNGCOv�q�f,TOP 441AW1[55 Gtt Ii PIqHE S1�fElICFNY• <br /> ' �y � <br /> ���,��,� <br /> HEAI INa SYSTEM: ❑6AS ❑ELECTRIC O <br /> oeuaeerpw�rasau.nEs tw[rvavto can�crv[ uoewE / U� 7s 7 �S <br /> � e. � ' 1 io, • <br /> le�I., 6 • �!• •� S3 <br /> 1 HEREBY CENTIFY THAT I HAVE READ AND E7lM�INED TlNS <br /> �,�p���p� APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PROV�SIONS OF tAWS AND ORDINANCES 60VERMNO T111S TYPE OF <br /> WORK WILL BE COWLIED NAiH VMETHER SPEGFIEO HEREW OR <br /> iEcuo[scmmoNoranorEnnisrqweE�avw�rt�ivqcwcsi ypT.THE OW�MIN6 OF A PENMff OOES NOT �RESUME TO OIVE <br /> ior��xota 3 or • % s AUTHORITV TO VIOLATE OH CANCEL THE PROVISION OF ANY <br /> . OTHEN STATE OR LOCAL UW RE�ULATINO CONSTqUCTqN OR iNE <br /> PEPFORM�IlCE OF CANSTRUCTION.TlUT I M1 AUTIqRIZED BY TNE <br /> OMRIER OF TNIS PROPER7Y TO PERFORM 7HE WOIY(FOR WMK7/ <br /> AVPLICATiON IS IMDE �ND I COMPLY WITN THE STATE <br /> qwcEi uy i o.M�q CAMp^�TORS W 1l27 RCW ANO 2il2W Ci11C. <br /> See S' �/�.. . �//��� 9- /9 � 7 <br /> LdI5TR11CiIdIIWNtEHOEN.MME65.1FLER10MEM1MfP � <br /> �� D?�/�SG w�E <br /> qtY WSMESS IICFMSC ND <br /> PLUMBINO IIECXMIICAL <br /> NO. ME OF Fl1fTURE di RFA1 FEE NO. TYi[Of�OINPMfNT FEF <br /> WATEF CLOSET(TOILEn �—�ryp�p�g <br /> BATHTUB FORCED AIR SVSTEMS <br /> LAVATORY(WASH BASIq) NE�T PUMP <br /> SHOWER �� UNITHEATERS <br /> NRCHEN SINK 8 DISP � CIOTNES ORYERS <br /> DISHW�SHER RANGE HOW <br /> LAUNDRV 7RAV WATER HEATER <br /> CLOTHES WMSHEH WOOD STOVE <br /> URINAI METAL FIREPLACE M1VOOD BURNING) <br /> ORINNING FOUMAIN FIHEPUCE INSEiif�WOOD BURNING) <br /> FLOOR DRAIN G0.5 FIREPLACE <br /> BACKFLOW PREVENTERS GASHANGE � <br /> SINN(SEPVICE—BAR.ETQ) GAS PIPING <br /> E%H�UST FAN <br /> SUB TOTAL f SUB TOTN. f <br /> PERMIT f 7ERMIT f <br /> TOTALFEE S TOTA�FEE f <br /> FOR OFPICE USE ONLY: <br /> �IIONTSiiPK.F PEMSEiYCR $IpF$FfYCR 1'lµCI1EUNYMEN iE[` �\\n!. 11FLFVIMO <br /> 1AI IG' <br /> I• <br /> us[ta�E �o�u�En v�c,w�v�E FEES V�IUATqN FEE <br /> or[5 O Mu ewown <br /> HFIGMIIIMi�IqM NJOiOWfLLWO $IIFOfNDYfI <br /> VHII[ %1�� <br /> T <br /> OCI�'ITANLY 1tlM51rytll5 Q.CIlWN1tO�O lASFLEN� yFLMANGI <br /> OYFS O MJ <br /> (IRFSPNINRIFNPEO'0 11FASp1 �OpINJWI.lYM1CMCCK � <br /> 01MFN <br /> RPfA1MMPE0"J Pf�SpI <br /> S�MF UulpMt SIIRLWu�I'{ ��j/� <br /> }.11l <br /> ixv[ar,oHs� nnxs oer CRYOFEYERE7T nmKwou�c I <br /> LOCAL SALE5 —i— <br /> o��e � 9- �.41 TAk CODE IS 7105 iCi�� <br />