Laserfiche WebLink
:�; <br />A7tlx <br />�9HVHi <br />H �� <br />K C] <br />H xl <br />� N'i1 <br />[/! H <br />x <br />��d <br />H�O <br />� Y (� <br />t" y � <br />h+ H <br />g�' <br />� <br />C] C7 y <br />� � Cs1 <br />H O vi <br />� i <br />APPLIC�TId i FOR CONSTRUCT:"�')N PERMIT �� <br />TO BE CUMPLETED �N BLACK INK—PLEASE PRINT �` <br />BUILDING DEPARTMENT HEATING SYSTEM: GAS ❑ ELECTR�C ❑ <br />° 259-8610 <br />I I DEMOLITION i i COM�INATION �3UILDING I I MECHANICAL IJ PLUMBING I l SIGN <br />OWNER M41�AD�RE55 LIiV ZIP PHONE <br />�v�Tr i-%us�,✓G ,Avrs.'metr�' �4oi O��%a,¢ �vE,a�r,- wA 9P�o/ aaG �9as&,�zzz. <br />THlANi �.!�I140�FESS CITY ZIP PHONE <br />MCHItEGTORDESIGNER M4iLA00RE55 dTY 2IP PHONE <br />aY�ia,✓ �,�.irr�rs /�o? hc+a�r�' �900 �vE,�rr wr� �'aaoi ao� a�r ��i <br />GENERALCONTRACTOR MRI��ODRE55 G1Y ZIP PHONE ST�TELICENSEM <br />y� 3 <br />MECHANICALCONTqqCiOR MAIUDDRESS GITY 21P PHONE SiNEUCENSE� <br />PWMOINGCONTR�GTOR MFILAO�RE55 QTV ZIP PMONE STATELIGEIlSE� <br />c�nss oF wonK <br />I I NEW I I ADDITION �LTERATION ', REPAIR !� DEMOLITION I I WOO�STOVFJFRPLINSERT I I BUILDINGRELOCATION <br />Q ^'.�^� cor�Tncrvensor+nu �wuervo. <br />CONTR�CT PPIGE OF YIORN ���� � n l bl�Yt. aSS� HAri/ A�F//TeC <br />DESCRIBE WOPK ANO SOIIPRE FpOTA E INVOLV[D <br />a5�- 3��� <br />PROPOSE�USEOFOUROING i �:EREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />IEGAl0E5CfiIPT10NOFPPOFERtY�SNOWNBEIOYIORATt4CHF0URLOPiES� PROVISIONS OF LAWS ANp ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPL[TED WITH WHETHER SPECIFIED HEREIN OR <br />ior e�ocK oc NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITV TO VIOLATE OR CAPICEL THE PROVISIONS OF ANY <br />OTHEfl STATE OR LOCAI LAW REGULATING CONSTflUCTION OR THE <br />PERrORM11�NCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF S P PERTV TO PERFORM THE WORK FOR WHICN <br />— P.PPLICA ON IS ADEp _AND I COMPLY WITH THE STATE <br />CONTR TORS lA 1827�r+a�W AND 296.200 WAC. <br />���2� <br />TYPE OF <br />WATER CLOSET <br />SHOWER <br />KITi;HEN <br />URINAL <br />'� � DRINKING FOUNTAIN <br />� "'' FLOOR DRAIN <br />BACKFLOW PREVEN' <br />ROOF DRAINS—RAIN <br />...., �,d SiNK (SERVICE—BAN <br />� � � <br />�3a3-as'-�� af �- <br />:ORITEM FEE <br />0 <br />SUB TOTAL S <br />PERMIT 5 <br />TOTAL FEE 5 <br />X / Vv"" <br />TVPE OF EQUIPM <br />NC—NHNDLG UNITS—H.P. <br />FORCED AIR SYSTEMS-8. <br />RANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE 8 <br />FIREPLACE INSERT <br />HE�T PUMP <br />GAS PIPING <br />TOTAL <br />FOR OFFICE USE ONLY: <br />FRONTSETOALK R[MSEIP.ACN SIOESETOACK PIANCHECKNUTADER FEE <br />.�7� � � � <br />USEZONE LOT�REA VAC�NTSIiE FEES VALI <br />9UILOING � - <br />IYPEOlLON/iS,./A�I,I/O�IYABIE iTPE01L011S1.1CNAL w:.uveutv noo�PxtwuGun'�is — — . <br />��� �CT9�v{�_ .--'_—"____'__. _�tnouv � � PLUTA�ING <br />Y/ <br />BLD>. <br />INT�KEBY <br />OFSTORIES B15EMEN� MECHANICAL <br />� —.'� <br />FIR[ SPRNKLERS REO'0 HEIGMT LIMITATION ADOITIONAL PLAN CFIECK <br />SPRINNLEA <br />STATE BUIl01NG SURCHARGE <br />ain��snneaoveoar CITYOFEVERETf PUBLICVJORKS <br />LOCAL SALES <br />��<j�c`� �/✓) TAl( CODE IS 3105 TO7AL <br />5 <br />7 rs <br />C/I <br />�9L� �� � D�? <br />a <br />