Laserfiche WebLink
APPLICATIa_ J FOR CONSTRUCT'�lN PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> HEATING SYSTEM: ❑GAS ❑ELECTRIC 'J <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> � ' DEMOLITION i l COMBINATION �BUILDING I l MECHANICAL Li PLUMBING i l SIGN <br /> OWNER hIFILADDRE55 CITV 2�P PHONE <br /> L-�ea�� N9ee�Ys i 6.t� G-,�'fes�� x'e� �uP.+e� 9�s.a�-_�y—' ; - y� f�6� <br /> TENANT h1AILADORES�S q V� Zl�f — PHONE <br /> APCMITECTOROESIGNER MPI' ADDRESS CITY ZIP PHONE <br /> �Lfl �, ti >^� <br /> GENERAL CONTRACTOR MAIL ADDRESS CITV ZIP PHONE STATE LICENSE a <br /> O !.1/ ^tit 'e.�y1 <br /> IA[CNANIC�L CONTR�CTOR IdA�L A�ORESS CITV 21P PNONE STqiE LICE�lSE• <br /> PLUM1IBING LONiRACTOR hIAIL AODRESS CITY ZIP PHONE STATE LICENSE� <br /> GONTR4CT <br /> /YLti' l_� a�� <br /> DESCRIBEWO KAkO50UAREFOJTAGEINVOLVED LONTACIPERSONAN�HONENO. � <br /> � �S^ <br /> 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> PROPOSEDUSEOFBUILOING APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> �'�� �� E��1 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> �e�n�oEs airnoN OPER OWNOEIOWORATTACNTVOCOPIES) WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �oT—�—{y` BLOCN��oF � P��u��O� NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> —T' AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTHEF STATE OR IOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORA7ANCE Cf CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PpRGEL TAa ID.NUMBER CONTFACTORS LAW 18.27 RCW AND 296200 WAC. <br /> GONSTRUC710N LOAN LENDER.ADDRESS.TELEPHONE NUMBER <br /> �,�n i �S/ dJJ ' y�e�, /D �/`9'E.�i <br /> PROJECT ADDRESS � ieru*une "'� <br /> \ <br /> E' tl/ y C°�o �i.reuswcssucrnse x� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EO"�PMENT FEE <br /> WATER CLOSET(TOILET) � NC—NHND�G UNITS—H.P. � <br /> BATHTUB ' FORCLD AIR SYSTEMS—B.T.U. M E.A. <br /> LAVATOFiY(WASH BASIN) � UNIT HEATERS—B.T.U. M � <br /> SHOWER ' CLOTHESDRYERS ' <br /> KITCHEN SINK 8 DISP � VENTILATION FAN � <br /> DISHWASHER � RANGE HOOD ' <br /> LAUNDRY TRAY ; WATER HEATER ' <br /> CLOTHES WASHER � WOOD STOVE � <br /> URINAL ' METAL FIREPLACE(WOOD BURNING) ' <br /> DRINKING FOUNTAIN � FIREPLACE INSERT � <br /> FLOOR DRAIN � HEAT PUMP ' <br /> BACKFLOW PREVENTERS ; GAS PIPING <br /> ROOF DRAINS—RAINLEADERS EXHAUST FAN <br /> SINK(SERVICE—BAR,ETC.) � � <br /> � ' <br /> SUB TOTAL $ ' SUB TOTAL 5 <br /> PERMIT S PERMIT 5 � <br /> TOTAL FEE S ' TOTAL FEE S ' <br /> FOR OFFICE USE ONLY: <br /> PRONTSETBACK PEARSET ACN SI�ESETBACK PLANCMELK UMBEP FEE � RECEIPiNO <br /> > .�� s� ' aaa� �i�. ��� as8� <br /> USEZON — � LOTAREA YACANT E / FEES VALUATION FEE <br /> �: YES i�NO BUILDING ((� /�� ' Q(� <br /> 7YPEOFL011ST. NO.OFSTOPIES o[Nv<�,tt hao�DNuu4GJ:itS � <br /> � �'� PLUMBING i <br /> - J , <br /> SIZEOPBLDG. FIRESPRINKLERSREO'D BASEIAENT � � MECHANICAL � <br /> S7Gi S ,7 -. YES :l�IJO � <br /> OCCUPANCVLO FIREALARh1RECD MEIGHTLIAIITTIQN ADDITIONAL�LANCHECK i <br /> / � <br /> � �Q /�'� OTHER � <br /> R[ASON —�—� <br /> STATE BUILDING SURCHARGE !-/�52� <br /> -� � <br /> INiANE�Y P�ANSAPPROVEUBV CITYOFEVERE7T PU�LICWORKS � <br /> J/�' LOCALSALES � <br /> opTE p L � TAX CODE IS 3105 rorn� ; <br />