Laserfiche WebLink
_._ -_. �.�:___'_ . __ ' � 4o`A9 <br /> APPLICATIO" . FOR CONSTRUCT�"�N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> �, � HEATMG SYSTEM: AS�, O ELECTRIC O - <br /> BUILDING DEPARTMENT .�� . ': '� . ... � � � ' � � '-�' ' " <br /> 259-8810 <br /> ECHANICAL ❑PLUMBING ❑ SIGN <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING �E <br /> �„Ea ,, Y,,..�E� �,. .a.,, i� T�o��)3 a��]-1�g�4 <br /> inM�� r� r�(UVU(1 �'I3D �iLvtWtiY�-�ll�L � <br /> iE1W1i <br /> w,tii.00nEss c�n z war�e <br /> Ciiv Z�v P�qME <br /> MLWiEfi0RUk5.:AEP WIA�ME55 � <br /> NEINLCOMiM1�':TIXI AUL�0011k15 G ZIP RqME SIA1ElILENSE� 7 <br /> , <br /> I W(110.fuLllie�v�'��CfPN �Sao� 3�-i��� PRobeE�c�PN k <br /> AIEp CKWMiNI�Gtdi IA lAWPE55 <br /> LIfV 21P PI E SUiElCENSE� <br /> CIiY IIP PNONE . SURIILENS[� <br /> RWBOMCp1iPALiOfl MAI�WOPE55 � <br /> Gq11MGiPFICEOFWOi1� ��� <br /> M PB[NWW.ANO.WUAFEfW1�GERN0.V[U <br /> Gp1f�GT PEPSON/✓10 MqNE M0. <br /> �I/ G <br /> tNl I�U`' �U �"�'��1 <br /> i HEREBY CERTIFV THAT I HAVE REf-0 ANO E%AMINED iMIS <br /> vnovoseouscaeuaoi�+c ('�n 1,{�__� APPLICATION AND KYOW THE SAME TO BE TRUE AND CORRECL ALL <br /> � � ��y V PROVISIONS OF LAWS ANO OROINANCES GOVERNING THIS TYPE OF <br /> LEG0.DESGNiPfqNOLPPMCPiY15�HBElOW011A�V.W iWOCOPrtS� WORN\41LL BE COMPLETED WITH WHETHEB SPECIFIED HEHEIN OR <br /> NO7.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �o� �� oF — AUTHORITY TO VIOIATE OR CANCEL TH`. PROVISIONS OF ANV <br /> OTHER STATE OR LOCAL LAW REGULATING CO45TRUC710N OR TME <br /> PERFORMANCE OF CONSTRUCTION.1 NAT I AM AUTHOHIZED BY THE <br /> OWNER OF THIS PFOPERTV TO PERFORM THE WOP�C FOR WHICH <br /> APPLICATION IS MAOE ANb I COMPLV WITH THE STATE <br /> PMCEL TAR I D.NUMBCM CONTRACTORS LAW 1b.27 RCW AND 29fi200 WAC. <br /> r'JI)Ci'��� 0 � ( � ` , <br /> CpISTRUC1qNLWNI!HOEP./�Wi1E55.iELE1'1�OMCMMUER � �� ,L . �., 5•q�3 <br /> � - <br /> —a,� <br /> sr u�u . <br /> PflOJECTADD1iES5 /� , f`u' c��.Nn,.r,��ei�urn <br /> -� � MECH�NICIIL <br /> PLUMBIA� FEE <br /> Np, TYPEOFFl%TUREQ9fTEM FEE NO. TYPEOFEOUIPMENT <br /> WATER CL0.5ET QULEn N�NHNDLG UNITS-HP. <br /> � FORCED AIR SVSTEMS-B.T.U. M E.A. <br /> BATMTUB UNIT HEATERS-B.T.U. M <br /> LAVATORY(WASH BASIN) CLOTMES ORYEP.S <br /> I SHOWER yENTILATIONFAN <br /> KITCHEN SINK 8 DISP RAN3E HOOD <br /> OISHWASNER <br /> IAUNDRY TRAV �WAT[R HEATER <br /> CLOTHES W�HE�1 wWD S70VE <br /> METALFIREPLACE�WOODBURNING) . <br /> URINAL p^�oUCE R75ERT � <br /> DRINKING FOUNTAIN HEAT PUMP —�— <br /> FLOOR DMIN GAS PIPING <br /> BRCKFLOW PREVENTERS E%HAUST FAN <br /> ROOF ORFINS-RAINLEADERS , <br /> SINK 15ERVICE-BAR.ETC.1 <br /> SUBiDTAL E SUBTOTAL S �IO'O� <br /> PERMIT S IS�� <br /> PERMIT S TOTALFEE 5 <br /> � TOTALFEE S <br /> FOR OFFlCE USE ONLY: nEcemi�o. <br /> rno�t sEie�x <br /> aEu�snar�uc sroEscior.cv rurvcxecx�nrvecn rce <br /> ��� LOt�E� VAG�MiSitE <br /> FEES V1ILURTION FEE <br /> O YES ❑ NO Bl1IL0ING <br /> 11140lCd61. 1q.OF5tON45 � ptlwnllKwR <br /> PLUMOINO <br /> ���� �qQ5PpP11tLER5PE0D BASE4ENf MECNANIGL <br /> ❑ YES ❑ NO <br /> pLGUP�NGYLWO �IPEAUAMREOD <br /> ��EGNituni*�iroN pDDIT10MALPlANCNECK <br /> � OTMER <br /> �A`� STATE BUILU'NG SURGNAIIGE <br /> r�ru�ar w�s�>rnrn'eoor CITYOFEYENETT PUBIICWORKS <br /> LOCIIL S11LE5 � <br /> � TAl(CODE IS 3/05 T�r�� <br /> WiE <br />