Laserfiche WebLink
I <br /> APPLICATIC `�� FOR GONS7t�UCT' )N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> � �n-+ h] BUILDING DEPARTMENT HEATWG SYSTEM: J GAS v ELECTRIC �._I ----� <br /> C`� �� y 259-8810 <br /> q H �SC DEMOLITION f I COMBINATIOPI i BUILDING ' '. MECHANICAL ; PLUMBING ❑ SIGN <br /> � y � OWNEP r— l.INL AODfiE55 CITY ZIP PIIOkE <br /> H � � SiEJ� tcUc_�_ I�-IZ^o lor•.3Fl27 AU-L' F )EYL�T i,�A �9zc�1 zSZ-o1`1Z_ <br /> K n TENANT MAILA�ORE55 CItV ZIP PYONE <br /> H �1 <br /> Q � � q <br /> �TJ y �ii qRCHRECTOPpE51GNER h1ARADDRE55 CIN ZIP PHONE <br /> y 1'tJY�Q.'� <br /> �' O G NERALLO� NiRACTOFi ldAILp00RES5 CIIV ZIP PHONE STATELICENSEn <br /> H t7 <br /> OH <br /> RIECHANIGALCONTRACTOfl AfAiLADDRE55 CITY ZIP PHONE STqTELICENSEa <br /> H [�•1 <br /> 47� C�]-! <br /> z H a PWAI6WGLONiRAGTOH MAILAOOFE55 CITV 21P PNONE STAiEL�CENSEa <br /> � yz <br /> �..� y CONTRACTPPIGEOFWORN <br /> g �' <br /> H <br /> Q d [n DESCRIBE\YORK�ND SOUARE FOOTAGE INVOLVEO CONTACT PERSON AND PHONE N0. <br /> ��" � =A2 L�o�-.�r.! E)cZ �S..( RF1� � _ q✓r�t <br /> HO [y/� l� =�Fi <br /> i HEREBV CERTIFY THAT I k{AVE READ AND EXAMINED l'HIS <br /> PROPOSED USE OF BWI�ING APPLICATION AND KNOW THE SAME TO BE TRUE AND GORRECT.ALL <br /> �� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS NPE OF <br /> LEGALOE�SqCRIPiiONOFPROPERTV�SHOWNBELOWORATTACHTWOCOPIES) WOFK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �or—/.� e�ocrc 2� aF �=LTOn1S StCo.✓�� NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> � � —�y�7� OTHER STATE ON LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHOAIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WOHK FOR WHICH <br /> APPLICATION IS MADE AND I COMFLY WITH THE STATE <br /> PqRCEL TA%I D.NUMBER CONTRACTORS LAVJ 1827 RCW AND 296200 WAC. <br /> CONSTRUGiiGN LOAH LENOEF.ApORE55.TE�EPHONE NJ�dBER <br /> .�--- 5 -23-93 <br /> PROJECT ADDRESS ,c+an„c i oae <br /> e5��.T t� cu.exn.ess ua.,v:o - - <br /> ' 1 PLUMBING MECHANICAL . <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> '�' WATER CLOSET(TOILET) A�C—A�HNDLG UNITS—H.P. <br /> '�' BATHTUB FORCED AIR SYSTEMS—B.T.U. I�i E.A. <br /> LAVATORY(WASH BASIN) UNIT HEATERS—B.T.U. M <br /> 1_/ SHOWER CLOTHES DFYERS _ <br /> � KITCHEN SINK&DISP VENTILATION FAN <br /> '�' DISHWASHER RANGE HOOD <br /> LAUNORY TRAY WATER HEATER <br /> ' ' CLOTHES WASHER WOODSTOVE <br /> � URINAL METAL FIREPLACE(WOOD BURNING) <br /> � DRINKING FOUNTAIN FIREPLACE INSERT <br /> ;�' FLOOR DRAIN HEAT PUMP <br /> BACKFL(IW PREVENTERS GAS PIPING <br /> s <br /> ROOF DRAINS—RAINLEADERS EXHAUST FAN ' <br /> '�'� SINK(SERVICE—BAR,ETC.) <br /> O�' <br /> �' SUBTOTAL $ SUBTOTAL S <br /> I PERMIT 5 PERMIT S � <br /> � . TOTAL FEE $ TOTAL FEE S �— <br /> FOR OFFICE USE ONLY: <br /> FROIlTSfIDACK REARSETOACK SIDESET9FCK PLAIlCHEC(NUfABLR FEE AECEIPTY.O. � <br /> 07�� <br /> usezove LOTAREA vncaNrsiTe FEES VALUATION FEE <br /> . ! VES ❑ NO pUILDING <br /> 15fiCiL0115i. NO.OFSTORIF.S occu^u.Cr 40o[¢vEurt:Gill,ns <br /> caouv PLUMBING <br /> 5¢EOFBIDG. FIRESPRINKLEPSFEO'p BFSEIAENT h�[CHANICAL <br /> ❑ YES NO <br /> �:CGUP�NCVLOAD PIREALARMREO'D HEIGHTLIh11TAtI0N A�DITIONALPLANCHECK <br /> OTHER <br /> R6150N <br /> STATE BUILOING SUflCH�RGE '!�� <br /> u!'ArcL pY PLANSAPPROVEp6Y CITY OF EVERF.TT PUBLIC WORK$ <br /> �LOCALSALES <br /> on,e TAX CODE IS 3105 TOTAL � ; �U <br />