Laserfiche WebLink
,,�� ",��.:¢�.�.,� CONS�RUCTIO � � <br /> �Vi.a �l.� p��� �T PERMIT NO. =- � <br /> GITY HGJ1 259�57d5 <br /> eveaerr,wa �a�o� V �OMBINATION ❑ BUILDING ?�X- MECHNNICAL ❑ PLUMBING <br /> Oy;rvER ��AILADDRE55 CIiY .- F�+ONE <br /> L�0 DiOSER 1805 FIOYT AV�TJ[JE L-'VCRETT 1VA 98201 259-3794 __ <br /> ,HGMIiEGT OH DESIGNER �d<iL AG�FE55 CIiY ZiP PHONE <br /> GE��"eRFL GONTRAGTOR 6�AIL AODRE55 CIiY ZiP PNONE LILB:SE• <br /> VP.LLEY NATUIUU, �AS 519 SE EVERETT T14LL l9AY EVERL-TT IL'4 98204 355-7730 <br /> 1.1EGnqNiGAi.GONiRRCTOR MAIL ADDRE55 CITY ZIP PHONE LICE�ISE a <br /> VALLII�G153LI <br /> PLWABING CONTRAGTOR MAIL AD�RESS LIiY ZIP FHONE LIGPa.`,C. <br /> CLAS$OF Y/OPK <br /> �NEW ❑ ADDITION ❑ AITERATION ❑REPAIR ❑ CEMOUTION ❑ FENCE ❑ SIGN ❑ WOOD STOVEJFIREPLACE INSLPT <br /> V�•.LUPTION OF 1YOPK <br /> S _ <br /> DESCRIBE WOFR <br /> Service of pool boiler <br /> PROPOSEO USE OF BUILDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINcD THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> iEGAL OESCFiPTION OF PROPEPTY�SMOW LEIOW OR ATTACH FOUR GOPIES� CORRECT. ALL PRO'JISIONS OF LAWS AND ORDINANCES <br /> Z <br /> �or_e�ocrc_oF GOVEFNING THIS TYPE OF WORK WILL BE COMPLIED W!fH � <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING��F A ,... <br /> PERMIT DOES NOT PRESUME TO GIVE AUl'HORITY TO VIOLATE � <br /> m <br /> — OR CANCEL THE P�tOVISIONS OF ,4NY OTHER STPTE OR •• <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB AU�P[SS SIGNA UPE OF CO�:TaACiOR/�R Fl1TYqRIZEO AG[t}t �ATE —� T� <br /> 1805 1{oyt X ;� ' I C ('• /S -i.�,-1-��.-lo— 6/25/85 .-. -� <br /> N 2 <br /> PLUMBING MEC NICAL � o 0 <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE m o <br /> WATERCLOSET�TOILEn AIR Wi1D. UNITS- H.P.EA. �� <br /> BATHTUB REFRIGEFlATION UNITS- H.P. EA. m <br /> -I 2 <br /> LAVATORY�WASHBASIN) 1 BOIiEFS - H.P. EA (� �_ '� � <br /> m <br /> SHOWER GAS FIRED A C. UNITS - TONNAGE EA. � � <br /> KITCHEN SINK 3 DISP. FORCED AIR SYSTEMS- B.T.U. M EA. � <br /> n --i <br /> �ISHWASHEA WALL HEATERS- B.T.U. M � � <br /> LAUNDHV i RAY UNIT HEATERS-- D.T.U. M t � <br /> CLOTHES WASHER EVAPORATIVE COOLERS Q A <br /> WATER HEATER CLOTHES DRYEflS T n <br /> UFINAL VENTILATION FAN =m <br /> DRINKING FOUNTAIN RANGE HOOD rn L� <br /> FLCOR DRAIN AIR HANDLING UNIT- QF.M. � <br /> o r <br /> VAC:UUM BREAKERS STOVE- WOOD C N <br /> ROQP DRAINS- flAINLEADERS METAL FIREPLACE 8 CHIMNEY m �� <br /> SINK(SERVICE- BAR.ETC) FIREPLACE INSERT � r <br /> MEAT PUMP � m <br /> a <br /> - � <br /> -a <br /> x <br /> a <br /> SUB TOTAL i SUB TOTA:. 5 � <br /> PEfiMIT 5 PERMIT S S <br /> TOTAL FEE S TOTAL FEE = N <br /> I7ID'c YARO SETBACK �TF7EE7 SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEe <br /> c� <br /> � PE[ RECEIP7 NO. --i <br /> u9G ZONE LOT AflEA VACANT SI7E n <br /> YES NO FEES �ALUATION FEE _ m <br /> I vPE OF CONST. OCCUPANCY GROUP N0.OF DWELUN�UNITS . <br /> BUILDING E <br /> SIZE OF BLDG. N0, OF STORIES MA%.OCQ LOAD - <br /> PLUMBING <br /> , FIREZONE BASEMENT FIRESPRINKLERS MECHANICAI I <br /> HEOUIRED 16 O_ <br /> YES NO <br /> APPROVALS BY DATE OTHER _ <br /> 1. ENVIRONMEI:TAL CMECK LIST PENALTV U B.C. <br /> SEC.903 la� _ <br /> 2 OUIL�ING PLANS 1(� O <br /> iOTAL <br /> 3.FIRE HYDRANT <br /> 4.FIRE PROTEC710N SYSTEM PENMIT VALIDATION <br /> WHEN PROPERLY VAUDATED pN THIS SPACFj THIS IS YOUR PERMIT - -Q <br /> S.GRADWG � �n <br /> 6.ORAINAGL �? <br /> 7.ENVIRONMENTALIMPACTSTATEMENT �;"�� <br /> H.H[ALTM�ISTRICT v -� <br /> APPLICATION ACC. �Y PLANS CHECKED BY nPPR fOR ISSl1ANC[ eY � <br />