Laserfiche WebLink
APPLICATION. FOR commumt om PERMIT <br />TO BE COMPLETED IN BLACK INK -?LEASE PRINT <br />BUILDING DEPARTMENT HEATING SYSTEM: Xk3AS O ELECTRIC O <br />259-8810 <br />1 1 DEMOLITION I I COMBINATION BUILDING I I MECHANICAL Il PLUMBING I l SIGN <br />gYIIER WAAOOIEaS p cm zs hIDNE <br />�V TT .y{7uSA✓ YAUT! Agd y /obi /fTAAI.[ t✓F_�Arr WA FnW/ aq6 d/���LLL <br />TENANT MAL AC011EER cm rr PHONE <br />ARCH'TECTORMSKIKER WRADdIESS CITY m PIUIE <br />PIIMBNOCp1TI1KTp1 WE NICHE% Cm ZIP AIJ14 STMELICENffB <br />.A TIF YICYM <br />I I NEW I I ADDITION Yi ALTERATION REPAIR I I DEMOLITION 1 I WOODSTOVEIFRPL INSERT I I RWI OINA RIFT MAT <br />LdTWCT PRKE OF YgIR <br />CgITAGi pER$pl Iq Q_�' <br />IO ilk /I1 AFC( <br />OESCHBEWg11t AND 5pIARE FDOtA EIN✓0. <br />.VW -3,14/ <br />PROPOSED Ussa BUIDFFO <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OF P PERTY TO PERFORM THE WORK FOR WHICH <br />APPLICA N IS AD AND I COMPLY WITH THE STATE <br />CONT TO/J�SLA IB.27 WAND 296.200 WAC. <br />X WE <br />LE6 MWNPTMOF PfMgERTV IMU'WN BELAY OF ATTACH MAC SI <br />LDT 'TX, <br />PROJECT ADDRESS E/3(CCK <br />/302 <lE [o L /3�r-ov-.-t aP <br />nNMTUN WT <br />b BpNDICFN <br />O <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />JVC—AfHNDLG UNITS— 1.P. <br />�— <br />BATHTUB <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS—B.T.U. M <br />SHOWER <br />CLOTHES DRYERS <br />KITCHEN SINK 8 OISP <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />I METAL FIREPLACE 8 CHIMNEY <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />HEAT PUMP <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />ROOF DRAINS—RAINLEADERS <br />EXHAUST FAN <br />61NK (SERVICE —BAR. ETC.) <br />SUBTOTAL f <br />SUB TONAL f <br />PERMIT $1 <br />PERMIT f <br />TOTAL FEE $1 <br />TOTALFEE f <br />FOR OFFICE USE ONLY: <br />FRONT SETBACK <br />HEAR SETBACK <br />Sm SETBACK <br />NANCNECKM1NBER <br />37 <br />FEE <br />- <br />RECEWTW <br />7�rrr <br />USEr E <br />:OT AREA <br />YA TSITE <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />PLUMBING <br />( D <br />�G SZ <br />TYHIX MTS. Att"AMf <br />G <br />TYR(IT MST XTUAL <br />oL¢YA�Y <br />Mb RMSUNN <br />SIZE DF SLCO <br />OF STOPKS <br />BASEMENT <br />MECHANICAL <br />ADDITIONAL PLAN CHECK <br />OWUFANCYLOAD FIRE SPRMTLERS REDO KKIWLMITAT" <br />REASOHFOASIIA.LERS <br />SPRINKLER <br />STATE BUILDING SURCHARGE <br />SO <br />WTAKEBY <br />PUNS APPROVED BY <br />7IM19t <br />hies <br />CITY OF EELFLETT <br />LOCAL 8AUS <br />TAX CODE 0 3105 <br />WBIK: WORKS <br />MAL <br />