Laserfiche WebLink
APPLICATIdJ FOR CONSTRUCT. )N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> HEATING SYSTEM: fj/FiAS U ELECTflIC ❑ <br /> BUILDING DFFARTMENT <br /> 259 8810 <br /> i'-�DEMOLITION l 1 COMBINATION I I BUILDING i I MECMANICAL 1.-I PLUMBING ' I SIGN <br /> pWryEN YARApOR(55 CIiY 21P VWME <br /> /'!�l/"�/�� A In/%�'/.fC Z/i;—%Pyrr.ri� <?a�/�izc �.,� 9.Y�iz ?,'G- c�3c=7 <br /> 1 N1Ni M�L�OONES CIIY IIP PNyIE <br /> 1a�1�e'/'/',E'/'.u/K.4 .�'i�r 777G /Jir�t fr F7iG.e'E1C 9d7�'/ -- <br /> AlIC11RE IMM5IGNEN WM1��[55 CIiY S�P 1'110FE <br /> GE �LCCNiMCiWI 4El�OM1ES5 C�1V Z�P F14NE S1�fELqENSE� <br /> L�,,�, - <br /> IAELNMIqNCIX1IN.�Ci(M M�LAppPE55 G11Y IIP PMCME SidiEIN:EH.E� <br /> Rp4B�lOCUN1R�LtOR WM1ADDRE55 Clb ZIF FIIONE SRICIILlMSE� <br /> Cp1iPALi PRCE IX W�1[ <br /> OESLNiBE Wd1Y.ANO SCU�FE iW1�GF WVIXVFD ��T��T���'W�P�K� <br /> .De�i+.'��i�/a G4I'.i�=< -- --- <br /> I HEREBV CERTIPV THAT 1 MAVE READ ANU E%AMMED THIS <br /> veoroseo use oreuxn�rvo APPC.CATION AND KNOW 7HE SAME TO BE 7RUE AND CORRECT.ALL <br /> PROVISIONS OF lRWS AND ORDI4ANCES GOVERNING THIS TYPE OF <br /> iEGuocSCmrtqrvavAon[ ivls��ovm Etavonen¢Htwocor:E51 WOaN WILL�E LOMPL[TED WITH WHLTHER SPECIFIED HEREIN OR <br /> ipr %iy�;�"B a���vF �� S(�1/1L I�VECL S NOT THE GRANTIN6 OF A PEflh11T DOES k0T PFESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CAhCEL THE PROVISIONS OF ANV <br /> n ��C OTHER STATE OR LOCAL LA\Y REGUTATING CONSTRULTION OR THE <br /> .Z PERFOflMANLE OF WNSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF TMIS PFOPERTV TO PERFORM THE WORK FOF\YNICH <br /> APPUCATION IS MADE AND I COMPLV WITH ihE STAiE <br /> vencu�ui i o eu4een CONiRACTORS LAW 1827 RL W AN�29fi20D WAC. <br /> ca+stAucnorviou1icr�oEn�.c�onEss.*[icoraNExwecn � -- <br /> � � �� 2_�� � <br /> PAQIECTAODXESS ' ��� — <br /> 7 N . .0 c,���..�«�.��..r. <br /> PLUMBING MECM�NICRL <br /> NO. TYPEOFFl%TUREOHITEM FEE NO. TYPEOFEOUIPMENT FEE <br /> W4TER CIOSET QOILET� A'C—A HNDLG UNITS—H P <br /> BATHTU� ' FORGE�AIRSYSTEI.I$—B.TU. M E.A. <br /> LAVATORV�WASHBASIN) --� UNITHEA ERS—B.LU. hl _ <br /> SHOWER CLOTNEStl--�RYFFS <br /> KI7CHENSINK6DISP ' VENTIlAT10NYAN <br /> DISHWASHEH FANGE MOOD <br /> IAUNDRYTqAV ' WATERMEATER <br /> CLOTNES WASHER ' —� �VOOD STOV[ \�' � <br /> ❑qINAL ldETAi FlREPLACE�V400D BURNING) <br /> ORINNING FCVNTAIN FIREPLALE INSfRT ' <br /> FLOOF DRAIY HEAi PtlhIP' <br /> BACKFLOIVPflEVENTEFS GASPIPING ' <br /> ROOF ORAINS—RAINLEADERS EXHAUST FAN � <br /> SINK�SERVICE—BAR.ETC.1 � <br /> — / <br /> --r— <br /> SU6TOTAL S SUP iOTAL S <br /> ?EPAIIT S PhRM1T S <br /> TOTALFEE 5 TOTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> ��Y�i5E10�[It PE�B`.flMCK SOESEIBLLN RNIC�;K�t!Bj6.�� f[t PECE�Pfrq <br /> �� � <br /> us�taie IOIANE� wew*sre FEES V�LUATION FEE <br /> C-: VES '��. NO BuitO�NG <br /> ��h„�C�NS� Ip Of Si011iE5 T[tw�[r �0 dMLLY.✓.�t <br /> VLUMBING <br /> b.'�O�q�pG RPESP11MitlEPSREOD BA�EMENf IIECNANICAL <br /> Cl YES �-� NO <br /> CCcu�u,[rlWO ��AEu/�RYPfo9 n[GNtl�uii�ipN ��DITIONAIPIANCMELK <br /> OiNER <br /> nUsal <br /> STAIE BUIIOtIM SUNGNABG[ <br /> �ti�...�o. RANS�PViqYfOBV CITYOFEVEflETT PU9UGWOFni <br /> LOC�L SIIIES ' <br /> o„�� TAl(CODE IS 3105 toT�� <br />