Laserfiche WebLink
APPLICATIQ 1 FOR CONSTRUCT( )N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> 3q�1 <br /> BUILDING DEPARTMENT HEATING SVSTEM: � GAS U ELECTRIC ❑ <br /> 259�8810 <br /> f I DEMOLITION I I COMBINATION I I BUILDING I I MECHANICAL i l PLUM8ING I ! SIGN <br /> owurn u�t�noncss cirr nn eror�[ <br /> / u � O�r /�xS/eS EL 9'31n/ ZS2-- 7/'�/ <br /> 1[NEN1 YNL�OOnEss t�lv I�o FNpiE <br /> �n���i1ECLOflDC51GNEP AI\M1Id1URF55 CILY ZIP PNONE <br /> f.[NLN�LCONIR�QON YIRMDPE55 CIIY IIV PXONE SdtELKENSE• <br /> A,6N�NKµCqIIPALi041 M�M1ADDPE55 Clry IiP FllqlE SiqEIICENSF� 6D <br /> E»mi�n r— rr ,i%iiH f�s E�✓ �Jy>/ ZS' '�//v Eve,cG55iL/.�E7 <br /> PW4flMGCONtPACiOF MAILI.DDR(55 Clry $iP PIqN( SiUElqENSE• <br /> Lp11PAL11`IIiCE Ci�Wf'IN <br /> '9'n= <br /> ocscmeewa+.nvosau+ncrco*�cE�xvaveo CIXii�CTFCN5IX1l.NOPIqNENO J4� ZSL_ .���y <br /> lflanil•F t�T o c rr�_ �[-- 1?� Gr?s <br /> i HEREBY CEHTIFV TMAT I HAVE REAO AND E%AMINED THIS <br /> reowscouse or auxowa APPLICATION AND NNOW THE SAME TO BE TRIIE AND CORRECT ALL <br /> __��S �✓% aL PROVISIONS OF LAW$AND ORDINANCES GOVERNING THIS?YPE OP <br /> imuoeun�rraHavAor¢nrv�s��oxi+naowa+�neceiwocoP¢si WORK WILL BE COIAPLETED WI7N WNETHER SPECIFIED NEREIN OR <br /> NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ior &ae oF AUTHORITV TO VIOLATE OR CANCEL TME PFOVISIONS OF ANV <br /> OTHER STATE OR LOCAI LAW REGUTATING CONSTRUCTION OR THE <br /> — PERFORMFNCE OF CONSTRUCTION THAT I AM AUiHORREU BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICM <br /> APPLICATION IS MAOE AND I COMPLY WITH THE STATE <br /> ren�F�.ue io nuueen CONTRACTORS LA\Y 18 27 RCW AND 296200 WAC <br /> C(N19RIICiqN lOAN ICNpEF.ADOPESS.iREP110NE HOYOEP <br /> ,� -. �11;1� 3-��-�>3 <br /> PflOJECT�DDHESS ' ° °'� <br /> / � O .YES �,,.�,�.��.�r,..,��, <br /> PLUMBING MECMANICRL <br /> NO. TYPEOFFI%7UREOflITEM FEE NO. TYPEOFEOUIPMENT FEE <br /> WATER CLOSET(TOILET) AC—A HNDLG IINlTS—H P <br /> BAIHTUB FORCEDAIRSVSTEIAS—B.TU. ME.A. <br /> LAVATORVIWASHBASIN� UNITME�TERS—OTU. M <br /> SHOWER GLOTHESDRYERS <br /> NITCHEN SINK 8 DISP VENiILATION FAN <br /> DISHWASHER RANGE 1100D <br /> LAUNDRYTRAY WATER H[ATER <br /> CLOTHE5IYASHEH WOO�STOVE <br /> UFWr1L IAETnL FIREPLACE�WOOD BURNING) <br /> DRINKING FOUNTAIN FIFEPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PflEVENTERS GAS PIPING <br /> ROOF ORAINS—RAINLEADERS E%HAUST FAN <br /> SINK�SERVICE—BAR,ETC.� _ <br /> SUBTOTAL 5 SUBTOTAL 5 J <br /> PERMIT S PEHMIT 5 �00 <br /> TOTAL FEE S TOTAL FEE 5 �OG <br /> FOR OFFICE USE ONLY: <br /> fPOYi5El0�CR PEAflSEtB.1CM SI�ESEtpACM �LANCNELMNUM9f11 IEE MECCIVINO <br /> wcza+c LOTAPE� veawrsnc FEES VALUAiION FEE <br /> il VES ��i N0 BWLOING <br /> jyr[�1[�51 MOOiS1CNlE$ I[L�.�K� M9dM1YM1LUY�1 <br /> P1 PWMBING <br /> SV![N&D5 i1NE5FflWxlCRSPEOD BASE4ENT MECNANICAL <br /> C1 VES Ci NO <br /> l%(.UP�NCYIWO RREAURYflEOD NCGIIIUIIIIAiION AUUIIIONA�PLANCNEGK <br /> OTN[R <br /> OF�WN <br /> STAiE DUiIDING SU1iGHRRGE <br /> �Nu+reY rur�snrraweoor CITYOFEVEflETT PWLICWOPKS <br /> LOCIIL S�lES <br /> o.,t TAl(CODE IS 3105 TOT�� <br />