Laserfiche WebLink
-�• �. <br /> APPLICATIOrI FOR CONSTRUC? �dN PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRIHT <br /> BUILDING DEPARTMENT HEATING SYSTEM: GAS ❑ELECTRIC O l <br /> 259-8810 <br /> I I DEMOLITION i I COMBINATION BUILDING �MECHANICAL PLUMBING SIGN <br /> OWNER MAILAODRE55 CITY ZIP PMONE <br /> ��..1� I��v�'s a�i0 G�K��_fcl�re�£ cc�l����i � sa—�-l30�/ <br /> TENANT MAILADDRE55 CITV ZIP PNON[ <br /> ARCNITECTOR E NER MAILAODRE55 GTV 21P PHONE <br /> GENERALCONT TOR MAILADDRESS LIN 21P PNONE STATELICENSEt <br /> c�5'p,�� <br /> MECHRM�TRACTOF MAILADDflE55 CITY 21P PHONE STATELICENSE� <br /> PWMBINGCONTRpCTOR MAILADDFE55 CITV ZIP PNONE STATELICENSEY <br /> CLASS OF WORK� / <br /> I I NEW �('� ADDITION I ! ALTERATION . . REPAIR . DEMOLITION ' �. WOODSTOVE/FRPL INSERT �� . BUILDING RELOCATION <br /> t� <br /> � CONTACT PERSON AND PHONE NO. <br /> _�� <br /> CONTRACT PqICE OF WORK <br /> DESCRIBE,40RK RND SOURRE FOOiRGE INVOI.VED ` <br /> �4 � ' i � � K b � <br /> PROPOSEDUSEOFBU iNc � C I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED TH�S <br /> � ,n,� J APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br /> IEGAL DES IPTION OF PROPENTY�SHO N BELOW OP ATfACH FOURCOPIES� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> 1�� WORK WILL BE COMPLETED WITH WHETHEfi SPECIFIED hIEREIN OR <br /> �oT BLOCK OO' oF P- S 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 Ofi'HE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> X �i�P.-�1 h� K. l�L 2wy ,3 -l l-9�� <br /> PRQIECT AODRE55 SiGn�*unf � oem <br /> ' 2 a <br /> / cirv ousirvess i icervse rvo <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPIAENT FEE <br /> WATER CLOSET(TOILET) � A/C–A�HNDLG UNITS–H.P. <br /> BATHTUB ; FORCEC AIR SYSTEMS–B.T.U. M E.A. � <br /> LAVATORY(WASH BASIN) � UNIT HEATERS–B.T.U. M � <br /> SHOWER ' CLOTHES DRYERS � <br /> KITCHEN SINK 8 DISP � VENTIIATION FAN ; <br /> GISHWASHER RANCE HOOD <br /> LAUNDRYTRAY ; WATER HEATER ' <br /> CLOTHES WASHER � WOOOSTOVE � <br /> URINAL ' METAL FIREPLACE 8 CHIMNEY � <br /> DRINKING FOUNTAIN � FIREPLACE INSERT � <br /> FLOOR DRAIN � HEAT PUMP ' <br /> BACKFLOW PREVENTERS ; GAS PIPING � <br /> ROOF DRAINS–RAINLEADERS � ^ EXHAUST FAN � <br /> SINK(SERVICE–BAR,ETC.) ; <br /> � <br /> � <br /> � � <br /> � <br /> SUB TOTAL $ SUB TOTAL $ '~ <br /> PERMIT $ � PERMIT $ � � <br /> TOTALFEE $ TOTALPEE S � ' — <br /> FOR OFFICE USE ONLY: <br /> FRONTSETBACK RERRSETBACK SIOESETBACK PLANCHECKNUMBER FEE RECEIPTNO. <br /> - 2 <br /> USEZONE LOTAREA VACANiSITE FEES VALUATION FEE <br /> BUILDING � <br /> TVPEOFCONiS.ALLOWABLE TYPEOFCOYSi.ACiUAI IXCUI'AN[r v00foNELLiNGUNnS — <br /> ceouv � pLUMBING � <br /> SIZEOFBLDG. NO.OFSTORIES ��SEMENT MECYPNICAL � 1 �) � <br /> i � <br /> ADDITIONAL PLAN CHECK � I' <br /> OCCIIPANCYLOAD FIRESPPNKLERSflEO'D NEIGHTLIMITpTION � � <br /> i � <br /> SPRINKLER ' <br /> i <br /> REASON FOH SPRINNLERS �— � <br /> STATE BUILDING SURCHARGE i � <br /> i <br /> INTAHE BV PLANS APF�iOVED BY CITY OF EYEREIT PUBLIC WORKS i •I <br /> LOCALSALES <br /> TAX CODE IS 3105 TaTA� ; <br />