Laserfiche WebLink
APPLICATIq 1 FOR CONSTRUCT )N PERMIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />BUILDING DEPARTMENT HEATMG SYSTEM: U GAS U ELECTRIC ❑ <br />259-8810 <br />I: DEMOLITION I! COMBINATION '� I BUILDING i I MECHANICAL I 7 PLUMBING I I SIGN <br />pWNER M.1�1AD00E55 CItV IIP PIqNE <br />�l:l=Y AkYNr�.� /3.�(:. n fIJiC�c�t> 7k'D vrlrz�T 9irZtiS 356-Z�v} <br />I[�uNi MAL�WPE55 CIIY bv wqNE <br />•pCnifECiOPO[SGNER 4ALL�OM1155 CItY ZIP F10NE <br />GFNCPQCdI1RACip11 NAIIMOPEW GiY ZIP %IONE Si\iEIKEN$E• <br />AI[LXANK�LCONIP�CNP�/ 1AMMMIcS Clry ZIP PIqNE SI�TElSENSE� <br />�3A1 E�� N.r�lrl+!!. G�o• C//c�r.✓ ��$ EF'nQ7T 96Lt�i � 3-3iW ��+t�7Ar�x+�— <br />�1UA�BiNOCCN1RACiOR M.ILADD11E53 CIiV IIP VIIQVc 5111ElICENSE� <br />Cp1iMLi VPILE Oi W011I( <br />=xp <br />O[SCP�BE WOHR YW SOUANE iOpi�GE MV0.VED <br />Nnocos[o use ar eurtowc <br />�/.�%is t c FiiYlic�l <br />ICGAL0E5CNiF11CNOFFfl.N' [RiY�51qIMBEIOWOR�iTACN1 <br />�0• P�IXN OF <br />C�OLELi�l10 NUMOEN <br />�pry51pOC1pN lMN ICND[P. MdiE55. iEIEMIXIE INMOEN <br />PR0.IECT AOUPE55 <br />/3i.l.. �✓ .U. �.C. i .-i-n 'Z . �J. <br />FLOOF <br />ROOF <br />FOR OFFICE USE ONLY: <br />rnp�isErwcK nc�nscre�cK <br />IISCIONE LOIIJIEA <br />��@pCON51 MOOPSTO�nES <br />SVCOF&DO FlRESPqINSlEPSRE( <br />cKCUPUKVLO�W FIRENA�NPE00 <br />nfe50N <br />I4UeEtY RANS�VPf10VE0�� <br />oei <br />S <br />S <br />SNESEfMCR <br />V�L�IITSIIE <br />fi YES f :� NO <br />�s:�.o. onrnu�w� <br />pASCYENi <br />f�� VES �- NO <br />YEPSCN ANp PNONE NJ <br />I HEREeV CERTIFV THAT I HAVE flEAD AND E%AMINEC THIS <br />APPIICATION AND NNOW THE SAME TO BF TRUE AND CORRE(:T ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVEFNING TMIS TYPE OF <br />WOPK WIIL BE COMPLETED WITH WHETHER SPECIFIED HERC:IN OR <br />N9T. TNE GRANiING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AJTHORITY TO VIOLATE OR CANCEL THE FROVISIONS OF ANY <br />OTHER STATE OR LOCAL UW REGULATING CONSTRUCTION Ofl THE <br />PERFORMANCE OF CONSTPUC?ION. TNAT I AM AUTHORIZED BY TME <br />OWNER OF THIS PROPERTY TO PERFOflM THE WORN FOR WHICH <br />PPPLICATION IS A1ADE A!1D I COMPLY WITH TME STATE <br />CONTRACTORS LAVjN�27 RCW AND 29fi200 WAC. <br />FOflCEO AIFi SVSTI <br />UNIT NEATER$-B. <br />CIOTHESDRYEF$ <br />YENTILATION FAN <br />RANGEHOOD <br />\4ATER HEATEF <br />WOO� SiOVE <br />M11E1AL RPEPLACE <br />FIREPLACE INSERI <br />HEAT PUAIP <br />tt�N <br />�UilOiNG <br />PWM�ING <br />MGCIIANICAL <br />RO�IiION�I PUN CNECN <br />OIHEP <br />Si�IE BUII�iNG SURCNARGE <br />PUBUCWORNS <br />TOT�L <br />S <br />5 <br />� j <br />