Laserfiche WebLink
p�x <br />ayxn <br />H z� <br />�H� <br />� y� <br />x <br />��� <br />� �-1 <br />� �, g <br />�] Y nq <br />9 H ts1 <br />i <br />r HH <br />� <br />H <br />C] t7 V� <br />� e� r <br />z y v�i <br />H O [n <br />ARPLICATIO�:� FOR CONSTRUCT�JPI PERMIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />HEATING SYSTEM: ?fj,GAS J F.LECTRIC J <br />BUILDING DEPARTMENT <br />259-8810 <br />DEMOLITION COMBINATION �' BUILDING MECHANICAL PLUM8ING SIGN <br />' MPIL�ODRE55 CItV ZIP NHONE <br />(�1VI:CFi � 4' '{ �i '� ,l <br />.. _ � r c'� ��uk,� 3•/. � <br />O ��e, x �: <br />unaaonuess <br />MNLACORESS <br />F�iF(u rr � � � 5 <br />- citt zm vHor+E <br />CITY 2iP PNONE <br />ti_.... 9Y.��u (?•v6.) )7Y- <br />r_�r H M G <br />G[N[RAICCNiRACiOfi MRiL�DORE55 CIiV ZIP PNONE SiQELIC N � <br />ni'',G, - <br />AIEfM�NIC��CONiRAGTOP MRILRODRE55 CIiV 2iP PNONE STATELiCENSEI <br />PWAIpINGGONiRACTOR MAILRODRE55 CIiV 21P PNONE STATELICENS[• <br />C1�55 OF 140PN <br />u„NEW ' ADDITION ALTERATIqN FEPAIR 0 MOLITION WOODSTOV6FRPLINSERT BUILDWGRELOCAfION <br />� ��i���JC `iyZ. � /L CONTACTPERSON��.JP�ION1\[NO .t <br />C�:.M 1� �IIVLL �'l.tl�� 3'Ii'i�•'Ci <br />CONiRACiPRICE0FIYORN S'.S , Gn C> - <br />nescAioe woare nNo scunne roornce rt+vaveo <br />/, .._._ Oii. <br />!'noresED usE o: eWLOINc <br />_��._ <br />LEGAL OESCO'PTION OF PROPERTY ISNO\YN OELOW OR Al <br />!Ot __ 6lOLN OF _ <br />:[�71 <br />^TALORESS /1 � <br />�33 / W �1%tic�i,�-Q�'' � � <br />SINK <br />OR <br />FEE <br />I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br />APPLICATInN AND HNOW THE SAME TO BE TRUE AND CORFECT AU. <br />PROVISIONS OF LAWS �ND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OF? <br />NOT. THE GRANTING OF A PERhtIT DOES NOT PRESUM[ TO GIVE <br />AUTHORITY TO VIOLATE OR �ANCEL THE PROVISIONS CF ANY <br />OTHEP STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PEFFORMANCE OF CONSTRUCTION. THA? 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERT� TO PERFORM THE �VORK FOF7 WHICH <br />APPLICATION IS MADE AND I CO�dPLY WITH THE STATE <br />CONTRACTORS LAW 182 % RCW AND 296200 WAC. <br />x�GC" _'^��.. N 3r�1 3.. i_`i L <br />, --�uw�r n.ri <br />��DLG UNITS—HP. <br />AIRSVSTEM1IS—BS.U. Id EA. <br />SERS—B.T.0 M <br />8 OISP � - VENTILATION FAN <br />/ RANGEHOOD <br />�, I / WATER HEATER <br />���., � I I WOODSTOVE <br />ETC.) <br />FOR OFFICE USE ONLY: <br />FPONTSETBACK RERRSEiBAI <br />, Z ) <br />USE 2 NE lOT AREA % <br />G., � <br />�. 'J � <br />iYPEOfCONiSAIIOWABIL IVP[OfL0A9 <br />I45�� � "o� —°� <br />� r14�ieEckl 2 <br />... in.Nar.r_ <br />R[ASONFOR <br />mrnrc[ ov <br />TOTAL 5 <br />vt1T S <br />�L FEE $ <br />METAL FIREPLACE 8 <br />FIREPLACEINSERT <br />HEAT PUMP <br />$ETBRGN �PLANCHECNNWdBEfl I FEE <br />c <br />FEE <br />vncnr�tsrce FEES VALUATION FEE � I <br />, - i <br />N�,-rm� <br />�,_• BUILDING �%%,'L�� � '�/d� ' �� ' <br />1� ttlu�vlL� NOOIC.4:�.'.N.u•.�IS �-r <br />°r.y° PLUh101NG D �� <br />a eraer+r ' � <br />MECHANICAL O <br />nWU H"_iGnr�MlAtiON ADDITIONALPLANCHECK �� ��> <br />) � <br />SPFINKLER � <br />ST�TEBUIL�INGSURCHPRGE _ �� <br />PPPPOVEDBY CITY OF EVEREIT PUULIC WORKS � O� � <br />LOCALSALES , <br />j✓ �'� TAX CODE IS 3105 TOTAL �%�I �%5� � <br />_ <br />