|
APPLICATI��� FOR CO%ISTRUCi,_ �N PERMIT �'��'«'"
<br />,,,., �,,,,y„ „„ 70 BE COANPLETED IfJ INK--PLEASE PRINT �
<br />cn.,�,
<br />�vereit _ - ---------------
<br />NEA77NG SYST[M: :,� GAS ELF.CTRIC U
<br />- -
<br />BUILDWG DEPARTMENT ---_�- --- ----�
<br />259-8E710 -------- - - -------
<br />DEMOUTION COMBINATION BUILDING MECHANICAL PLUMBING SIGN
<br />�)iiti - __ - _ _ ___ --- __ ---- ---- --- -----
<br />(�wrn❑ ��M� �uNnas r.rtv :m I�RONF —
<br />���y` [ 1�r" .�`'1 y� tI � �_ . �`, /� .. ��L� !"� a '� I 11,`+' �/�
<br />_.=_.._µfl�__I_114Y11_1—ti�l��l _�.�_�__ JlV1_ CI�Z .�� .iW i�i���i1111Lf'_�.S�L�'�Y �72-193�
<br />ICN�41 J M�II np[lRCSS Ci(Y 71P Pf�011E
<br />�i� Iall.f.iW1U1�0.iILL11-'"--<knllAl�l)HlSi '—_"'_�—_--- f,IIY i.iP 1 t'NONE
<br />�i�l.N�'t�Ni�In�;i� � � V�I A�IiliL�l,IL__I ���� �.'CIiY �PI�.I�I� ,I`i � �11 {'I�ONL 4� y�ESE�
<br />__Q.WCI�_ wR K s I 1'� P��
<br />ueuuNicu uwuucmi� eu�i nnuivss cnr zir rHor�r. iicensi�..
<br />1'Ll1AlU1NGCONIfUCi011 MAII Allbql.titi f.11Y TIP YMONL I 1LIl$C•
<br />'____'_—"_'____ ___'_'_.—_____._"._"'_____"_"_"'_'__�_' __ -
<br />�I�SStN W(NIM
<br />NGW ADDI71qN ALT[HA710N HLPAIR D[AfOLITION , 1VOGDSTOVE/FqPLINSERT . � BUILDINGRELOCATION
<br />-"__.—_____-_ ___________'____-_—__.._ '
<br />��J�n/\/ cumn�,`i vrr+ar�n nNn v�aNe No.
<br />�.uNINn:.i vNV.1.01 WUNM � ���I��/� __'JI 1'-1 (� I n �>�1 �� _ � �g -L � �
<br />. . -- ---� -- -- � i i_i.iY 4'
<br />UL !��INI WUIm nNl. S�fIUIU I rx)i �Gl �ryl� � ll ..
<br />L��11_���ct `L'11���1,-''� ,,�rr,_!s�,l.__H4�'�`'7--- ��'---�'�h� �'1�_�.�C�,'�.}'k�11�I��� (;zy0
<br />Ni�o�1�,,t„ou;xix�w.nnnn� I Hf_REBY CEIiT�FY THAT I HAVE READ AND EXAMINED THIS
<br />f�r'I "�, 1 f
<br />------ ..y__{11��1A _- --_-------- ...- ----_-._ --,-, _-_-.-,----.. APPLICATION AND KNOW 1HE S�ME TO [3E TRUE AND CORRECT. ALL
<br />u:un� nnuurnur+ni i n., iavc:nowr,on��w�aui;�,�.0 �:J�n�curn :.� � �� PROVISIONS OF LAWS AND ORDINANC[5 GOVERNING THIS TYPE OF
<br />ioi-� ---.-- u„�.:" -1?—Z -�" ��'�-r�-(�1 ��U-H -- NOT 1HF!LGRA TI�N POf AD ERMITJDOEStNOT PR'ESUMEETOIGWE
<br />` J �r AUiHOf71TV TO VIOLATE OR CANCEL THE PROVISIONS OF ANV
<br />��'J��fy'1_�O'f 11 � f�:�I ;t���� 10__ __ OTHfH SiATE OR LOCAL LAW REGULATING CONSTNUCTION OR THE
<br />(/ � / PEHFOHMANCE OF CONSTRUCTION. THAT I AM AUTHORIZEU BY THE
<br />�j � � OWNER OF THIS CROPf_R7"Y TO PERFORM THF WORK FOR WNICtI
<br />-'--�«�1�-�� ��---* ¢-�--�- -r��# �`l APFLICAIION IS MADF AND I COMPLY WITH THE STATC-
<br />�- ----�- ---------- CONTRACTORS V�W 18.ti RCW AND 296 �00 WAC.
<br />siamniuu,vccu�rr�r.cn>Hoivnuu�r��izcn�ucm oere
<br />'- -- - - - -- ------'
<br />- 30z1G�- AL',C., _—__ -----
<br />,�
<br />- -=�--�'�-_U��_�_r���1_�r��:.._'�1:'_<<---G!t'----- X 2(.C� ���,�
<br />rn,urr.inuu�as�� � l.
<br />_--__- __ --� ��`��
<br />dP%If. ❑CIlYUU9MI SUC.NSENO�AI UIISINESSNAML
<br />NO. TVPE OF FIl(Tl3RE Ofi ITEM
<br />'NAIf-H GlOSFi (TOIIETI
<br />Rl�IIIIUB ._ . .. ...
<br />.I-. . .. AVi � RY � ���A >H BASINI.. _
<br />__-�. �,ITl:11Cf� SII."� ;: DISP—_ -./_
<br />UUHWAS n /
<br />�.1_—
<br />LAUN(1HY TFi V �
<br />- --- 1� —
<br />��LOI -II � N'ASI R
<br />. .-I ��RIMAL '---�- --- - ---- �
<br />--- _ _ . . _. ._ ._ ...-- -��--'--------�
<br />_ DRINKM(7 FOU;JIAIN �
<br />fLc.�(]q (lFiAfN _."_ .� _ -_�_____
<br />_. ._ . __. . �_
<br />--_,- OAI.KfLUWPRIyENTEflS ,—.-
<br />HOOf Df:AIN -RAINL[ADCRS
<br />_____ "'.. __'_' ._ ; ___. __ __. _._ ___-.
<br />SINh �if-FlV E--�AR, F:TC.I
<br />_ _.. __"" _ . ���i .1�1��. �
<br />_ _. — ---_ _ — i�t I�n.vi �
<br />101Al FIfE S
<br />f-Ori OFFICE USE ONI_Y:
<br />- _ _ -- -
<br />FRCNi �f INai.N P '.f�;.11hACrt
<br />lp� �'
<br />U _„ __. . . _ .-� i ,�n n yB, rl ; __....
<br />O-L� i.�.�a x 3�S
<br />L`�__I __
<br />n�r� :�iae.A.uwri„i imrnrroN=rae.uai
<br />� N �L' IV
<br />sv�ry 2ora�i,o/c ----- -i:o onv sioiin �.------
<br />/ �'✓f0 � !�
<br />p�'rp�nuct ir�nl�" '- FlI�L SPNr�rd [fi5 Y,l u ..
<br />--_ �— — ..__ ND
<br />IIkAS.�I. '��ql 51'111!IM'f PS
<br />SItIC :iE iH�C•:—� "_� "'-" �'
<br />S'
<br />YAI�fI`�Ill �--��---
<br />�rc. u:,-, � ru i,. irv�m.¢utiiit
<br />hf If:lll I�MII4II1Ri � ��
<br />_._8� �' _.
<br />_ _ -_ -
<br />ir�u�tnr riarr.cr�a;orru�ur f,�lYOFFVEflET�
<br />IOCALSALES
<br />r, ��9�__ �M i TAl( CODE IS 3105
<br />_._1' '___'_'____'__
<br />TYPE OF E�UIPMENT
<br />A,C-A,'HNDLG UNITS�-H.P.
<br />Hl,CO AIR o"S7CMS-B.TU
<br />Utl HCATfRS�-BT.U. M
<br />(,I U7 FS DHYLRS -- --
<br />bi�Jli -.IONFAN --
<br />FlAN ;C Hp
<br />WAIE R Hf:Al�h--
<br />WOGD Sl' 1V[.
<br />MI'TqL FIN[PI.ACE
<br />FIflIiPLACE WSG
<br />HI�_r\T PUMF•
<br />GAS PIPING
<br />PI.AN �Yli Gtt
<br />uui�uw ,
<br />ri.u�aou�c
<br />M EA �% �--
<br />� � �_
<br />--T-_
<br />i}'----;--
<br />__" _'._'__'_'_________ ___�
<br />-- ---- -- - suu rora� 5 _ _J
<br />. __ _ PERhtIT _$
<br />TOLAL fEC $ �
<br />UMIILR 11 F. II@G&IPl N...--
<br />� 7�0.� �3�,�3
<br />:ES VALUATION FEE
<br />.3>3.��/��! ��%�.3
<br />Idf.C11ANICAI_ __- _-_
<br />nwinor�ni riaNc�i�cK
<br />oi r��: w
<br />Sinfl' [3WLUING SUHCHARGE
<br />ruoi-icxo�ns -----
<br />toTa�
<br />0
<br />iv �� o
<br />�'0 ; O�
<br />T/
<br />' ' �'Y
<br />;�
<br />
|