Laserfiche WebLink
APPLICATI� FOR CONSTRUCT�N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> i <br /> Ci�� ' <br /> HEATINGSVSTEM: ❑GAS TRIC <br /> BUILDING DEPARTMENT <br /> zse-ee,o �1.E !1 C ("kVA? <br /> J DEMOLITION ❑ COMBINA710N [�±�BUILDIN6 ❑MECMANICAL ❑PLUMBIN(3 ❑ SWN <br /> pNNEp MA4IiWPE55 ��N T�� P��E <br /> y�_Rh /7zG Xe�.v:t i�f'u:�[N � .,t s 9 -- l9/3 <br /> iEM�Hi W0.AW�E55 CIIV bV %WNE <br /> ♦RCM1FGiON0E51GNEP Y14�WRE55 CT' T� P�F <br /> P A n ..f- A�131� I -Il�S,C �1E�1� �'�7,r ��rl Ol.� <br /> GEN[fl4CbIlNALIOfl WM1 C55 CILY �Z�p NKMIE SiAlElCENSEI <br /> C6 �.Lcv �T4�v ir/'�CfE. /%6/il!!� �'�a�S_ 31ld:j! 'C6GVNC- �'%�E _ <br /> MCCNNIiCNCONiP�GiCfl Y�M1AOUA[55 CILY PP PMJME SI�iELICEN$E� <br /> RU4BINGWitPeCT011 M�RADDPE55 G1Y I�P PRM[ SUIELKEM9E� <br /> �prytqlq}opKE Oi WCPM <br /> Q <br /> �ESGPIBEW0411t�NO5CUAPFF001�fi[INV0.V[D /92 � LCNl�C1PEN50NANOPIAMA.NO j A O//J <br /> rf .» w� <br /> i HEREBY CERTIFV THRT I HAVE REAO AND E%AMINED THIS <br /> �narosm usc or em�omc APP�ICATION P.ND KNOW THE SAME TO BE TRUE ANO CORFECL ALL <br /> PROVISIIXJS pF UWS AND ORUINANCES GOVERNING THIS iVPE OF <br /> iw��ocscni �o�+arm�venttis`n`ovmeeiowonenncenvocor�es��� ,,y. WORHWILL3ECOMPIETEDWITHWHETHERSPEGFIEDHEREINOfl <br /> im J9�"ZO— eiacn 37� o���F�dC-RCL/— NOL THE f,RANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTHER S7ATE OR IOCAL UW HEGULATING CONSTRUCTION OR THE <br /> '�—� � PERFORMANCE OF CONSTPUCTION.TYAT I RM AUTMORIZED BV THE <br /> OWNER OF THIS?RCPERTV TO PEFFORM THE WORK FOq WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE ST�TE <br /> veece�*e�i o HUMacn CON?RACTORS UW 7821 RC W AND 2%200 WAC. <br /> CCNSIPULIIGN WIJlLCNOE0..IWRESS.IELf%IONENUMPEF <br /> y�,.E'.�..r��/S•� <br /> PROJECTADDHESS °"� <br /> ' CiI�P'.SMSSIY.iK�NC <br /> PLUMBINfi NELH�NICIIL <br /> NO. TYPE OF Fl%TUHE OR ITEM FEE N0. TYPE OF EOUIPYEM FEE <br /> WATEfl CLOSET(TOILE7) NC—A HNDIG UNITS—M.P <br /> BATHTUB FORCED AIR SYSTEM$—B.T.U. M E.A. <br /> LAVATORV(WASM BASIN) UNIT HEATER$—B.T.U. M <br /> SNOWER CLOTHESDRVERS <br /> KITLMEN SINK 8 OISP VENTIIATION FAN <br /> OISNWASHER RANGE HOOD <br /> LAUNORV TRAY WATER MEATEH <br /> CLOTHESWASNER WOODSTOVE <br /> URINAL MEiAL FIREPLACE�WOOD BURNING) <br /> ORINKING FOUNTAIN FIREPLACE INSERT � <br /> T <br /> FLOOR DR�IN HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING <br /> ROOF DFAINS—R�INLEADERS E%HAUST FAN <br /> SINK(SERVICE—OAR.ETC.) <br /> SUBTOTAL E SUBTOTAL 5 <br /> PERMIT b PERMIT 5 <br /> TOTALFEE S TOTALFEE S <br /> FOROFFICEUSEONLY: �jmD�: p:,"��.G�(oti5 I�: iREb 17ao V3C- 991 <br /> Iti!�NtSEIBALN 11CM15LiBACK $IDCvIIB�L�I 1'II.NL11fC UMBER� (Fi / ACCEVi <br /> —�O r ZO � �Sc�J �I�o.OS � lO <br /> ua:ra+c �mr.nu � vecnHrsne � FEES V�WIITION FEE <br /> �.�- �O�'i i, ves ! No owioinc �Q82 — <br /> nnmcowst rvoorsoaies �mn���m��s <br /> xc <br /> _�`I I �4x�3 / PLUMBING _ <br /> $iI�CrBLW flfl[$�RNNIEN;I1L00 BASIM[Ni ME�IiANICPI <br /> 4 Z s.F. ,� ves � — — <br /> OCLWANCYLO�O Fl�YnIM411E00 IIEGMLLi1IIq110N AUDITIONPI_pUNLMEGN <br /> q ! <br /> A O I L� OLH[R <br /> RU504 <br /> Si�i[B'JIIDING$URCNAqGE � v <br /> '"'""C°° °""`J`��P"' CITYOFEVEflETT runucwoaKs —� <br /> (T LOC�L SALES <br /> n».8��j�q.� TIU(COUE IS 3105 TOTR� � � �IJ� <br />