Laserfiche WebLink
APPLICATIQ 1 FOR CONSTRUCT' 1N PERMIT � <br /> 5� TO BE COMPLETED IN BLACK INK—PLEASF PRINT <br /> BWLDING DEPARTME� HEATING SYSTEM:�GAS J ELECTRIC J_ -- I <br /> 259-8810 <br /> -. � DEMOLITION COMBINATION BUIL9ING �MECHANICAL � 'PLUMBING . � SIGN <br /> owurn uu�eoon[ss cnv z�� n�pi[ <br /> 138�t3r,eFl Jok; aais� RocKrT�lla�c t.�EiF�fl i,>,�1di <br /> �ry+ru ueweoonEss uiv zin rea�c <br /> I,RPIi'lCifMD3GNEP 4I.�:I.D�9Cc5 OIV ZiV PMq1E <br /> G[H[RUCONIR�CN� 1A�tt�DDREFS LRY DP RqYE S1qCL�CENSE• <br /> IAlC11I.Nu;�LCpi1ML10R M/.ILADDRE55 .�.�0�� CItV I�P v��04[ 51�1[LICENSE• <br /> �£-d�ft��FiJt�u dnc. 7/l� e�1� �c� /1/L% Qb'u�/3 .�i..2PeLiQ_ <br /> G�1�M11�NOfpiIMCtOR MRII�DDPE55 LItV Pi� VMIN[ Si11ElK(NSE� <br /> caun�;,i rmcr Of wonc � <br /> �3�n� �� /�GO <br /> ocscnmcwonxu+nwur,�crroi�ctvrvavco � coNrr.ctrcnsa�nr�ov�Er�a <br /> -t�UGC)C�C�N�[��—_�� _ <br /> �2�Oirla Uc i3�J� — <br /> � <br /> I NEREOV GLRTIFV THAT 1 HAVL READ AN� E%AIAINEO TMIS <br /> ru;;�nsi uu��.crq:i�.iuvr pppLICATION AND KNOW TME SAIdE TO BE TRUE AND CORfiCCi ALL <br /> PqOVI510N5OF LAWS AND Ofl�INANC[S GOVERNING THIy TVPB OF <br /> icca�nccairrroNU vnpvcmrisua.vrvnEiorvOaen/.wmotOrrt51 WORK IVILL BE COIdPLETED WITH 1VMETHGfl SPEpFlED HEREIN OR <br /> NOT. THE GR�NTING OF A PERAIIT DOES N0T VRESUME TO GIV[ <br /> in�- eioce or AUTHORITV TO VIOLATE OA CA4CEL THE AROVISIONS OF ANV <br /> OTMER STAi[OR LOCAL LAW REGULATING GONSiFUGTION Ofl THE <br /> --'-' — PERFOR�7ANCE OF CONSTRUCiION.TMAT I AM AUTHORIZED 6V THE <br /> OWNER OF TMIS AROPERTV 10 PERFOFM TH[WOqK FOR WHICM <br /> — APPLICATION IS MAOE AND 1 COMPIV WIiN THE STATE <br /> r.nu�iu i n rvuueen CONTH..CTOHS LAW IB 2]fiCW AND 294.^00 W�C <br /> m�+smua�ovmnr�i�rvo[n nooness iei[rHonexuMnrn � _. /J /� „_t / <br /> L // A; C.��d <br /> PNOJ�CTAD E3 �` 1��J?74� � � ./ _,J'L.�.s— <br /> d- 1 <br /> PLUMBING MECNANICAL� <br /> NO. TYPE OF FI%TURE ON ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WAiLfl GLOSE i�101LET� A G—A HNOLG UNITS—H P ' <br /> OATHTU� � fORCEDAIqSVSTEAIS—B.1U. M EA. <br /> L�V�iOFV�1YASH BASIN) UNR HEAT[FS—BSL. IA <br /> SHOWER CLOTHESORVER$ <br /> KITCHEN SINK 8 DISP VENTILhT10N FAN <br /> DISMWASHEB RFNGF MOOD —r <br /> LAUNDRVTRAV � WAiERHFATER _ <br /> CLOTMES\YASHER WOOOSTOVE <br /> UPINAL METAL FIREPLACE IW�D BUHNING� <br /> DRINKING FOUNTAM FIHEPLACE INSERT <br /> FLOOR DRAIN NEAi PUMP <br /> _ B�CNF�OIYPREVENTERS ���T( GASPIPING <br /> ROOF DRAINS—HAINLEADERS E%HAUST FAN <br /> SWK�SERVICE—OAP.ETCJ <br /> _— — _�_ <br /> SUB TO7Al 5 bU0 TOTAL S �_ <br /> PEHMIT 4 —� PhRMIT 5 _f�__ <br /> WTALFEE S TOT�LFEE b — <br /> FOR OFFICE USE ONLY: <br /> fHONt$[lO�CM BFAp5El0ACft S�OESC1p�LK �IRHOM1f.nNVM�fP IFI. PLCFin1hU <br /> uula+e inineu veu.nrsrte FEES VALUATION F[E <br /> �. VES �-' NO pmioiHG <br /> irnarouv rvoovs*a+ics .�v.,,.,��� — ---- -- <br /> °eOA PWAIBING ' <br /> Sil[CxPIW lI�FSPflMMI[PSflE09 0/SE4CNt M[CIIAMCAL <br /> '. � VES :� NO — <br /> OC<UPMw:vlOAp Rn[I.UPUREOO M[K.NLI�Mii�iqN ADDIiIONALPUNGMECK <br /> � OiHLN <br /> hfeSON <br /> SiRi[BUiI DMG SURb14qGE ' <br /> mu.rm nnHse>rnovmar CITYOFEVEflETT punucwonKs <br /> LOCRL SALES <br /> �u�e TRR CODE IS 3105 rorn� � <br />