Laserfiche WebLink
APPLICATI�`N FOR CONSTRUC'"'ON PERMIT � <br /> • • • TO BE COMPLETED IN BLACK INK—PI.EASE PRINT <br /> B SI PLAN• ALDER Cit no. l0� ) - - � <br /> HEATING SYSTEM: B GAS O ELECTRIC ❑ -- - <br /> BUILDING OEPARTMENT <br /> 259•8010 <br /> I OEMOLITION I�f COMBINATION ❑ BUILDING I7 MECHANICAL I I PLUMBING I i SIGN <br /> UWI�LB M�II�ODRl55 qTY 21P PIqNE <br /> cFrrrm tin��rg rnr 737 Frn ST FVF�mm, Wa 98203 258-1503 <br /> ier+u�t euunooaEse aTv xw v�ae�e <br /> nNLNITECiOP0E51GNEH W�IADUNE55 ��Tr zW PHONE <br /> �iENENGLLONIflALTON MA0.ADDHESS CITY ZW PIqNE S7AIELIGLNSE• <br /> �ccis!'m Hl1MFC TUf�"i7 FTM SP FVFRFTT� �+1A 98 O�-1SO3— SELECHILLOKN <br /> MECM/�NIGILCONTRAC70R IMILAODRESS <br /> Cm 2�p P�pNE ST�TE uCENSE� <br /> PLUMBWGCONTRACTOfI LUILAQDPESS CITV 21P PlIONE S7�iELICENSE� <br /> GONTPAC7 Pfl10E OF WIMIX <br /> OESLPIBEWOR1cANUSOU�REFOOTAGEINVO�VED � �r T KRZ1CPcP�E�� 339-0555 _ <br /> Randy Clark 256-1503 <br /> SFR <br /> 1 MEREBY CERTIFY TNAT I HAVE READ ANO EXAMINED THIS <br /> vHoaoseo use a uukort+c APPIICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT AlL <br /> �F,R PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> iecn�oesceir OFPROPERTY�SMOWNBELOWORQTIICMTWOCOPIES) WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> Hanabrook Div 4 NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �or 3 e�ocK � — AUTHORITY TO VIOLATE OR CANCEL TME PROVISIONS OF ANV <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OFl THE <br /> -- PERFORMANCE OF CONSTflUCT10N.THAT I AM AUTHOR12ED BV THE <br /> OWNER OF TMIS PROPERTY TO PERFORM THE WORK FOR WHICii <br /> APPIICATION IS MADE ANU I COMPLV WiTH THE STATE <br /> YANCEI T�%ID NUMBEB CONTlR��:1�1B. 7 RCW AND 29Fi200 WAC. <br /> � „ �l�L�9 <br /> CONSTRUC710NLOANIENDER.ADDRE55.TELEPHONENUMeEN Y � ' , //_���' <br /> �Y L _��'�(�3— <br /> PqWECTADDRES� �°"'"� — ����� <br /> Z � � I cnreus�uiccHscro • <br /> PLUMBING MECMANICAL <br /> N0. TYPE OF FIl(TURE OR REM FEE N0. TVPE OF E�UIPMENT FEE <br /> WATER CLOSET(TOILET) � NC—MMNULG UNITS—H.P. _ <br /> BATHTUB ' FORCED AIR SYSTEMS—B.T.U. M E.A. <br /> UVATORY(WASH BASIN) � UNIT HEATERS—P.T.U. M <br /> SHOWER � 1 CLOTHES DRYERS <br /> KITCHEN SINK 8 DISP � � 3 VENTIUTION FAN _ <br /> DISHWASHER � 1 RANGE HOOD <br /> LAUNDRYTRAY ; 1 WATER HEATER _ <br /> CLOTHES WASHER � WOOD STOVE <br /> URINAL � METAL flREPLACE(WOOD BURNING� _ <br /> DRINKING FOUNTAIN i FIREPUCE INSERT � <br /> �—,--' <br /> FLOOR DRAIN � HEAT PUMP <br /> BACNFLOW PRFVENTERS ; GAS PIPING _ <br /> ROOF DRAINS—RAINLEADERS � EXHAUST FAN _ _.___ <br /> SINK(SERVICE—BAR,ETC.� ' --`�- <br /> � _ <br /> � <br /> � <br /> . , <br /> � <br /> SUBTOTAL S i SUBTOTAL S <br /> PERMIT S � PERMIT f _ <br /> TOTALFEE E ' TOTALFEE f <br /> FOR OFFICE USE ONLY: <br /> INONTSETBACK RE�fISEIB/�CN 51DESETBALN PIANCMECNNUMBER FEE REGEIPiNO <br /> �20' 20` s ' $. Z �' ``9 <br /> usE2oN[ IOTMEA v�c�wi 7E FEES VALUATION FEE <br /> •Z SS YES ❑ NO ��LDi� BI 7SL � '�� <br /> IYKOfCON51. NOOFSTORIES acuwc. �o.aowfuwcu�n <br /> Z p�uMeiNc ;O v <br /> 12�BLDG FlRESPPWNLEfl5flE0'D BASEMENT �� MECHANICAL �Q 'QC� <br /> �/5g/ Sf t ❑ YES L`I NO <br /> 462 S GAR l/D <br /> IX:CUPMICY IOAD FlflE KAPM REO'D nEN3HT LrUTA7pN �DDITIONAL PUN CNECK <br /> o Z6' orr+ER <br /> IIEASON <br /> STATE BUILDING SURCIUHGE <br /> m1�UtEBY e��ns�rw+pvEPer CITYOFEYEHE7T pueucwo�iKs <br /> �„J jCT LOCAL SAL'cS <br /> a�E /� /L 4 3 TAX CODE IS 3195 roTw J�l� :c Z> <br />