Laserfiche WebLink
APPlICpTlOrl FOR CONSTRUCT. )N PERMIT �'" "'" <br /> TO BE COMPLETED IN INK—PLEASF PRINT ,; � , j, � � <br /> � � �� ryW <br /> e� t � <br /> verett HEATINGSVSTEM JGAS ;]�E-LECTRIC J ____ � <br /> 6UILDING DEPARTMENT - <br /> ?;9-8810 <br /> DEMOLITION t�COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br /> _— i.�nn neoir..ss arv �i� /�0 )n�or�E . <br /> . .. .. . � , i 7 .LV ' . <br /> . i , . 1'.. � . , ." . <br /> � ��— ' ; �.� ., . . . _ - <br /> ..y� ' IJ.hi.ADGk!55 GRY u PNONE <br /> :.:.�re.rtEGTORDE5IGNER MRiU0DRE55 ��TY � �P P���E <br /> /� �i �1 / n i �/ � <br /> '"3tn.,,.~� ���uri7oti l n`�.� 5 IF ;=i ^nV �^.y�.,u il)qY' Cn � �r �l �a �,) � � �� � ' ' ---- <br /> EC[xJ c,i nPRAt CONiRRCTOR MArt I.ODRE55 J G�TV � ZIP PHONE UCENSE� <br /> 1�`.�" .x ./Y� - � , J , � : �; ._ 'y.T -.' lL ���:1�"� � . <br /> �y y �i�,u4NiU1 CONTRALTOR M�IL RDDRE55 Ci1V ZiP PHONf UCENSE• <br /> r x - <br /> � z� �°�W/IUNGCONLflRCCTOR M��IA��RE55 GIV 21P PHONE IIGENSE� <br /> K O ) J 1] L' <br /> H�1 <br /> ��'.s 0{WOPK <br /> � ~� �NEW `�ADOITION � ALTERATION REPAIF DEMOLITION . HOODSTOVEiFRPL INSERT BUILDWG PELOCATION <br /> V1 H <br /> xZ3 � �SP � Gnt cer�rAcra�asor�aHooHorvEr+o <br /> - i . <br /> LT] OtTI �:.•nN.crraiceorwoaK / ��,�. `�.-�+ � GYL��� — <br /> O r,y„id �r�,cnmEwoaK�nosou�aEroo*�ceirrvavEo, <br /> ,� � . � ' <br /> � ��' "'-`7F _l.. n , � , c•;' .; . , .� '' .. <br /> �. (q] �OSEDUISEOFpUIIUMG -� � / I HERE6Y CERTIFY THAT 1 HAVE READ AND E%AMINED THIS <br /> z F�3 I�P d Y D�h� S � APPLICATION AND KNOW THE SAME TO BE TRUE AND CORFiECT.ALL <br /> aHt=1 oescaiairorvoFvr+ovearv�s�owmoeiowoa�tt�cecouacoviesi PFOVISIONSOFLAWSAN�ORDINANCESGOVERNINGTHISTVPEOF <br /> C Z WORK WILL BE COIdPLETEO WITH WHETHER SPECIPIED HEREIN OR <br /> H H � eioce or NOi TME GRANTING OF A PERMI7 OOES NOT PRESUME TO GIVE <br /> gy AU?NORITY TO VIOLATE OH CANCEL THE PROVISIONS OF ANV <br /> H <br /> p q p1 OTHER STATE OF LOCAL LAW REGULATING CONS7RUC710N OR THE <br /> � ��� - - PEPFORMANCE OF CONSTPUCTION. THAT I Ald AU7HORIZED BV THF <br /> Cr O�NNER JF THIS PROPERTV TO PERFORM TH[ IVGRF FGR �VHICH <br /> Z yy _ —_ APPLICATION IS MAOE AND I COh1PLY 1VITH THE 57�1TE <br /> `3 O W CONTFACTORS LAW 1827 Rf,W AND 296200 WAC <br /> �1_���,�3��� ���G/� _..i.lnrU��G�CP1iaRCtOdORRU1NORIIEDAGENT DI.TE <br /> � /'� n <br /> X � ��.J� 1/(l1' /'� //✓/S/J��y / <br /> ,. -�.:JICI�DDRCSti _—_._—__- __ —" ___-_ �i��,✓✓L l. V r—I-"".1c_�N_—. . <br /> ..--.7� �� � nrn�. ��n;onuusr.�o;uu��s[ ':o nr�nrurnrtsSNar.ir, <br /> PLUMBING MECHANICAL _ <br /> '�'� t70. TYPE OF FI%i UPE OF ITEM FEE NO. 7YPE OF EOUIPMENT FEE <br /> �� WATER CLOSET�TOiI.ET� A C-0.HNDlG UNITS-HP _ <br /> BATHTUB FORCED AIR S`.'STEMS--B.T.U. M E.A. ' <br /> �, LAVATORV�WASHOASW� - GNIi HELTERS-B.T.U. M <br /> R ' � SHOWEN CLOTH6S DRYERS _ <br /> m�� K1ICHEN SINK 8 DISP VENTILF.TION FAN � <br /> DISHWASH[R <br /> RANGE HOOD —�— <br /> �"" �. _ LAUNOHVTRAY _ WATE9 NEATER <br /> •'� I CLOTHESWASNER WOODSiOVE _ <br /> URINAL METAL FIREPLACE 8 CHIMNEV <br /> DFiINKING FOUNTAIN FIREPLACE INSERT _ <br /> � FLOOR�RAIN HEATPUMP <br /> � � BACHFIOWPREVENTERS GASPIPING <br /> ROO�DRAINS-RAINLEADERS E%HAUST FAN <br /> ' �� SINK 1SERVICE-BAF.ETG.) __�_ — <br /> —�- <br /> +'' SU�TOTAL 5 SUB TOTAL S '� <br /> PERMIT 8 PERMIT S <br /> 70TALFEE b � TOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> � :cui�ne� n�nnseta�cK sioesnon.,n r�er�crrt:nr�uaoen iii- �eceiPtua <br /> ,�� � � . 75" Ai , I 'S � .�i <br /> . :�.n�f� toinnrp wcarvtsn[ � FEES VALUATION FEE <br /> �,� _ - bUIL�WG _ �/� 8'�'� —�-(����._ <br /> , nl LOry`5 AIIOWABIC lYPEO)Ci^!tl rLll:ai nCo�mvv x�wtrot_�.a��:r..•.f —_ --y-- i <br /> �:�3 � PLUMOMG �ij'��I <br /> _�C�J 7X-��_ <br /> .,, e�nl�G No of S1rn�A S �AtiEMEIIi MECHANICAL <br /> S�L SF QDJn/ aOJwa 2mi t�� � -- - — <br /> �— <br /> ._��rm�onD nnfsrrirvnitnsn�an ��riGin�Ju¢Mnqr�rv ADOITIONALPLANCHECK � <br /> (�Ip K7 OTHER ; <br /> . ...r� on srmvn�Eivs / <br /> STATE BUILDING SURCNARGP _ _ !�/ <br /> ..�•�_w � rinr�snri-uo�.rnti�� CITYOFEUERETT puauCwoRKs <br /> �7� � � LOCAL SALES -ti= <br /> % �/� ' TAl(CO�EIS3105 toin�--- . ... - -- -'------- -iV . . '� 'i�. <br /> --�--.. . ----- ---- — <br />