Laserfiche WebLink
APPLICAT►V+V FOR CONSTRUC7 .ON PERMIT � <br /> � <br /> TO BE C�MPLETED IN BLACK INK—PLEASE PRINT �- <br /> ----- 1 <br /> HEATING SYSTEM� �J GAS J ELECTRIC �J J <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> DEMOLITION COMBINATION �BUILDING MECHANICAL PLUMBING SIGN <br /> FtPRA0DRE55 GiV ZiP PHCNE <br /> cwura ,f',2 ��o.g°� <br /> �� , M�-rt f�f✓u/ 1 - <br /> ��,/ '�i f i.C�'/! �9 3 " �����i'/'�.�' nr nHOHE <br /> i[tJ.qi <br /> MA4ADORE55 ���Y <br /> A��o�rtECiOF�L5IGNER IAAILAOORESS <br /> CIIV Zi� PNONE <br /> GE'+�!O�1n�LCON1RnCTON MARADOt1E5S <br /> QTV 2�� PHONE STATE UGENSE� <br /> ri r,��� GITv ZiP VHONL StPT[I�CENSE• "— <br /> [� U.ECIIFMCALCONTRACTOR MAllPD6RE55 <br /> x�� CIiY 21P PHONG SLA`EUCENS[• — <br /> [if PWMOINGCONTRPCTON NAIL�OONE55 <br /> yy�1H -- <br /> C y y c�nssorwoaK -- ___ . <br /> � � NEW AODiTWN ALTERATION REPAIR DEMOLITIO� WOODSTOV6FRPLINSeFiT 9UILDINGRELOCATION <br /> � coNrau aenwr�nr�o r�wrm r�o <br /> � n� <br /> k y� cc rnncr aa cE ov wo�� � Q 0 0 -- <br /> pESGPipE WORK AND SOUARE FOOLnGE MVOLVL� y- <br /> �� � '1 / y_tl.� �/ ')t ALGf(" ��H�_ <br /> �N N :G+1' ��� 1 H[REBV CEFTIF�' THAT I HAVE FEAD 4ND E%AMRdED THIS <br /> �x� rnoro`sco ,EOFauaoiN� <br /> APFLICATIOt!AND I:NOW THE SAME TO BE THI.c AMD CORRECT.ALL <br /> O O� PRUVISIONS OF LANS AND ORLINANCES GOVERNING TH3 TVPE OF <br /> H icm�oescaiPrroeav�oaearr�snowr+eetowoan*rAa�vouacoP�esi yypqK WILL BE COIdPLGTED WiTH WHETHER SPECIFIED HEREIN OF <br /> y��y Lar eLaK oF NO�f. THE GaANTI�G OP A PERMIT DOES NOT PFESUME TO GIVE <br /> N O AUIHOFITV TO VIOLATE JR CANC[L THE PRO\'ISIONS OF ANV <br /> H` �n+ OTHER SLITE OR LOCAL LAW PcGUT AIING CONS7RUCTIUN OR THE <br /> x y� PENFORMAKCE OF CONSTRUCTION.1HAT I AM AUTNORIZED 6Y iHE <br /> t�� ONNER Of THIS PF�OFERTV TC� PERFORM THE WORK FOR WHICH <br /> H y qPPLICAT�ON IS MADE AN� I COtdPLY WiTH THE STATE <br /> q y H CCNTR4ClORS LA1N 10.27 RCW AND?9G200\4AC <br /> v <br /> C1 C7 fu <br /> � . � <br /> � `��a X _ri-��— _c��,� � - 7 ' 9 <br /> ZHV1 -�. _ o�n <br /> H O l/� r�naiecr nooness n <br /> � �i �� Tl / ^.�" -.,,-.;,.:� ,,.� ..:. <br /> PLUMBING MI:CHANICf.L <br /> FEE NO. TVPE OF EOUIPMENi FEE <br /> � NO. TYPE OF FIXTURE OR ITEM _ �C-q�HNDLG UNITS-N-P- <br /> ' WATER CLOSET(TOILET) — - — <br /> 1 BATHTUB _ fOFCEDAIF5V5TEtdS-B.T.U. M EA. <br /> �� _ LAVATORV IWASH BASIN) — UNIT HEATERS-B.T.U. M <br /> SHOW ER CLOTHES DRYERS —�- <br /> � KITCHEN SINK 8 DISP __ VENTILATION FAN _� <br /> RANGEHOOD <br /> . DISHWASHER WpTEF HEATER <br /> ' '+� LAUNDRYiqAY WOODSTOVE <br /> I ��I _ CLOTHES WASHER _ — <br /> URINAL _ �dETAL I'IPEPLACE 8 CHIMNEV <br /> � --- FIREPL4CEINSERT - <br /> __ DRINKING FOUNTAIN — -- HEAT PUIdP - <br /> FLOOR DR�IN - � - <br /> i �� BACKFLOWPREVENTERS ; _ GASPIPING <br /> --r E%HAUSTFAN <br /> ROOF DRAINS-RAINLEADERS - <br /> SINK(SERVIGE-BAF,ETC.) _�_- <br /> �_ - —�— <br /> 1� T" <br /> SUDTOTAL 5 ' SUBTOTAL 5 <br /> � ---T— — PERIdIT S _. <br /> �� PERMIT 5 <br /> TOTALFEE 5 <br /> TO7ALFEE 5 <br /> FOR OFFICE USE ONLY: aecei��ruo <br /> PLANCNECNN AB[li �EE <br /> FPONTSEIBAGH REARSCi�FCH SIOESETORLN `��`,�� <br /> VACANTSIiE fEES VALUATION FEE <br /> � USLZJNE LOiAREA �� � <br /> BUI�UING ����� <br /> IrPEOlGONiS.UIOWABLE ivP[OttOH51AGiWL oaon�c�� noorv.vni.iu:uxi�s PLUMpING -- <br /> 9ZE OF BIOG NnAF STORi=S Bas[MENT MECHANICAL <br /> OCGUPPNCVlOAD FIRES�RNrtLER$REOD MEIGMTlIlAOAiIOV <br /> ADOITIONAL PLAN CHECH __ <br /> SPRINKLER <br /> —_ —�r <br /> R[RSON FOR SPR�NKlEPS ��) <br /> STAT[OUILDING SUtiJNPRGE <br /> �rtnnxiur r��R�+snvrr�o;ecm CITYOFEUERETT PU�UCWORNS <br /> LOCRL SALES 7 ;^�� <br /> TAX CODF.IS 3105 TOTAL <br />