Laserfiche WebLink
9 <br />N�1{S� <br />APPLICATIC 1 FOR CONSTRUCT'-lN PERMIT ��� <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />BUILDING DEPARTMENT '— <br />259-8810 <br />DEMOLITION I i COMBINATION <br />OWNER MRIL�ODRE55 <br />.�L/l�t�- �.�S��,P_ <br />TENRNT M�IL RDDPESS <br />RRCNII EGT OR DESIGNER MRIL ADDRESS <br />�G RFLCONTRACTOR MAIL�ODRESS <br />oirlf'LfT£ l�r <<�2v/C£_ . <br />MECH�NIGALGONTRALTOR MMLADDRESS <br />PLUMBMGCONTRIICTOR M�ILADDRESS <br />CONTRRCT PRIGE OF WORR ���� � � � <br />DESCHIBE WONK AND:OUGRE FOOi�GE INVOLVED <br />j N,Q T�!/��- C <br />�. PROPOSEDUSEOFBWLDMG <br />?? E 5. <br />� LEGALDESGRIPTIONOFPROPE <br />LOT— ��N <br />PARGELTA%ID.NUMBER <br />GONSTRUCTIONLO�NIENDER,A00RES5. <br />SINK 6 <br />HER <br />'TRAY <br />URINAL <br />�RINKII <br />�=LOOR <br />BACKFi <br />ROOFC <br />SINK IS <br />HEATING SYSTEM: <br />I ' BUILDING <br />GITV <br />qTY <br />vLe <br />CITV <br />QTY <br />BELOW OR �TTAGH iW0 COPIESI <br />_ pF � <br />FOR OFFICE USE ONLY: <br />FFONi5ET8ACN PEARSETBAGN <br />USEZONE IOTARER <br />iYPEO(CONST. NO.OF STORIES <br />SIZE OF ^LOG. FIRE SPRINNlERS REOD <br />OCCUPRNCYLOAO FIRERLhRMREOD <br />INT4NE BY �'�AN$ <br />DAtE <br />$ <br />$ <br />❑ EIECTRIC :] _ <br />,+�MECHANICAL <br />21P PNONE <br />E✓E.et'1l �i'BLo/ <br />zip vrrot+E <br />ZIP PNONE <br />Z�p PHONE <br />��o/ �S 9 u�' <br />Z�p PHONE <br />Z�p PHONE <br />CANTRCTp[RSONR DPHONENO. <br />;_� PLUMBING I i SIGN <br />STATE LICENSE R <br />$� �ICENSE � <br />STATE LICEN'.,E • <br />i HEREBY CERTIFY THAT 1 HAVE READ NND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT, ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING Thl5 TYPE OF <br />WORK WILL BE COMPLETED WITH WI'ETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NO- PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br />OTHER STATE OR LOCAL LAW REGULATING CONS?RUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM MUTNORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH TH[ STATE <br />CONTFACTORS LAN' 18.27 RCW AND 296200 WAC. <br />AIR <br />FAN <br />METAL FIREvv+ct i <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />SIOESEiBACN ��^^"""'� <br />VACPNT SITE FEES <br />j] VES . I NO BUILDING <br />acu�.xrr xommvtwxsuxns <br />s4ouv p�UMBING <br />BASEMENi MECHANIGAL <br />i . YES i �. VO <br />HEiGHT tlMrtnilOr+ ADDITIONAL PLAN CHECK <br />OTNER <br />STATE BUILDING SURCHARGE <br />CITY OF fVEHE'TT PUBLIC �dORKS <br />LOCAL S11LE;i <br />TAX COOEIS 3105 T�T�� <br />FEE <br />TOTAL S <br />NIT S <br />1L FEE S <br />