Laserfiche WebLink
APPLICATIG . FOR CONSTRUCT, JN PERMIi <br />TO BE COMPLETED IN BLACK INK-PLEASE PRINT � <br />V-"" <br />BUILDING DEPARTMENT HEATING SYSTEM: U GAS ❑ ELECTRIC ❑ <br />259-8810 <br />I! pEMOLITION ; � COMBINATION I BUILDING I 1 MECHANICAL �PLUMBING I� SI(iN <br />OW�R M�IL�OORE55 CITV 21P PHONE <br />r�/eLL�I �.$ She��q Tozlc Saa„ XqV�eR I.�A�I F_�weezi 98�� 355- s8o � <br />TEN�Ni MMLADDRE55 CIP � ZIP p'yryE <br />�Prm e <br />ARCNfTECTOROESIGNEfl MAILAUDRES'. CITY ZIP PMqiE <br />--�.-• a�M'1�EL�//D� ^C'V V^c'oI /.dt_.+Cai RS o"• m�ftJs✓I L( e. r�e STATELICENSEI <br />MECMMIInCA'LG.O,N_TR^AC,T�OR ' MMIADDRESS GTY ZIP PHONE ST�TELiCENSE� <br />��'�-�(� <br />FU1M91KK3 CONTMCTOR MAIL ADDRESS CITY ZIP PMONE ST�TE LICENSE � <br />GLA55 OF M/ORK - ' <br />l. 1 NEW I`CADDITION i I ALTERATION I��. REPAIR I i DEMOLITION �, ' WOODSTOVE/FRPL INSERT i i BUILDING RELOCATION <br />CONUCT PERSON AND PMONE NO. <br />f PqICE OF WORK <br />WOpK �ND SIXI�RE FOOTqGE <br />BUIL�ING <br />LEAAL DESCflIPTION OF PROPEPTY <br />LOT_ BLOCK <br />�a <br />PROJECT <br />d DISP <br />WASHER <br />i HEREBV CERTIFV THAT I HAVE READ AND EXAMINED TMIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />LOW Ofl A77�CH FWfl COPIES) PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS 1YPE OF <br />WORK WILL BE COMPIETED WITH WHETHER SPECIFIED HEREIN OR <br />� NOT. THE GRANTING OF A PERMIT DOES NOT PRESIIME TO GIVE <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV ?HE <br />OWNER OF THIS PROPERTY TO PFRFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br />�.IN(3 FOUNTAIN <br />i DRAIN <br />�LOW PREVENTERS <br />DRAINS—RAINLEADERS <br />FOR OFFICE USE ONLV: <br />FRONTSETB�CK REAR: <br />USE 20NE <br />TYPE �i CONT5.1 <br />SIZE OF BLDG. <br />OCCUPANCV Li <br />REASON FOR : <br />INTAKE BV <br />NO. O: STORIES <br />FIRE SPRNKLERS FEO'0 <br />APPROVEDBY <br />E <br />SIDE SETBACK <br />VRCr1NT SITE <br />aanxcr xa.aowciuxauxirs <br />6RWF <br />BASEMENT <br />LOCALSALES <br />TAI( CODE IS 3105 <br />x_��etAw/ Q .�1,tX..e� /v - �o- 91 <br />SIGN�LUFE pq� <br />UNIT <br />RANGE <br />WATER <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />ADDI710NAL PLAN CHECK <br />SPRINKIER <br />STATE BUIL�ING SURCHARGE <br />PUBLIC WORKS <br />TOTAL <br />FEE <br />� <br />