Laserfiche WebLink
APPLICATIO.1 FOR CONSTRUCT► Jld PERMIT � <br /> I1 � TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> .� <br /> HEATING SYSTEM: J GAS ❑ELECTRIC U <br /> BUILDING !)EPARTMENT <br /> 259-8810 <br /> � DEMOLITION COMBINATION BUILDIIJG MECHANICAL 1 PLUMBING ! ] SIGN <br /> �fi.1� �e1RKE ��(oae��ND �-UE ��T�.�' "�e/F�� ziq8zv3 PHONe35J—6��� <br /> TENaNI IdAILADORE$$ C1iV 2�P PHGNE <br /> �/ I 1 f.1 CI �� �/ <br /> ApCHIiECTORDESIGNER M1IAILAD�RESS Ci1V Z�P PNONE <br /> GENERPLCONTRACTOR MAILAO�PESS GTV ZiP PHONE SiATEUCENSE• <br /> ��ST6L�kSSoc . lfrS'7 �u� !6a'�'P�• l3+rt� wa�. yso<< `lSB�36�6 c�+�.�,�rra��_ <br /> MECH4hIC4LGONIRACiOti MAILApDR[55 CRY ZiP PIIONE ST>TELICENSE� <br /> ��'30��— <br /> PLUMBINGCONTRAGTOR AIAILADDRE55 CITV ZIP PHONE ST�TELICENSER <br /> CONTRACT PRICE OF WOFK <br /> DESGiIBE 1VORK ANO SOUFRE FOOTAGf INVOLVED CONTACT PERSON�N�PHONE NO. <br /> �.tcd�lsN �XNts i i�t/ � ol� lG� Z �� ' 36�( <br /> ��• �N� pE� � `��� ��� �� i HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> aaoaoseo us OF pUILDING APPLICATION AND KNOW THE SAME TO BE TRUE AND CCFRECT.ALl <br /> PROVISiONS OF IAWS AND ORDINANCES GOVERNING�HiS NPE OF <br /> tecn�oe,cRiPnoruoFapoaearv�snoe�Nee�rnvoanTtacNr�vocoaies� WORK WILL BE COMPLETED WITH WHETHER SPECIFI'cD HEREIN OR <br /> /�� NOT. THE GRANTING OF A PERMIT DOES NOT PRFaUME TO GIVE <br /> �ot—(=— e�ocK oF ��� �� AUTHORITY TO VIJLATE OR CANCEL THE PROVISIONS OF ANY <br /> �Q�f� OTHER STATE OR LOCAL LAW REGULATING CONSTr1UCTION OR THE <br /> PERFORAIANCE OF ONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNE9 OF THIS OFSRTY 10 PERFORM THE WORK FOR WHICH <br /> APPLICATIO M E AND I COMPLY WITH THE STATE <br /> PARCEL TAM I D N�M�EP CONTRA O AW .2 RCW AND 296200 WAC. <br /> CONSiRUCT10Nl0ANl[NDER.�DDPESS.TELEPMONENUM�_R <br /> X � � 4 <br /> PROJECT DRESS sicvn�u oere <br /> � arvo�.;nrtssucrus�vn <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF F�XTURE OR ITEM FEE N6. TVPE OF EQUIPMENT FEE <br /> WhfcR CLOSET(TOILET) A�C—AMNDLG UNITS—H.P. <br /> BATNTUB FORCED AIR SYSTEMS—B.T.U. M E.A. _ <br /> LAVATORY(WASH BASIN) UNIT HEATERS—B.T.U. M <br /> SHOWER � CLOTHES DRYERS <br /> KITCHEN SINK 8 DISP VENTILATION FAId <br /> DISHWASHER RANGE HOOD _ <br /> LAUNDRYTRAV WATER HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL MEIAL FIREPLACE(WOOD BURNING) ; <br /> DRINkING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DI7AIN HEAT PUMP <br /> BACKFLO�V PREVENTERS GAS PIPING <br /> ROOF DRAINS—RAINLEADERS �XHAUST FAN <br /> SINK�SERVICE—BAR,ETC.) <br /> � <br /> SUB TOTAL S SUB TOTAL S <br /> PERMIT S PERMIT 5 <br /> TOTAL FEE $ TOTAL FEE � <br /> FOR OFFICE USE ONLY: <br /> FRONTSET�ACK R[ARSEi��GN SI�ESE�OACK PLFNf.MECHNUMOER FEG FEL[IPTNO. <br /> 3� <br /> use zoNs inr naen vncnNt site FEES VALUATION FEE <br /> �—I YES : NO gUILDING <br /> 1YPE OP LONSi NO-OF STORIES v.'cu�e\c :^U�ox2�iv;u'�u <br /> p9p�.�° pLUMBING <br /> SIZ[OPBLDG FIFESPPINNLERSPEO'D BAS@dENT MECHANICAL <br /> - ves - n�o — <br /> OGCUPANGYLOAD FIRE�LARMREOD HEIGMTLIIAIiATION <br /> ADDITIONAL PLAN CHECK i <br /> — – i <br /> OTHER <br /> REASON <br /> STATE BUILDING SURCHARGE <br /> INTANEDY PLANS�PPHOVEDOY CITYOFEVEAETT PUBLI(:INOflKS <br /> LOCRL SALES <br /> oA,E TAX CO�E IS 3105 TOTA� <br />