Laserfiche WebLink
' �=�f� ����9�u���;:u ��� i�%i:E�6��i�`�= <br /> �il�"��B�::r"�w ��u . ��'�" <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> HEATING SYSTEM: iJ GAS 'J ELECTRIC J —_ � � <br />� BUILDING DEPARTMENT <br /> 259-8870 <br /> DEMOLITION COMBINATION BUILDING MECHANICAL vPCUMBING SIGN <br /> � OWNER IAAILA�DRESS CItV ZiP PHpNE <br /> TENANT MAILFDDRE55 CI1Y ZiP PHJNE <br /> ARCHITEGTOROESIGNEB IAAiLI�DDRE55 CIiY ZiP PHONE �� <br /> y n~ - Lltt ZIP PHONE STATE�iCENSE s <br /> ',3,'r�J GENERALCONTRACTOfl MFILADDRE55 <br /> �� � <br /> H <br /> IAECNAYiG/LGONTRACTOR lAAILADOflE55 CITY 2iP PNONE ST�TELICENSEtl <br /> q H <br /> a��n — <br /> '� rT.� CITV LP PNOHE SiATE ICEI�S[p <br /> P UM11BRlGCONTRACTOR MAILF�ORF.S C G�j�] <br /> y z H � �i � /✓cu f/�f.,�L' .l.�c vf't:�31.� �'�i S— 5`�3-ZSBS .�c,r�-�IGy���z <br /> � HCb CL�SSOFWCPN � <br /> � �..x,r� ✓NEW . AODITION ALTERATION REPAIR DEMOLITION WOODSTOVE�FRPL INSERT BUILDWG RELOCATION <br /> V1 H CONiAQ PER50'1 A�1D PHONE Il0 � <br /> � 7-' COYLRACTPRICEOFWORH <br /> �d pf SCRI9E WORK�N�SOUARE FOOTr1GE IYVOLVED <br /> O H <br /> '�-�+ 1�T,0 i`fOPO5EDU5EOF8U�l�ING i HEREBV CERTIFY THAT I HAVE READ AND EXAttI?JED THIS <br /> G�� C'� APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL , <br /> H PROVISIONS OF LAWS AND ORDINANCES GOVERN�NG THIS TYPE OF I <br /> 7" y� LEGALDESWIPTIONOFPFOPEFTY�SHOWN9ELCWOA/TTACNFOURCOPi'J51 I <br /> ��� WORK WILL BE COMPLETED WITH WHETHER SPEGFIED HEREIN OR � <br /> � H y iar e�xK oc NOT THE GI7AN?WG OF A PERMIT DOES NOT PRESUME TO GIVE � <br /> d � AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY � <br /> p H OTHEF STATE OR LOCAL LAW RECULATING CONSTRUCTION OR THE <br /> nq d� -- PERFOAMANCE OF CONSTRUCTION.THAT I Ald AUTHORIZED BY THE <br /> ,3� OWNER OF THIS PROPERTY TO PERFOP.M THE WORK FOR WHICH <br /> CT] ['7 APPLICATION IS Id�OE AND I COGIPLY WITH THE STATE <br /> y �� CONTRACTORS LAW t827 RCW AND 296200 WAC. <br /> ---- — �"-���a��--�C� ,:,.���� -yz. <br /> cn).;[CTAOORE55 <br /> 7�3 �llSr �� ;,4.<-� C�— o —,.. ., - ., „ - <br /> . ' PLUMBING MECHANICAL � <br /> � � NO. TYPE OF FIXTURE OA ITEM FEE NO. TVPE OF EQUIPMENT FEE I <br /> '�� 'NATER CLOSET fTOILETI __ _ _____ __ ___ �C—A�HNDLti UNITS—HP <br /> �i � BATHTUB _ _ _ ____ _____ _ FORCED AIR SVSTEPdS—B.T.0 M E.A. � <br /> � LAVATORY(WASH BASIN� _ __ UVI�HEATERS—B.T.U. M <br /> �_ �_ SHOWER CLOTHES URYERS � <br /> I� _� KITCHEN SINK 8 DISP VENTILATION FAN � <br /> OISHWASHER RANGE HOOD , <br /> LAUNDRY TRAY WATER HEATER <br /> e��' CLOTHES WASHER WOOD STOVE <br /> �� UFINAL METAL FIREPLACE 8 CHIMNEY <br /> DRINKING FOUNTAIN i FIREPLACE INSERi �_ ' <br /> FLOOR DRAIN HEAT PUMP <br /> _e BACHFLOW PREVENTERS GAS PIPING i , <br /> ROOF DRAINS—RAINLEADERS EXHAUST FAN <br /> SINK(SERVICE—BAR,ETC.) <br /> �'� <br /> --�— <br /> SUB TOTAL S SUB TOTAL S '� <br /> � PERMIT S —�— PERMIT 5 <br /> � - � TOTALFEE $ TOTALFEE $ <br /> �__ <br /> FOR OFFICE USE ONLY: <br /> FROfIiS[i13hCK RFARSEI�RCH SIOESETBALK Pin�ICH[CNN061flER <<�'� !1[C[IPiNO <br /> �–»li < <br /> > i � / <br /> usezor�e ioTnaen vaenNrsrte FEES VALUATION FEE <br /> BUILDING <br /> rvPEOiCOtI15.All0Y/ABLE iYPEOfLONSIACIUAL acCUPe.p rmO�VntturvGwr'? — i <br /> teo�r � p�UM91NG ' <br /> SI][OFBLDG NOAFSTONES OAS[IdENi MEGHANICAL <br /> — � <br /> OCGUPANCYLOF� FlRESPPNNLERSREO'D HF.iGHTLIp11IDii0N ADOITIONf•LPLANCHI�K � � <br /> _ � <br /> SPRINNLER � <br /> —_�— <br /> �IpA50YFOFSPRR1KlER5 - � <br /> STATE BUILDING SURCHARGE � . <br /> ,.,:. _... �- �� i �-v,r�snPanavEonv CITYOFEVEflETT pUouCwot�HS � <br /> LOCALSALES <br /> I TAX CQDEiS 3105 TOTA� ` <br />