Laserfiche WebLink
FRi7M�EUEREI� HUi!�ING DEPT TD- 206G433475 JRN i7� 1992 2�S�M ri412 P.02 <br />i-. � <br />APPLICATIVN FOR CONSTR�C1 ION PERMIi ���� <br />TO BE COMPLETED IN BLACK INK--PLEA�,E PRINT <br />BUILDING DEPARTMENT HEATING SYSTEM: (�GAS U ELECTRIC U_� � <br />259•8810 <br />I I GEMOLI710N I I COMBINATION BUILDING t 1 MECHANICAL I I PLUMBING I I SIGN <br />OWNEN :•AILFpORCfiS /� CRV 21P PHONt <br />' � l_c.�y�/.— �/ �/ �U�7 �v�IJL:� - c3-? r�-"i <br />-c�0(JC�� �`��'j"� .� '3 ,�-/, �G( �fU.��CiU' ��7� ��P 4LCi <br />rcN�Nr � M�n�oness - cin zir vucx�e <br />ARpNRFGTUNUC310Nff1 MMLAUUXl55 ChY ilP PIIONF � <br />��C!�J�G(/�.�. a1�5/9- i y i�`��i:,S� �e�- 9:�U �� ��'{��ol C��/- �<35 <br />OFN�MLCONTPACTOA MAILGWRCBS GTY 21P PMON STATFIICGHSC• <br />�N� G(�S �-�/2e-Y . Cv:C/JT..TalO M <br />�FGHANIUN.CON*RI1CTpR MAIIAUUHl5Y CIIY 2'Y PXON6 61ATCLICC/"F� <br />MAILAUOIlEy9 CIIY ZIP pHONC STA7[UCCNgF� <br />f.1A63(XWO]K � ' <br />I)(`NEW I I APDITION I I ALTERATIUN I I REPAIq <br />ca+�a�ctFHiceorwonH � l�, 1�JU.Ui� <br />oC5CRI0FY/O/RK�AHUSOVMLfOOTnG[INV Vpry <br />� 4._6i,5�YUGS�r/;� 3')�7�a' . � t7'��. ' <br />NHoro�eo use or ouanwc� � <br />%2 � ivc.� � /[ e `� C�Gi�-tCe- <br />lEG•LU CIIIPI1UNOfVROPFPTY pWNBELGWU!IATTACNFOUflCOPIES] <br />�r �_. e�ocK a _. ... _ <br />Po���- r�;i� K���i�����"s �d � <br />I I DEMOLITION I I WOODSTOVElFRPL INSERT I I gUII.DING RELOCATION <br />�C�lL %✓�Cn <br />r r�at�i noon�s� � <br />���rS� St,J <br />PLUMBING <br />NO. TYPE OF FIXTURE OR 1T61 <br />WATER CLOSET (TOILET) __ <br />� BATHIUB <br />f�,�j LAVnTORY (WASH BASIN) _ <br />] SHOWER <br />KITCHEN SINK 8 DISP <br />1 DISHWASHEH <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />FOR OFFICE USE ONLY: <br />mavrsrrancK � n��qcc�nec�c <br />, <br />._ .��°4�� <br />ost e � � �oi �ne� <br />rr Ot CONid.�l I OWABLE �YPC f C!�•'.7.�.A1 <br />�lL.'lll .�".�! — <br />iQEOFOIIIp NO.tK5;0AIF5 <br />333� �- ,� <br />X,GI1o�NCYLOA fIRCSGRNKIFq6PEC <br />'��SOI:FOII6PRINAIlR6 �O <br />�iinNE9V � PLANSAGPR(NF�IBV <br />� <br />.. (v�- �-3a-3 <br />I HEREBY L'ER71FY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THF SA7�1E TO BE TRUE AND CORRECT. ALL <br />FROVISIONS OF LAWS AND (iRDINANCES GOVERNINCi THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED MEREIN CR <br />NOT. THE GRANTIN(i OF A PERMIT DOES NOT PRE5UMC TO GIVE <br />4UTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I qM AUTHORIZED BY THE <br />OWNER OF THI" PROPERTY TO PEHFORM THE WOfl�C FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH 1HE FTATE <br />CONTRACTORS lAW iB27 RCW AND 2962D0 W 1C. <br />� <br />a %��ir�� -�.,,�c�_ �-1 � 3— <br />t,:�„�:..------O�N�!f�—.--�,,. __..-- <br />tl <br />r��w <br />BIIILDING <br />�dnatlUN:UNIIS •..•• <br />' � N�uMeiNc _� <br />'R MFCHANICf,L <br />�� � — ADDITIONAI.PLANCIIECK <br />/ _��� n <br />� � �� �J.L.(�_ <br />' 6TATE8NL0:`l(1SURCHARGE <br />Df EVERETT PURUC WD'elcf, �• <br />CAL SALES ..—._.__._ <br />CODEIS 3105 torn� <br />� <br />.B.T.U. M E.A. � <br />M . ' _ <br />� <br />_. _.. <br />—'- T <br />�-y�iy <br />7Z s= <br />i "— <br />