|
�, �;�� ,-�-�;�;�!--� CONSTRUC�'!ON everett
<br /> "�' "' PERMIT
<br />� e��erett
<br /> GIlY II.:I.LP'-."9�dS
<br /> e"��,FrT, v:.; ;,;.o� COPJIBINATION • BUILDING • MECHANICAL • PLUMBIN
<br /> Ol'i Gi 6!i
<br /> MAIL ADL�qE55 . I 1'HrJl:L .�
<br /> . . � , - -. .. n. . _ .�_. � �
<br /> AFGHI�ECTORDESIGNEH MAiLApOH[55 Pn��NF IICEN5Efv0 �
<br /> ' t �' ��-__ ' ` . .. :C_=__ i:., i _ . . � 1� -i
<br /> �.t'JERALCONTflACTOR� � MAILADURE55 PHONE . F19[ fJO. z
<br /> i,;:-L ��1^
<br /> � ... ..n'ttc7. i'crr.l. � C "_5^_-3�7'� �� -T ._,- �1 C
<br /> ..:u��er Cr.-;tr,iceio:: Co. 1.3`17 :I:, .. . �
<br /> -!'i.r�iANICALCONTflACTOR M11AIL nDORE55 PNONE LICENSL h0. �
<br /> m
<br /> i'i UM�ING CDNTRACTOH MAIL ADDRE55 PHONE IICENSE NO. . .
<br /> �
<br /> PERMIT CLl�SSOFWOHN - '
<br /> �COMBINATION
<br /> �]AUILOING ❑PLUh�61NG ❑M[CMANICAL �NEW ❑AODITION �nLT[RATION ❑R[P/+iN
<br /> VAIUATtON OF WORK
<br /> ^.np,n� ❑n�r,�oi_is� ❑���r-:cr. ❑sierv Oswin�nninac roo�
<br /> � — --
<br /> DESCRIBE WONK
<br /> I'^�.,� 1 I?. . '� , I ;
<br /> PPO�OSED USE MEC,HANI::AL
<br /> �,'iC2,�; -�. � .�.-"i_ - _ _—
<br /> `- TVPF Of ENI:qGV
<br /> LEGAL DESCRIPTION OF PAC�EFTY 4iHOlY 6lIAW OR ATIACH ❑aA5 ❑EIEC.
<br /> r-oua.cQ�'�esh� --,1_�,{� NO. TVPEOFEQUIPMENT FEE
<br /> LOT BLOCK--OF - qIR CUNO.UNITS N.P. EA. g �
<br /> REf HIGEfiAT10N UNrt; H.P. EA.
<br /> ., ���. ��;:' .�jI• .L 1� 1C -__.1llOILERS H.P. EA. �
<br /> FORCF.D AIF SVSTEMS-d.T.U. MEA.
<br /> - - I
<br /> JOB ADDRE55 SPACE t4 WALL H[Al[RS - B.T.U.
<br /> �^,�!. ^ .t;,•: UNIiHE�i[{i5-13.T.U. �
<br /> I 6V/�PORATNE COOLEPS
<br /> PLUMBING - �c�oTHas nr:veRs _�
<br /> VIiNTiLATION FAN
<br /> fiANGE /IOOD �
<br /> NO. TYPE OF FI%TURE OR ITEM F[E niR �anNDLING UNIT- C.F.M. �
<br /> �AT11 TUAS $ '- '
<br /> CLOTHES Wl1SHER � W�1TEA HEATER J
<br /> f)ISH Wl�SHEftS � �AC. i3VILi FIR[PLACE & CHIMN[v �
<br /> D�711JKIh(7 FOUNTAINS � (:qS. SVSTEM�. NO OP OUTLEIS
<br /> FLOON DH/UN$ � . .- � ------�- ----- --�SUn ToinL 5 I
<br />, KITfHEN SINKS R �ISP. � - � - ----- �-- � pEftMIT S -T-
<br /> [3ARSINKS � _ _ _.--_ -__-.— -- -_
<br /> V700F OR��NS - RAIN LEA�EHS i _ . TOTnL rF.F 5 I
<br /> SHOWER Bn7H5 T111.`. PERMII 13LCOMES NULI. NN�) VOI[) II' WOHK ON CONSTf JC
<br /> SEHVICE SINK$ 110N AUIHQRIZEU IS NOT CUM1�MC.NCfU WIT111N 120 OAYS, Oti IF
<br /> $UMPS - SEWAGE PUMP CONSTRUCTION OR WOIiK IS SUSPI'ND6D O!i ABANOONEU fOf1 A
<br /> � V6RIOD Of 120 fIAVS AT ANV TIME f.FTLtiIVOfiK �SCOMMGNCED.
<br /> UI71NAlS I HER[ItV CFRTi1-V TNAt I IIAVE tiEAO nND L%AMW@U THIS AP
<br /> INATER CIOSET$ � �'L�C(�TION ANO KNOW 1HE SAML T011E TRUE AND CCRliGGT. ALL
<br /> WATFFl HEA7ER5 - ELECTRIC �_ rwovis�oNs oF �nws nNo nnoiNnNces coveawrac r��is -rvp�
<br /> VJASN BnSINS i oP WORK Wltl. 0[ [OnAPIJ[U w�lH W11CTH[n SP[CIfIED HEfiEIN
<br /> LAUNDRV TRl�YS O�i NOT. TI/E GIiAfJIING OI' A PLPMIT UO[5 NOl PliESUME l0
<br /> � GIVF AUTHONITV TO VIOI.ATE Ofi CANC@L THL PfiOVI^.iON:'� Of
<br /> I�NV O�HFR ;lA7E [)R �OCAL LAW RLGUI.MiNGCON:TRVCTION
<br /> � Ofi TIIL PCfiFORMANCL OP CONSTRUCTION.
<br /> - — - �
<br /> SUBTOTAL ��_
<br /> PEFMIT S � ��] �s� "-j,' - -
<br /> TOTAL fEE --� X �/�[.�I-�acr_ �
<br /> WATERSERVICESIZE BLDG. SUPPLVSIZE_ sic�ta �i lai. ��i <<-f��rinr_�nnn�vnun+.nceNT onre
<br /> SIO[ VAPDSETOACK STfiE6T5ETt3/�CK �EARYAfiDSGT(3ACK �'Ll�FIqItCKNUAt�:Lii � PLANCMECKFEE
<br /> ' I�.� � (iECE1PT NO.
<br /> USt 7_ONG LO1 ANEl� vACANT 51T[ -"
<br /> ❑vEs ❑No f-EES VALUAT�ON FEE
<br /> TVPG OF CONST. OCCIIPANCY GROUP UN.105 OWELI II.G I
<br /> ._ ___ �,•:',(J
<br /> SIZE Of ULOG. NO. DP SIORIES MA%.00C. LOAO ISUILOING S ',�����•���� __'
<br /> -- �
<br /> I P�VM(31NG
<br /> FI(iEZOhc t3/�SEMENT qEpUIFiCOKLEliS -_—
<br /> ❑Y@5 ❑ND M[CHANICSL _�
<br /> I
<br /> Sf'FC�AL CONOITIONS� �OTHEF �
<br /> "� PENAl1V SfL. 30710) �
<br /> - _ -_ -_ - . .— — _ L
<br /> -- TOi'AL - � -� -� .��r
<br /> --- P[flMiT V ALIDATION
<br />' -. Yd�ll-.N I'HUP! lil '� VAI if)M FC� IIK TI/ISiPAI'EI 11115 i5 YOUH Pf Rl:n 1
<br /> - 6454 $D�$.$� ---- 1
<br /> - - : �fO�.i�R RE�EIPT
<br /> ,.,,,���,,.,,�,,,,��„��,��,,. - „�..,:,:,,�,.����.. �.�,,-�.,�,�„�.�-..��,•�,� �„ ` ' TH�ANK YC�U
<br /> �� � ,
<br /> a �
<br /> � R r,-. 7 a
<br />
|