Laserfiche WebLink
'�::`;PPLICATION FO..' <br />.' f�� Everpresn � O N S'T R U C T I O N <br />. ' cin av <br />� evPrett PERMIiT <br />BUILDING DEPARTMENT <br />259•8745 TO BE COMPLETED IN INK- PLEASE PRINT <br />❑ DEMOLITION ❑ COMBINATION � BUILDING ❑ MECHANICAL <br />� OWNER hIRILpODflE55 Cltt 21P <br />'; �i'C�/-��TW1e�"��51�G, �o'1�n7�i <br />ARGMI}ECTONOESIGNER MRILADDRESS <br />. m�r� nn�-I.�E� �zey� ��� <br />i �iC1��Fac�� GGO�is`C�C-o�0+�111�, <br />MPIL qyV11CDJ <br />❑ PLUMBING <br />evcrefl <br />e <br />❑ SIGN <br />v��o4 p�B2o�'� 7�F7 -086 � <br />cirv ziv r��oH�olKlt ,� <br />.u-1��'� Mu��.G9�7Z.?��44�95 <br />CIIY ZIP fNONE LICENSE • <br />❑ NCW ❑ ADDITION ❑ ALTERAfION �A REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING RELOCIITION <br />wunn <br />�ean� oescnir <br />i LOT_BL( <br />' �. <br />,, � <br />�� PqOJEGTADORI <br />; ('o�J00 <br />��' PLUMBINO <br />• NO. <br />�. WATI <br />.�' BATF <br />� <br />' 1- �l GMU �tP-�'W�11 c7tiJL <br />I HEREBY CEPTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWSAND ORDINANCESGOVERNINGTHISTYPE <br />OF WORK WILL BE COMPLETED WITH WHEI"HER SPECIFIED HERE- <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS 0� <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE F NSTRUCTION. � <br />SIGNAT E FCONTPAC R � RIZE�AGENT DATE <br />X �s�ao �� � .��.__ , �, ,.�, <br />APPLICPNTSCITY6USINESSII E110! <br />l�(03 <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT <br />A�R COND. UNITS—H.P. EA <br />REFRIGERATION UNITS—H.P. EA. <br />BOILERS—H,P. EA. <br />GAS fIflEO 0.C. UNIiS—TONNAGE E� <br />FORCED AIR SVSTEMS—B.T.U. M EI <br />WALL HEATEHS—B.T.U. M <br />UNITHEATERS—B.T.U. M <br />THIS PORTION TO 8E COMPLETED BY BUILDING DEPT. f'ERSONNEL <br />iETBACK �� NEAqSETBRCN �A SIDESEiBRCK y/� P�� HEG¢N�MOEp �� FEE ���pN f1ECEli'iNO.�O��/ �� <br />2 � l i�S �� <br />JE LOTRREA VACRNTSITy <br />YL _'� i. � ,1,( FEES VALUATION FEE � <br />��a ..C. <br />6�T. <br />� —� <br />eioa <br />N4 � <br />,'f,1' <br />7. <br />J <br />' � °i IC4TION �CC BY <br />d„ � 4 <br />t 1 � <br />: � /� 17 � <br />^'`�'.�, �. . <br />, GRLY OIIP <br />3- Z <br />onies <br />Z <br />PL�NS LHELKE� BY <br />� <br />OYE9 O <br />NO.OF�WELLINOlIN69 <br />--8- <br />MAX OCG LOAO <br />�. � . <br />APPp. FOR ISSUFNCE BY <br />L •G <br />BUILDIN� <br />PLUMBING <br />MECHANICAI <br />OTHER <br />PENAI.TY <br />TOTAL <br />:Z�� �I 9.4 <br />