Laserfiche WebLink
���,� F����-��������� CONSTR UCTION cverctt <br /> "�� °'� ����� PERMIT <br /> everett <br /> arv �aa�� zsosin�� . gUILDING • MECHANICAL • PLUMRING <br /> eveaErT, wn siazo� COMIiINATION <br /> OWNER MNI. nDIIHI`�5 71P PIION[ .9 <br /> J l 1 2:�—�Z�� m <br /> CiiAiS.�S S. 3:_OrRd � <br /> (1(iCHITECT OR DESIGNER A1AIL ADDRE55 PIION[ LICLNSE NO. <br /> � <br /> GENERAL CONTRACTOR MAII ADORESS PHONE LICENSL N0. ` <br /> Jlu`� C <br /> MECHANICAL CONTRACTOR MAIL ADURE55 PHONE LICENSE NO. W <br /> , , m <br /> PLUMOING CONTFACTOR MAIL ADORESS PHONE LICENSE NO. �,. <br /> � <br /> .l; <br /> PERMIT <br /> CLASS OF WORK �� � ' <br /> ❑COMBINATIUN <br /> ��UIL�ING ❑ NWM6ING �MECHANICAL � <br /> ❑NEW �AD�ITION ❑l�L7ER4TION ❑REI'l�IR <br /> VAIUATION OF WORK <br /> 5 ��p•�O ❑OEh10LISH ❑FENC'c ❑SIGN ❑SWIMMING POOL <br /> DESCRIBE WORK <br /> Fi'IC�Su ��.iC;i{ T_i:�l'., ��',��:Ll:j` <br /> aaoPoseo usE MECHANICAL <br /> rvre or eN�acv <br /> LEGAL DESCRIPTION OF PROPERTY ISHOW�ELOW OR ATTACH ❑GAS _ ❑ELEC. <br /> FOUAC�oaiEsl /�� NO. TVPEOFE�UIPMENT FEE <br /> LOT�'.— BLOCK111�.OF r�r� �rmm T — --- <br /> AIR COND. UNITS—H.R EA. 5 I <br /> REPRIGERATION UNITS -H.P. EA. <br /> --"�OILERS -N.P. EA--- � <br /> FORCED AIR SVST@MS—�1.T.U. MEA. <br /> � -- I <br /> JOU ADDRESS SPACE L4 WA�-L HEATERS — B.T.U. <br /> • 2212 1�2 �VE'?Ti ,'�V;;. �uNii i+enrens t3.r.u. � <br /> evnvonnrn. ecoo�eas <br /> PLUMBING c�or�{Es uRveHs � <br /> T— <br /> VGNTILATION FFN �_ <br /> RANGEHO00 � <br /> NO. TVPE OF FI%TURE OR I7EM fEE Alfi HANDLING UNIT- C.F.M. <br /> BAIH TUBS 5 —�- -� -� -- — -- � <br /> CLOTHES W�ISHER � WATER HEATER —� , <br /> pISH lNAS11LR5 � PAC. �UILT FIFEPLACE & CMIMNEV 1 <br /> DRINKING FUUNTAINS � � GAS. SYSTEM: NO OP OUTLETS r <br /> FLOOR DHf.INS � -- — � SUn TOTAL 5 I <br /> KITCHEN $INKS & DISP. � — PERMIT 5 <br /> B�R SIN1�5 � -------- <br /> ftOOF Df�nINS - RAIN LE�OERS � 7ornL Fe[ 5 I <br /> SHOWER 6ATHS T111S PERMIT 13[CUMES NULL AND VOI� IF WOR� OP GONSTRUC- <br /> $ERVICF SWKS IION AUi110RIZED �5 NOT COMMENCED WILIIIN 120 DAYS, OR If- <br /> SUMPS - SEWAG[ PUA9P CONST'RVCTION 0�1 M10f1K IS SVSPENDEO OR Al3ANOONED FOR A <br /> i renioo or 120 Dl��S AT l�NV TIME AFTER WOfiK IS COMMENCflD. <br /> URIP�ALS I HER[13V CLRTIFY iHAT I 11AVG READ AND h%nMWED TNIS AP <br /> WATER CLOSETS � PLIC/�TION AND KNOW iHE SI�ME TO OE TIlUL ANU CORREGL ALl <br /> W�7ER NEATERS — ELECTHIC � PRovisioNS oF LAWS nNo o��oiNnNCES covFRNWc rrais 7n'E <br /> WASH BASINS i OF WO(iK W�LI. ❑E COMPU@D WITII WH[THER SPf:CIfILD HE�iEIN <br /> LAUNDRV TRAYS Ofi NOi, THL GRl�NTING Of- A PGRMIT �O[3S NOT PRESUM[ LO <br /> � GIV[ I�UTHORITV TO VIOLATE OR Cl�NCCL THE PROVISIONS OF <br /> ANY Ol H@R STATE Ofi LOCAL LAW �EGULATING CONSTfiUCTION <br /> � OR TII[ PEI9FORMl�NCE OF CONSTRUCTION. <br /> ____ , <br /> SUB TOTAL � - � <br /> P[RMIT S r / ' <br /> TOTAL FEE X (/`�� LCr�rC�l-� �����i_ '�- �% 7� <br /> WATERSERVICESIZE BLDG. SUPPLVSIZE sicnlnTu���FCONTrtnCro�onnViri.nGENi DnrE <br /> SI�E VAFD SETOACK STREET SET�ACK REAR YARDSPTB/1CK PLAN CHFCK NUMRCR v1.AN CHFCK f-EE <br /> FE[ RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SII�E <br /> ❑VES ❑No FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCV GROU�' VNIT�S �WFLLING � <br /> I <br /> SIZG OF 6LDG. NO.OF STORI[5 MAX.00Q LOl�O [tU1LDING S �t�� <br /> I <br /> P W Mfl�NG � <br /> PIHE20NE (3l�SEMENI FIN65PfiINKLEHS — � <br /> ���U���� MECHANICAL � <br /> ❑V[S ❑NO <br /> I <br /> SPECIAL CON�ITIONS: OTIIER I <br /> -- PGNALTY SEC. 30JIa1 � <br /> _' _L— <br /> __' _-- _— � <br /> -- TOTAL j �OO <br /> -� �� PERMI7 VALIDATION C t '�7, t������,���rn���i� � <br /> WH6NMHUPLRIVVAI.IpATCD11MOn : r�ncr,y � <br /> _ - � <br /> _. � ' � <br /> - YOU�R �EQEiPT , <br /> - - � 7WANK YOU <br /> cT�rninnnnnn:tritnm�. rinasoncciu�n � nrrnnviuiunr::iinua nr 1 , •� _ , <br /> iCC <br /> ^ ± � � wp / � <br /> � � :L.. i_ .:. , � , <br />