Laserfiche WebLink
APPLICATION FOR <br />�n�'°'"° :�ONSTRUCT�ON <br />evere�t PE�MIT <br />DEPT. OF COMMUNITV DEVELOPMENT SERVICES <br />CITY HALL 259�8745 <br />EVEREii, wn vezot ��OMBINATION <br />� ow���� ��Gs �rr� �'"3�9 <br />❑ BUILDING ❑MECHANICAL <br />hRCHR(1T0R061CN[0. MAIIApPRES( ���� <br />Z,q,�,qRlj U,�o� �tl a� �N Sf A�isa,�i� <br />\G(NlR�LCOv1RnC10R mnlln000.FS5 CIIY <br />f�G4t� 4Yv Ce�►y3 (61i2 Sm G+fEYt9.R�tt T�'oa�s <br />m�runcioa Mnu noox[ss <br />everen <br />�i <br />❑PLUMBING PERMIT NO. <br />ZIP <br />_ <br />2 e33y-27cF� <br />VHONF � IICENSF I <br />759- �37/ �`-°-�z-Ec•�1i4u7 <br />Y11VIY[ lll[n>[• <br />PWn�bmf.COMIRACIOP MAII�DDN65 ❑iY ZIP VHONI lIC[NSEI <br />CU55 Of N'OFK1� <br />❑NE�v j6:t�DOITION ❑ALTERATION ❑REPAIR ❑�EMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUIIDING RELOCATION <br />YAWA110N Of KONK <br />s 43c�D °.-' <br />DtS�w'OMA � J yy�� <br />G7�(�� 5 2C ; �I'!r"""+ <br />rxovostoust ai nwiou:r, I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />�,�>A/G STZiGC� PLICATION AND KNOW THL SAME TO BE TRUE AND CORRECT ALL <br />�[cei o�scnivnovor rxortarr�sHown e[ww oa �irncH roux mens� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />l01 _BIOCN�_Of OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />iox .00a[ss <br />�6 a _ <br />PIUMBING <br />TYPE OF FI%TURE <br />WATER ClOSET �TOLIFT) <br />U\'ATpqY �WASM f�A51N� <br />SHOWER <br />KIiCMkN SINK 6 UISP <br />DISH'�SNER <br />u�r+ouv tenv <br />CIOTMES\4ASHfR <br />ltlAiER MEAT[R <br />URINAL <br />ORINKIN(: VOUNTAIN <br />VACUUM ONkAKENS <br />P.00f URAINS—R�INIEADERS <br />SINK 6ERVICI —11AR. ETC ) <br />70TALiEF <br />SIDF YAR� SF f1ACN STR[E7 SCTfi 1 <br />NJ/� �''� <br />USf ZONE LOT ANFA <br />G —� <br />� �1 nl � 8-Z <br />OF [1lDG NO OF�STOFIES <br />ZO^1L _— I BASFMk_=i I NtUN=_)Ui <br />A►�ROVAlS <br />1 ENVIRONMENTAL C}iFIX L15T <br />a <br />3 BUIIDING PUNS <br />J FIRE HYDRANT <br />1 FBE PROTECTION SYSTEM <br />5 GRAOING!%UVATIONBCLfARINCILNUNPINL <br />6 DRAINAGF <br />7 fNVIRONMENiAIIMPACTSTAiEMfNT <br />E HFALTN DISTNICT <br />AVPLIUTION ACC. dY PLAN$ CMFIXED BY <br />� �. <br />94-i9 <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY Ol HER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERfORMANCE Of CONSTRUCTION. <br />SIGNATUy f CONTRACTOR OR AU�HORII.EO AGENT DATE <br />�/�.G.' � X/�/��f�.IUJl.� .FIf!/�4 't',v%!'/ <br />FEE <br />3 <br />i`�`�O <br />VAGNi $IT[ <br />CYES �it7 <br />Np OF OWFILING UNIiS <br />�--- <br />MA% OCC LOAD <br />E <br />!Y I DATf <br />fOR ISSUANCE BY <br />L- c=. <br />MECHANICAL <br />RFFRIGERAiION UNITS—H P EA <br />BOIlEHS—MP EA <br />WS FlRED AC UNITS—TONNAGE EA <br />fORCF���RSYSTEMS—BTU MEA <br />1VALl HfATkRS—!7 T U M <br />uNrtH�nreas—otu n+ <br />CLOTNFS DRYfRS <br />VEN7ILATION FAN <br />RANGEHOOD <br />AIR MANDLINL UNIT— C F M <br />S70V[ <br />M[TAL FIftEPUCE 8 CHIMNEY <br />PUN CMfCK NUMBER <br />,��/�-��� <br />fFFS <br />euuoinc <br />PWMf11NG <br />M[CMAMUI <br />OTMER <br />PFNALTY <br />SUL70TAl <br />s <br />TOTAL FFE s <br />PLAN CNECK fEE <br />FEE .-, � RFCEIPTNO. <br />� r. i . � - sa 7 . <br />VAWATION iFF <br />VOC <br />SEC 70Jfa1 <br />oc I �(iZ1 <br />TOTAL I I � � 3 �SZJ <br />�GMIT VAIIDATION <br />WHCN PNOPERIY VAlIOATED IIN THIS SFACF� THIS I$ YOUR PERMI7 <br />