Laserfiche WebLink
r� <br />y <br />� <br />I <br />thsFverD�� �PPU�AT'ION FOR <br />c,noF �OfdSi�C�lCTION <br />everett PE RM IT <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259�8745 � <br />EVERE77,wq9aiot �'JCOMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />�H'N�R MAII nDOME55 � CIiY ZI PHONE <br />G� %. L. �/ic'C—C!O?/'c'S % ie�ST�' -/J'�i9.E'S/Yi'fGG � v�f1GONftL LUs <br />everltl <br />e <br />nrc�nuei� UN UUiONtR MAII AODRFSS � CIiY , ZIP PHONE <br />GENERAICONIRACIOR M�IlA0DRE55 CIiY I�p PHOuf �ICENSE/ <br />_ J�Zfi?G'E CG+v�7'2c�Tio,�/ , Pii3 /li.�', �f5r_��u/�v :ti2aU�v0 CU� �G3 /TGY� <br />M[CHANIUICONTHAQpR M�ILADDRE55 CITY � [IP pHpNE IICENSEI <br />PIUM1�IfIhGCONiN�CTOR M�Iln00RE55 ❑IY ZtP PMONE �ICENSFI <br />CUSS Of KOftK -- — <br />�NEW ❑ADDIiION ❑ALTERA'ION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILJING RELOCATION <br />VA�IU�TIO/N fOf wOR�R /��� <br />—F�.Cit..11. QO <br />UISCRIBF N'O�RN ���� <br />%�,V�T %/N���^✓IC„// <br />PPOPOSfDUSF Of OURDInG <br />IEWI DESCRIPtION OF PNOPFRLY ISHOwH O[IOW OR ALieCH fOUR [OPiE51 <br />lOT �_ BLO:N _ O� <br />V� �%%%�/�/�%J � <br />PLUMBING <br />NO. 7YPE OF FIXTURE <br />V�n7ER CLOSE7ITOLIE71 <br />�ATHTUB <br />UVATCRY (WASH BASIN) <br />SHOWFR <br />KITCHEN $INK d DISP <br />�ISwASHER <br />LAUNDRYTkAY <br />CLOTHES WASHER <br />_L WATER HEATER <br />URINAL <br />DNINKING FOUNiAIN <br />FLOOR ORAIN <br />VACUUM BREAKERS <br />ROOF DRAINS—RAINLEAUERS <br />SUETOTAI <br />►E1MIT <br />iOTAIfEE <br />SIDE YARO S TlIACK STRFET SCTfIACK <br />.cG p .�/v <br />USE ZONE LpT AREA <br />��� � <br />TYPE OF CON57. OCCUI'ANCY GROUP <br />�= I N�' E3 2 <br />$IZE Of 9LDG. NO. OF STORILS <br />_ J Sio�ry?i-ot� <br />FBEZON[ OASEMENT III�ROO. <br />A►PlOVALS <br />1. fNVIRONMfNTALCM[CKLIST <br />3. BUIIDINr, p��NS <br />l FIftE HYDRANT <br />/. FINE PROTECTION SYSTEM <br />5 GRADINGk%UVIiION E CLEARINGGRU6flING <br />6 DRAINAGi <br />7. ENVIRONMFNTAL IMPACT STATEMENT <br />8. HFALTH DISTRICT <br />APPLICAT10Y ACC. DY PLANS CHECKED BY <br />�'%� �1��%1� <br />9 7 �79 <br />FEE <br />�f <br />RUR YARD SE�.p TNACK <br />VACANT 51� <br />OYES P90 <br />Np. Of DWELLING UNIT$ <br />++nx occ ionc <br />!Y I DAiF <br />APPN. F00. ISSUA:'CE P� <br />G "� . <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGU! ATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SICNATUHE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />X !C o �`i LVG6L(/^ � / `l '75 � <br />MECHANIUL <br />NO. TYPE OF EQUIPMENT FEE <br />REFHIGERATION UNITS—MP. EA <br />BOILENS—H P EA <br />WS FlNED A.0 UNIT$—TONNAGE EA <br />fORCFU AIR SVSTEMS—ASL. N <br />WALIHEhTEP.S-9T.U. M <br />UNITHEA71N5—BTU. M <br />EVAPORATIVE COOLERS <br />RANCEHOOD <br />AIR MANDLINL U� <br />STOVE <br />MEUI FIREPLACE <br />PUN CMECK NUAtOCR <br />�3/ ��a�o <br />CFM <br />SUB70TAl <br />PfMMIT <br />FCF <br />�i <br />PLA�. CHELK FFE <br />"� RE�oP/�P % / <br />�TION FFF <br />BUILDING s/JG�-,.. � � <br />LC�=C%a' <br />PLUMBING z <br />MECHANIU: <br />OTHER <br />PFNALTY UB.C. <br />SEC. 307�a1 <br />TJTAL 1 Gr� <br />PEIIMR VAIIDATION <br />WHEN PROPERIY VALIDATED (IN TMIS SPACEI THIS IS YOUR PERMIT <br />7 <br />• � <br />