Laserfiche WebLink
� everett PERMIT � <br /> citr �uii ;saaaas <br /> tviceen,r;>sv�ncmr: <br /> s::�n � <br /> °"` °"°':.""" BUILDING MECHANICAL PLUMBING � <br /> o[v[ioav[�:r I <br /> i OWNER MAIL ADDRE55 <br /> Z�W FHONE <br /> '.^rr-w't, �"i_:'11.^"' �'::�: i`J.:".�.: _ . . ..., <br /> ARCHITECT OR �ESIGNEq ���-�"'I'�T-� <br /> MAILApDflE55 PHONE <br /> I�CENSE NO. <br /> ♦- <br /> GENERALCONTFACTOfl MAILADORESS PHONE � � <br /> :�:G7�� .yw�.Z:�S`.1 ��")!. ... h�� LICENSENO. <br /> '::__. Jx.2-�; . ;"3�:33�, I <br /> MECHANICALCONTRACTOR MAILADDRE55 PHONE <br /> LICENSE NO. I <br /> PLUMBING CONTRACTOR MAIL AD�flESS <br /> PHONE LICENSE NO. W �I <br /> m iPERMIT CLASS OF WORK � <br /> R � <br /> ❑6UILDING � PLi1M81NG �MECHANI�q� z <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑IiEPAIR F- <br /> VALUATION OF WORK � �I <br /> 5 r��M 1 i <br /> �.L ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIM11A11NG POUL W <br />� OESCRIBE WOFK a I <br /> �� ': ju '`�7T�":C✓"- .�.,7.3L' �J V 0 I <br /> PROPOSED USE I <br /> ^t; p,';�Li� II;'C� MECHqNICAL I <br /> FOUfl COPIES�1PTION OF PROPERTY (SHOW BELOW OP ATTAC4i TYPE UF FUEL �OIL �Nns. ��pG. �ELEC. <br /> LOT +�. ql�qGK��oE' NO. TYPE OF EQUIPMENT cEE <br /> 'T ,uL 1J q '�":`�:;♦ 4]G( AIRCON�. UNITS—H.P. EA. <br /> �+AA' 5 � <br /> 'u���� �= ���IeL�:�O 4yy;f REFRIGERqTION UNITS-H.P. EA. <br /> �OILERS-H.P. Eq. � <br /> GAS FIRED q.C. UNITS-TONNAGE EA. <br /> JOB ADDRESS FORCED Alq SYSTEMS-B.T_U. M EA. � <br /> WALL HEATEPS-�.T.U. M <br /> � �k� '��4 UNIT HEATERS-9.T.U. M <br /> I <br /> I PLUti781NG E�AP'�R�+T�VE COOLERS <br /> CI.OTHES DRVERS � <br /> IVENTILATION FAN <br /> RANGEHOOD � <br /> � NO. TVPE OF FI%TURE OR ITEM �+IR HAND�ING UNIT- <br /> ' FEE C.F.M. <br /> WATER CLOSET�TOILET) 5 INCINERnTOR � <br /> � BATHTUB <br /> LAVATORY(WASH BASIN� <br /> SHOWER � <br /> KITCHEN SINK& DISP. <br /> �ISHWASHER SUBTOTAL 5 � <br /> LAUNDRV TflAti PERMIT 5 T <br /> CLOTHESWASHEF TOTALFEE 5 � <br /> WATER HEATER THIS PERMIT BECOMES NULL AND VOIO IF WOFK OR CONSTRUC- <br /> UqINAL TION AUTHORIZED IS NOT COM1dENCED WITHIN 120 OAVS, OR IF <br /> ORINKING FOUNTAIN P6fl OD pFT12�0 AV S AT ANV TIME AFTEF WORK S OOMMENCED. <br /> I FLOOH--SINK OR DRAIN I H[RFpV �EfiTIFY TMAT I HAVE READ AND E%AMINED THIS nP� <br /> VACUUM pqEAK6RS PLICATION l�ND KNOW THE SAME TO�E TRUE ANp COPRECT.ALL <br /> ROOF OHAINS-RqIYLEADERS �'�OVISIONS OF LAWS ANO OFDINANCES GOVEFNING THIS TVPE <br /> SINK (SEflVICE-BAR,ETC.1 OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> OR NOT, THE GRANTING OF A PERMIT OOES NOT PRESUME TO <br /> GIVE t1UTHORITY TO VIOLATE OR CANCEL TIiE PROVISIONS OF <br /> ANV OTHER STATE Ofl LOCAL LAW REGULATING CONSTRUCTION <br /> SUD T07AL UR THE PERFORPdqNCE OF CONSTRIJCTION. <br /> PERMIT 5 <br /> TOTALFEE g . <br /> i.+-".�J+7G <br /> I3 GNATUREOFCONTRACTORORAUTH.AGENT OATE <br /> SIDE VARD SETeACK STPEET SET�ACK REAF VAqO SET�ACK PLAN CHECK NUMeER <br /> PLAk CHECK FEE <br /> FEE RECEIPT Np, <br /> USE20NE LOTAREA VACANTSITE <br /> ❑vEs ❑No FEES VALUATION FEE <br /> TYP[ OF CONST. OCCUPAhCV GROUP NO.OF DWELLING <br /> I UNITS <br /> � I <br /> i S12[OF BLDG. NO.OF STOq1E5 MA%.OCQ LOAD -DUILDING 5 ,',r{�'1',}�� 1(� � <br /> ia� <br /> FIqE ZONE �ASEMENT P�-UMBING � <br /> PIqESPRINKLERS <br /> RfOU1FED <br /> ❑VES ❑NO MECHAHICAL � <br /> 1 <br /> SPEGIAL CONDITIONS: <br /> — OTHEF � <br /> I <br /> PENELTV SEC.307(a) � <br /> TOTAL �A � <br /> _ PERMIT VqLIDATION <br /> � � � <br /> WH[N PROPEfiLY Vl�LIDATED UN THIS SPACEI THIS IS VOUR PERM1IIT <br /> � nrr��c..neu�cuarmuv n�nrvsf,Y�ecEeonv�. avnnnpm�pn�..-:_rJ"[es. � <br /> I -� �� _.____� � I <br /> n I <br />