Laserfiche WebLink
APPLICATIOfW FOR <br />f�e Ever9reen .��� S T� l.! C 7' I O N everetl <br />Gltt OF � <br />evere�t PERMiT <br />OfPT OF COMMUNITv D[vELOPMENT SERVKES <br />CIT1 HALL ?59�B7a5 <br />eveaeTT.'-.nva�ot ��OMBINATION ❑ BUILDWG �MECHANICAL ❑PLUMBING FERMIT NO. <br />ONN[R \UIIA��uF55 [IiY ❑P PNONF <br />Gl�S��F' (i. 1^.�=Av": ii 7+�� �il•0�l �-f/ F,V �'JF n;�h'95d1C( c'-->S �;� L>L�-" _!�S %/ <br />ARb111ICI00.UF51CrvfP MSIIADUPfSS CIIV ]Iv pMO4F <br />�GINFRnL COrvIHn(lOv. <br />M�II AODR[4 <br />ll[FNSE 1 <br />A1 fHsul@l COM1iq„�IOC M1l�ll A000.E55 ❑1\ 4P pHGIvE IICENSF I <br />In�.,rP�i� <br />I9U�IPI\Il(04i0.�CIpN MAllA0DNk55 CItY ZIP YFOVF IICENSEI <br />Qn1S U1 NOXF <br />❑NEW ❑ADOITION <br />vewnuau or wauc <br />s <br />u'.x un�t ��nun <br />1 /. � � i"R� L NUC <br />i•envosiu usi oi oiinomc <br />LI�ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARr.::E ❑BUILDING REL(1CATION <br />0 <br />llLnl OtSlRiPlipN OI PqOPIXI� I5110AYN NIION' ON A11A0� IUVR <OPif 51 <br />:()1 ��1.Ol.A�UI � <br />�<��� �������,z <br />PlUM81NG <br />NO. TYPE OF <br />11Ai� N (IOSfT �IOL�f <br />finlMiUf7 <br />$HON'I N <br />A11O11NSWK d D151' <br />U6lVF}M[r. <br />IALtiDN1IR�Y <br />UUIHI S 1V�SHLN <br />R'AIEH 111AifN <br />UNIhAI <br />f1NltiAlIJG FOUNTAIN <br />IIOOH UHAW <br />��q��J��pi t{NI ANf NS <br />NOOV UR/Ih�S—RAIrvLU0IR5 <br />9HK 6!NV9CF—BAR. I fC� <br />11D! YnNfl <br />USE LOti� <br />1YPF OI (� <br />S17_L Of 11L <br />IIHf 1UhF <br />SUB'�.OTAL <br />PERMI7 <br />TOTAI IEE <br />SiRE(i 5[ipnCK <br />lOi �HlA <br />OCCUPAN�'IGHOUP <br />NO OF SiORIES <br />MSFMi vl III UNf h)aH <br />APPpOVALS <br />1 kNVINOH�VfM1IAL CMfCK 115T <br />1 UUILUInG VL\M1S <br />3 RRI HYDHANT <br />i HHtPHO7fCTION5YS1fM1t <br />5 GHApIrvC I XCnVn110N d LLURDf r,pUIiBINL <br />� ouni�:nGt A <br />7 FNVINOrvn�tNiM IMCACT STMEMENT <br />8 HlAl7M UISIWQ <br />hPPI IUIiUti nCf ❑Y P;AhS CM(CKlU li1 <br />7i� <br />= /'r! <br />FEE <br />sl �S� <br />Nf nR YAHD S[ i0A( 1: <br />VAUNI SI7L <br />❑VLS �'NO <br />NO pf DWfLIING UNI�S <br />n1A% OCC LOAD <br />IINf SPHINKI[ftS <br />NIc2UINkD <br />�.-7Vf 5 CNl) <br />!Y DATE <br />APPR FOR ISSUANCE BY <br />��,G <br />I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO 8E TRUE ANO CCRRECT 4LL <br />PROVISIONS OF LAWS AND GRDINANCES GOVERNING THIS TYPE <br />OF WORK WILI dE COMPLIED WITFI WHETHER SPECIFIED HEREIN <br />OR NOT THE GRANTINC OF A PERMIT DOE$ NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OiHER STATE OR LOCAL LAW REGULATING CO�!STRUCTION <br />OR THL PEHFORM�NCE OF CONSTRUCTION. <br />SICNAiURE Oi CONiR�CTOR OR AUTMORIZFD ALENT DATE <br />x ,C'-!�z��.� �/J, �v�-2� %� f ly /:5�� <br />MECNANICAL <br />NO. TYPE OF EQUIPMENT FEE <br />AIN COhO l,'NIiS-11 N U <br />dEiHIGlNATIONUNIT$—FIPFA • <br />1301URS—NP FA <br />CASFIN[ A� UNI15—IONNAGEEA <br />fONCIDA1851iiEMi—IiTJ MF� <br />\\'ALl Ilf A7[HS—II i U M <br />UNI1 Hf AilHS—O I J M <br />LA'APURAI IVL COOLf RS <br />VL N11LA I IUN I AN <br />HANGf HOOD <br />Alp 11ANDI.ING UNIi— C F A1 <br />:�OVF <br />n1F1Al fIRFPLACf R CHI��1N[V <br />TOTAL s <br />�IT 5 <br />TOTALFEE 5 <br />PUv UIICA NU.ti�f�lR PUN CMECK FE[ <br />FEE � RKEIPT NO. <br />FE[5 <br />IIUIIUINL % <br />Iq UI.IBING <br />M[CHnNIUL <br />orr�tu <br />Nir:nii� unc <br />SEC JO)(a) <br />TOTAI <br />.� <br />YlYMIT VAlIOATIOd <br />VM[N PNOPERLY VALII�ATf U pN 1 HIS SPACC) TMIS IS YOUH PFRblii <br />