Laserfiche WebLink
fhe Etrrgreen <br />CI7Y Or` <br />everett <br />259-87'45 <br />� ('`�NSTRUCTIC�N ' <br />PER11�1�" <br />PERMIT NQ: _ � � � `� � <br />❑ DEMOLITIUN ❑ COMBINATION ❑ BUILDING C3tMECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNEfl MAILApDRE55 CITY ZIP PMONE <br />Luz T. bledina P.O. Box 949 Pacific Grove, CA 93950 <br />ARGHRECT OR OESIGNER MAIL AOORE55 CITT ZIP PMONE <br />GENERILCONTRACTOq MAILADOPE55 CITY ZIP FMONE LICENSI• <br />MECMANICA�GONTRACTOR MNILA�ORE55 CITY ZIF PHONE LICENSE� <br />owner <br />PWMBINGCONTPFCTOR MAILADORE55 CITV ZIP PMONE IICEM1SE• <br />❑ NCW ❑ ADDITION ❑ ALTERATION ❑ REPAIR G DEMOLITION <br />VALIlAT10N Of WOBK <br />$ <br />install wood burnin� stove <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTUVE ❑ OTF+CR <br />Single Pamily residence <br />LOT _ OLOCN _ <br />3728 Hoyt Ave. <br />PLUMBING <br />r.�s� <br />USE <br />OR <br />WATEfi CLOSET (TOILET) <br />BATHTUB <br />LAVATORV�WASH�ASIN) <br />SHO�YER <br />KITCHEN'.NK 8 DISP. <br />DISHwAS1iEP <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />Ur71NHL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />PACKFLOW PREVENTERS <br />ROOF ORAIM1S - RA�NLEADERS <br />SINK ISERVIC� - BAfl, ETC.� <br />SU9TOlAl <br />PEHMIT <br />TOTALFEE <br />TYPE OF CONST. <br />SiZEOFOLOG � NO <br />q�4�LIC4TIONACC f3v <br />S.H. <br />S <br />S <br />f <br />VACFNTSRE <br />❑VES ❑NO <br />(Ofl I;SWINCE bY <br />n BUILDING RELOCATION <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINFD THIS <br />APPLICATION AND KNOW 'fHE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED �NITH <br />WHETHER SPECiFIED HEREIN OR NOT. THE GRANTING Gi A <br />PERMIT DOES NOT PRESU'v1E TO GIVE .".UTHORITY TO <br />VIOL�'fE OR CANCEL THF PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PEREpFMAN�E OF M^�cTo�'CTION. <br />X /r <br />MECHANICAL <br />OfiOWNER DAtE <br />//-/7-�'% <br />TYPE OF EOUIPMENT <br />A/C — A/HNDLG UNITS — HP <br />REFPIGEFATION UNITS — H P. EA <br />901LER� — BT.U.iHP. <br />GASFIREDAC UNITS—BTL <br />FORCBD AIR SVSTEMS — BSL. h' EA. <br />WALLHF,4fERS—BT.II M <br />UN'�T HEATEHS — 8 T.0 M <br />EVAPC)RATIVL COCLEflS <br />CLOTHLSORVERS <br />VENTII_ATION PAN <br />RANGLHOOD <br />WATERHEATEC � <br />WOOU STOVE <br />METAL FIFEPLACE 8 CHIMNEY <br />FlREP�AC'n INSERT <br />!1EAT PUMP <br />GAC PIPING <br />EXIi�UST FAN <br />SUB TOTAL <br />PERMIT <br />TOTALFEE <br />PLAN CHECK NUMBEfl FEE <br />FEES VALU <br />6UILDING S <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />STATE �UILDING SURCHARG <br />STATEEN[RGV�URCHARGE <br />�RIVEWF'� PERMIT <br />Sec.304(e� <br />FtE <br />NO <br />FEE <br />TOTAL I I <br />f �HMIT VA�IDATION <br />WHEN PROPEFLY VALID�TED � W THIS iPAC[I TH1515 YOUF FERh1:T <br />:� : <br />�� <br />�n <br />� <br />r- <br />rn <br />�-- <br />