|
Ae• P�_ACATI�N FQR e,�
<br /> 1n�Everyrsen ���y S-��� �T�O f`+I
<br /> Grv 0�
<br /> �everett PERNIIT
<br /> BUILDING DEPARTMENT
<br /> 259-BBIO TO BE COMPL'cTEU IN ItJK • PLEASE FRIN�f
<br /> ❑ DEMOLITION ❑ COMOINATION D4 BUILDING ❑ MECHAN!CAL ❑ PLUMBING ❑ SIGN
<br /> rnei�eonr¢ss crtv �n. rva��n
<br /> O'M1NCN •_7.� �' /
<br /> �' L�v,�/ z�e��� Jnae - �Yr.�f,� i�:� .<.i -� �a �,�z� --
<br /> � i � : �����,��
<br /> :i�uurtc�ono��smuea m•n.00ness
<br /> _�A.v� --
<br /> cu�Ene�cornnnc�on ra�rt.nnnEss un tii� euurn i.iurr.� .
<br /> �e�-�� /ar� �N.S,-- �-��r.= ,�s /T.,,/, ecni ,/.aaEc�r�.s,,
<br /> rntb��rnf,4coNln�c10N rd�it�l)Ont55 C�Iv Z�r �`��Oq[ lict�P.l .
<br /> r��'] _ �
<br /> '��� CItY Z�1' ���Vnl ��liri" .
<br /> li �"" JLI�lIp�11�iC0111[�RLI()R IARILApU11C5$
<br /> 9 H V=
<br /> t" � �'_�'l ''t�.� ,ti� �?r iHL;i,V! _ —
<br /> H �3 n.ss or mo�.
<br /> H �
<br /> Ffi O � NEW ❑ �DD�TIO�J ❑ ALTERAiIpN ❑ ��EPAIR ❑ DEIdOLI71GN ❑ �YOOUSTOV[fFRPL.WSEfiT BUII,DING REL(JC'��'�_'rl_
<br /> O Cr'7 O w�u��u n� woa�mosi nr r.�en mcr' .m:unqm
<br /> '�] H'+1 � 3�.0 __
<br /> fn H J
<br /> [I[SCPIBC Ilw
<br /> � � /.
<br /> o C c�u�—r�,�r l/�,�v �-��r�,r .J7��'r�-x —
<br /> y C7 nsc u�ew�mnc I IIERF.B1' CER'i�FV TNAT I HAVE READ AND EXPI.IWED 1'lli5 Ap�
<br /> � Oty l�`V�A,�I,<' C��CC- P7Fn 1L��7N �R�FAIi�U PLICATIONANDKNOWTHESAMETOB[iRUEANDCORt7LGi ALI
<br /> HC+JG iTnuorsc��nno��o�nnantm��srowr�nriowon�� �a�iou�corir,i pqpVISIONSOPLAWSANDORD�NANCESGOV[PNItJGTH151vFG
<br /> 47� O�"' s - OFWORKWILLBECOA9PLElEDWITHVJHE711[(1SP[CIFIEUIiF.�.RE�
<br /> z H 3 inr�aioc�—o� �rMc��A�T- /'rn,�7�-` - - IN OR NOT 7HE GRANIING OF A PERt.7R DOES NOT P!lF_£UI,�C 70
<br /> � y�_.� GIVE AUT�'ORITY TO VIOLATE OR CANCEL 1h1E PROVISIOFIS OF
<br /> -It / ANv OTH[R S7ATE OR LOCAL LAW REGULATING CO�ISTRUC110�7
<br /> C H'z-] � OR THE PERFORMAWCE OF CONS7RUCTION.
<br /> Oy H S�GHatun[lLrprlrna�iGRonaUR�OR4rp:oEH1 P.�tE
<br /> � d� � �
<br /> X l �� ���-
<br /> `�� , �.`"'�'`-�-1�=;,ss_-�;, �-�_ �s,=—
<br /> � 1'�� �q10J(Cf�O:.PC:S 1� � If�,V ^. �q(":1�� t
<br /> H U rn .—
<br /> =�=s�.�_ � U = e`.c" ' l t�(v`L —
<br /> PLUMBING MECHANICAL
<br /> NO. TYAE OF FIXTU�7E OR ITEM FEE _ NO. TYPE OF EOUIPMENT ���—FE�E. 777��""��''
<br /> !
<br /> WnTERClOSETITUILEII �� �.f,-AdrtIUIGUNIT$-HP _ �
<br /> -� OATMTUD � �". PEfO1REPAiIONUNliS-HP [A
<br /> A_ LAVAiOnYIW4S11pA$:NI O �.:� �OILLf1$-�TU/HP
<br /> ���Tm —j� $HOWEfI [�Vl/� i G' _� / '' � �. . G�iFIREOAG UNITS-BTU _ _�
<br /> ��! � — fORCEDn!RSr51E1.4-OiU ���EA _.
<br /> � KITC��EN$INK 6 OISP _ �
<br /> � OISIiwASi�EP � � w�Ll��fnt[PS-OTU. �� _ _
<br /> ^ LAU��ORY 1RAv U��If 1?Ai[f1 i-Fl i U �•� _
<br /> ��- ,,.;! �� CIOTNES WASHEl1 HVA4'O�AiIVE GOOLER$ _
<br /> URINAL CIOtHESO��ER$
<br /> ��
<br /> O�INNING�OUNTAIN L' UENiII�TIDNFAN
<br /> � p F�00���AIN MNGE 1100� ,� i
<br /> ��� ` �
<br /> �� `"� O�CNFLOW Pf1EVEt1TEq5 `�_ WA1��MEAi[R
<br /> ,' �OOfpRnRlS-fiNNLCAOCn$ _ wOOD510VE _ � � �•-�-J�
<br /> S:^+K�SHRVIC,E-��n,ETf� / MLTPL FIPFPLACE S C1UA1NEv ) �I
<br /> �V�� �' iIREPV�CE INSERT _ _
<br /> n �1FAf f'UMP
<br /> GAS f'IPING
<br /> — ENHAUSTiAN
<br /> suoTore� s
<br /> � _ 5UBTOUL L�
<br /> cenMir
<br /> ¢a venwir s _ __ - r
<br /> � � ' TOTALFEE f � TOTAVEE s _
<br /> ' � "+� nECE1PT NO
<br /> �npq�SE���Cn �A.�fllllplf.M '�d[1FSCf0Afq
<br /> � PLAN GI�Ef.h JUM�Efi FEE /p_ �
<br /> 1� ' �o � .�kt_T' -� a � r-=� /�1-' S_ S�' ���rJ,�i .�. Zc/�'u�' / �
<br /> . . ustrnue �u�euu :mrnutva FEES VALUA?ION FEE
<br /> ,_ ��i /i �0 'X\'l; �tr�o '"� � /^
<br /> �� � '
<br /> �.- fi111L01NG $ �S'3'�.✓ (
<br /> IVfE01 LOV51 OCL 14NCYGROUP�J '; NO UI pWlLL1YGUN11'i J /
<br /> /; !' N ' �' Z PLUM�ING L �� `l�`�j
<br /> .•na � MC, .�'m-,u[./-ia .t� _
<br /> y¢t ur otna� r�u oi L�OmE9 M�K occ ioeo �— � i�'y1�
<br /> / �yI ) yI/ MECNIFIICAL � � I !
<br /> �JZ klvU !� H _ Cc' �r-�
<br /> on�rn �
<br /> ' !iRE SPHINKLERS REOU�RE� ❑YES NO .��- 1��
<br /> �__ STAfE�UILDWGSURCHARGE
<br /> STnTE E��ERGV SURCHnRGE r �� �1
<br /> ..���i��.:.n��r�•:�.cnr �rinu;cucr,xmnv errnrnni.s�i•Ncr.nr /� r-�I\
<br /> PUBLIC WORNS �/ Z � �
<br /> .. _--. �>- � TOTAI
<br /> ^� :� �
<br /> �i �� C�C..
<br /> y�,l� r�� _ -, . �, _,�� _ � ,
<br /> � .,
<br /> -�- �-- --
<br /> -----_ _-��--- .
<br /> PROPf.f17 V OWNFRS Afl[R[S°ONfIPL[fOR DETEP�.IINING FLL
<br /> Pii01'f_11iV UN[LOC���CHS A1Jp RfLP�CD L�SEM1'E��15
<br /> �
<br /> M
<br />
|