Laserfiche WebLink
j U�c Evcrnrcen I <br /> _��. �� CONSTRUCTION everett j <br /> ' everett PERMIT � <br /> GiV 1�All ]�ooq.i <br /> NEF[ii d:Sn.AGiPY <br /> 9ildl <br /> °�°' °`°�''':�"„° gUILDING MECHANICAL PLUMBING <br /> I ��:E,�,o„E�,. _ <br /> OWNEH MAI�ADDFE55 ZIP PMONE <br /> � .t�.,� .. . . 't'1-"''.��'i <br /> ARCHITECT OR DESIGNER MAIL ADOFE55 PI10NE LICENSE NO. <br /> GENERAL CONTRACTOR MAIL ADDFE55 PHONE LICENSE NJ. <br /> .r�. <br /> IdECMANICAL CONTRACTOfl MAIL FDDRES$ PHONE LICENSE NO. <br /> � <br /> PLUMBING CONTf1ACTOR MAIL ADDFE55 PHONE LICENSF. NO. w <br /> m <br /> � <br /> PERMIT CLASS OF WOPK � <br /> z <br /> I Q6UIlDING ❑PLUM8ING �MECHANICAL `� F <br /> ❑NEW "C.JA001TIDN ❑ALTERATION ❑REPAIR � <br /> VALUATION O�Ff MWOR��, � <br /> �y-���,1J ❑OEMOLISH ❑FENCE ❑SIGN ❑SWiMMING POOL W <br /> 5 n(�a <br /> oEscRioEwor��: _ _ . .,_ . �1VV <br /> PROPOSEO USE MECHANICAL <br /> I _ T'IPEOFFUEL �UiL �NAT. �LPG. (�ELEC. <br /> L[GAL DESCFIPTIOfi OF PROPERTV (SHOC:il[LOW OH �tTTACH G�� <br /> FOUF.C�QPI � _ . - <br /> LOT �'f LOCK_OF ' �"'� "'' ��'�� � NO. TVPE OF EDUIPMEN7 FEE <br /> AIR CONO. UNITS-H.P. EA. 5 � <br /> REFRIGERATION UNITS-H.P. EA. <br /> BOILERS-H.P. EA. I <br /> GFS FIflED A.C. UhITS-TONNAGE EA. <br /> FORCED AIR SYSTEMS-B.T.U. M EA. I <br /> JOR ADDRLSS ,�ry��� .� . - ':T WALL 6cATCRS-�.T.U. M <br /> VNIT HEATERS-6.T.U. M � <br /> EVAPOFATIVECOOLEftS <br /> ( PLUMBING CLOTHESDRVERS I <br /> iVENTIIATICN F�.N � <br /> I fll�NGE HOOD � <br /> � NO. NPE OF FIX7URE OR ITEM FEE �+IF HNNDLING UNIT- C.F.M. <br /> WATER CIOSET (TOILET) § INCWERATOR � . <br /> ❑ATHTU(3 <br /> LAVATORVIWASH�ASIN) � <br /> SHOWEP { - <br /> I - KITCHEN SINK& DISP. SUB TOTAL S I � <br /> DISHWASHER PEPMIT $ �— <br /> �AUNDpV TflAV TOTAL FEE 5 I <br /> CLOTHES WASHER TNIS PEqMIT BECOMES NVLL ANO VOID IF VlORK OP CONSTRVC <br /> _ WAT[F HE/ITER � TION AUTNORIZED IS NOT COMMENCEO WIThIIN 120 DAVS, OR IF <br /> URiNAL CONSTRUCTION OR WORK IS SUSPENDED OR AAANOONED FOR !� <br /> �FINKING FOUMAIN PERIOD OF 120 �AVS AT ANV TIME AFT[fl WORK ISCOMMCNCC[J. <br /> FLOOR-SINK OR GRAIN I HEREGV CERTIFV THAT I HAVE READ ANp EXAMWED THIS AP- <br /> VACUUM �REAKEFS PLICATION ANO KNOW THE SAME TO BE TRUE AND CORR[CT. ALL <br /> PROVISIONS OF LAWS AND OPDIP'ANCES GOVERNING TNIS TYPE <br /> ROOF DRAINS-flAINLEADER$ pf- WORK WILL OE COAIPLIE� WITN WHETHER SPEGFIED HEflE1N <br /> SINK ISERVICE-BAFl, ETC.) Ofi NOT. THE GPANTING OF A PEfiMIT pOES NOT PR[SUME TO <br /> GNE AUTHORITV TO VIOLAT[ OR CANC@L THE PFOVISIONS OF <br /> ANV OTHLR STqTE OR LOCAL LAW flEGULATING CONSTRUCTION <br /> Ofl THE PERFOftMANCE OF CONSTRUCTION. <br /> SUOTOTAL <br /> PERMIT S <br /> TOTAL FEE 5 ���,P <br /> x L <br /> SIGNATUREOFCONTPACTORORAU�N.AGENT DATE <br /> SIUE VARO SETft/aCK STR[ET SET6ACK RLAR YAHDSET6ACK PLAN CHECK NUMFIER PLAN CHECK FEE <br /> II <br /> FEE RLCEIPT NO. <br /> USE 20NE LOT AREA VACANT SITE <br /> ❑YEs ❑No FEES VALUATION FEE <br /> I TVPE OF CONST. OCCUPANCY GftOUP NO.OF OWELLING � <br /> UNITS �+ <br /> SIZE OF BLDG. NO.OF STORIES IdAX.OCC. LOA� �UILDING 5 �W 7 jw <br /> PLUMBING � <br /> FIRE 20NE BASEMENi FIRESPRINKLERS � <br /> RCaUIRED <br /> ❑VES ❑NO MECHANICAL I <br /> SPECIAL CONDITIONS: OTHEfl ( <br /> I <br /> PIdNELTY S[C. 308101 � <br /> -- I _ <br /> TOTAL JI� <br /> PEflMIT VALIDATION <br /> WH[N PROPLRI_V Vl�LIDATGD IiN THIS SPAC[)THIS B YOUR P[RMIT <br /> I <br /> I <br /> NVII�AIWI::-f[f✓1![lUt �IqN5C11ECKEUOC RPFqOVCDFOOI55UPNCCOY <br /> � ,.. �:. Is. c. 3• �. ::. '• <br /> �' � <br /> I �; <br />