Laserfiche WebLink
I ��-� �F i evere I <br /> ev�rett PERMIT � <br /> :'�fv N<tt 15i?E3 <br /> _:i�iiT.N�SMiriG':L': <br /> IBdPI <br /> , �"' OGEVEL01vEl� BL'ILDING MECHANICAL PLUMBING �,� <br /> OWNER �y�.�T MAILA�ORESS ZIP PHONE I <br /> ..,M1.L���p`�' li J*�����1.�'J ��..,....=y <br /> { J_'1�.:..' �{�i(•: <br /> ARCHITECTOR�ESIGNER MAILADDPESS PHONE LICENSENO. <br /> GENERAL CONTRACTOR MAIL ADOFESS PNONE ��CENSE NO. <br /> ,^'s�y �"Y , i'r:"". C�. <br /> MECHANICALCONTflACTOR MAILA�DFESS PHONE LICENSENO. <br /> PLUM0ING CONTRACTOF MAIL ADDRE55 PMONE LICENSE NO. � <br /> W <br /> m <br /> � <br /> PEPMIT CLASS OF WORK � <br /> Z � <br /> �BUILDING ❑ PLUMBING �MECHANICAL F- <br /> ❑NEW ❑ADOITION ❑AITERATION ❑REPAIR � <br /> VALSATIFJ�N.�F7NORK �DEMOIISH �PENCE ❑SIGN ❑S�NIMMING POOL a <br /> J_�J�4V <br /> OESCRIBE WOPK (� �} <br /> {„�:ti_i�'y��.�'.• �jV'7 T��`i. .c.t� .:•.��. .�..�., /�O <br /> PROPOSED USE MECHANICAL <br /> �EGAL DESCRIPTION OF PROPERTV ISHOW BELOW OR ATTACH TVPE OF FUEL �OIL �GAns. �LPG. �ELEC. <br /> � FOUR COPIESI <br /> LOT B�OCK—OF NO. TYPE OF EDUIPMENT FEE <br /> AIR CON�. UNITS-H.P. EA. 4 I <br /> REFRIGERATION UNITS-H.P. EA. <br /> HOILERS-N.P. EA. I <br /> GAS FIRED A.C. UNITS-TONNAGE EA. <br /> I FOR^,EJ AIR SVSTEMS-9.T.U. M EA. I <br /> JOB ADORE55 �� ' � ` WALL HEATERS-B.T,U. M <br /> UNIT MEATERS-B.T.U. M I <br /> [V APORATI V E COO LE(iS <br /> PLUMBING C�OTHESDPVEflS I I <br /> VENTILATiON FAN <br /> RANGEHOOO I <br /> NO. TVPE OF FIXTUflE OR ITEM FEE AIR HAND�ING UNIT- C.F.M. <br /> WATEFCLOSETITOILETI � 5 �NCINERATOR I <br /> 00.THTUli <br /> I_AVATORV�WASH BASIN� I <br /> SHOWER <br /> KITCHEN SINK & DISP. $UB TOTAL $ � <br /> DISHWASHER PERMIT 5 <br /> LAUNDq`/ TRAV 70TAL FEE 5 � <br /> CLOTHES WASHER _ 7HIS PERMIT BECOMF.S NULL AND VOID IF WOFK OR CONSTRUC� <br /> WATER NEATER_ _ TION AVTHOPIZED IS NOT COMPdEFlCED WITHIN 120 OAVS, OR IF <br /> URINAL CONSTRVCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br /> DRINKING FUUNTlUN PERIOD OF 120 UAVS AT AN� TIME AFTER WI�RK IS CONMENCED. <br /> FLOOR-SIN�. OR DRAI'J I HEREDY CERTIFV THA1' I HAVE FEAD ANO EXAMINEO THIS AP� <br /> VACUUM �REAKER� � P��CATIDN ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> FOOF DRAINS-RAINLEAOERS PFlOVISIONS OF LAN'S AN� OROINANCES GOVERNING THIS TVPE <br /> OF WORK WILL BE CU�dPLIED VJITH lh'HETHER SPECIFIEC HEREIN <br /> SWK (SERVICE-BAR, ETC.) Oii NOT, THE GRANTING OF A PEFiM1T OOES NOT Pii[SUME TO <br /> GIVE AUTHORITV TO VIOIATE OR CANCEL THE PROVISIONS OF <br /> ANV OTHER STATE _^R LOCAL LO.W RE�ULATING CONSTFUCTION <br /> OP THE PEflFORMANCF. OF CONSTRUCTION. <br /> SUBTOTAL <br /> PEPMIT 5 <br /> TOTALFEE $ <br /> — x ': t�:�.c* � 61* /7G <br /> SIGNATUREOFCONTRACTORORAUTM.AGENT �ATE <br /> ISIDE VARU SETBACK STREET SETDACK REAR YAqD5ET0ACY. PLAN CHE�^.K NUM�ER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> VSE 20NE LOT AHEA VACANT SITE <br /> � ❑YES ❑No FEES VALUA710N FEE <br /> TYPE OF CONST. OCCU�ANCY GROUP UNIOS OWEL�ING I <br /> I 512E OF BLDG. NO. OF STORIES MA%.OCG. LOAO BUILDING $ jv�W ��W� <br /> I <br /> PLUMOING � <br /> FIRE2ONL BASEMENT FIFESPRINKLERS <br /> RfOI'IRED <br /> ❑VES ❑NO IdEGHANICAL I <br /> I SPECIAL CONJITIONS: pTHER � <br /> I <br /> j — PENELTV SEC.703(e) I <br /> n.. �, ^ f ..J.' I•:�:l•:.T`.� <br /> � TOTAL �' � <br /> PERMIT VALIDATION <br /> I WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT <br /> I <br /> II <br /> AVVLICrlT10NACCEDTEDBY: PLANSMECREDBY: �PVqOVEpfO ISSUPNCE9Y. <br /> b, a. <br /> n <br />