Laserfiche WebLink
e <br /> � 1/;r �r�rrcc•rrn � <br /> I =��, <�, CONSTRUCTION � everett <br /> i ever�tt PERMIT <br /> � ���,.,.:,_� z,�,E.� <br /> ; n-E,��r� .:...�„�v����. <br /> � <br /> °`�` °"°"'`: ,' BUILDING MECHANICAL PLUMBING <br /> oE�E«,-;. <br /> OWNEP MAILADOFESS ZiP FHONE <br /> i 's �.:�3'.'�.i�`:'. �� -�:i ;.�`..( _ .7,�'7�J� vJ��''�j <br /> .�RCHITECTORDESIGNFR MAILADORESS aHONE LICENSENO. I <br /> IGENERAL CONTRACTOF h1AIL A�DRE55 PHONE LICENSE NO. <br /> "; r � Z311t b7D"!� p'f.. �Y�'4732 223r03+1.�uF,r^. <br /> M[CHANICAL CONTftACTOR MAIL ADDFESS PHONE LICENSE NO. <br /> PLUMBINGCONTRACTOR M1IAILAC�RE55 PHONE LICENSENO. � <br /> W <br /> m <br /> PERMIT CLA55 OF WORK � <br /> � <br /> z <br /> �BU�LDING � PLUMBING �MECHANICAL <br /> ❑NEW ❑ADDITION �ALTFRATION ❑FEPl�IR ~ <br /> VnLUATION OF WORK � <br /> ��� ❑DC-GOLI511 � <br /> 5 ❑�eNce ❑sicN ❑swimr.iir�c roo� w <br /> --�-- � <br /> OESCfiIOCWORK �...' �?• f.�,.��-F� -- `�� <br /> ` V <br /> PFOPOSED USE <br /> MECHANICAL <br /> TrreorF�e� �i�i��Nn.. G�Pc. �e�ec. <br /> LHGAL CESCRiPTiON OF PROPERTY(SHOW BELOW OF ATTACH G115 <br /> LOTP ��'� � !r.n �I'i'�Z�.Al� �'Jt �. =NO. TVPE OF E�UIPMENT FEE <br /> I LOCK_OF u,e* qIRCCND.UNITS-H.P. EA. $ � <br /> REFRIGERATIONUNITS-H.P. EA. —� <br /> �ROI L E FS-H.R EA. � <br /> �GAS FIRED A.C. UNITS-TONNAGE EA. <br /> � _____ _ _ 1I FORCED AIR SYSTEMS-6.T.U. M EA. I <br /> JO� AODRE55 __I WALL HEATERS-B.T.U. M _L <br /> IZ"tl� �'C�,.�:�:f1 - � <br /> I UNIT HEATERS-B.T.U. M I <br /> � EVl�POHATIVECOOLERS <br /> PLUMBING -- <br /> GLOTHESDRYEFS � <br /> VENTILATIONFAN <br /> Rl�NGE HOOD � <br /> MO. TVPE OF FIXTURE OR ITEM FEE A�A ���+NOLING UNIT— QF.M. <br /> WATER ClOSET ITOILETI 5 INCINEflATOR � <br /> �ATHTU� <br /> LAVATORY (WASH pASIN) � <br /> SHOWER <br /> KITCNEN SINK& OISP. SUB TOTAL 5 � <br /> DIShIWASHEH PERMIT $ <br /> LAUNORI' TFAV <br /> CLOTHES WASMER —�— TOTAL FEE 5 � <br /> TMIS PERMIT OECOMES NULL ANO VOID IF WOFY. OR CONSTRUG <br /> _ WATER HEATER TION AUTHO(iIZED IS NOT COh1MENCED WITHIN 120 UAYS, OR IP <br /> URINAL CONSTRUCTION OR WORK IS SUSP[N�ED OR ABANDONED FUR A <br /> DRINKING FOUNTAIN PER10� OF 720 DAYS AT ANV TIME AFTER WOftK IS COMMENCED. <br /> FLOOFi-SINK OR DFAIN �— I HEftEB" CEFTIFV THAT I Hl1VE READ AND E%AMWED THIS 11P� <br /> VACUUM OREAKERS PLICATION ANO KNOW TH[SAME TO U[TRVE AN�COFiRECT. ALL <br /> ROOF DRAINS-qAINLEADE(i5 �' PROVi51pN5 OF LAWS ANO OROINANCES GOVERNING THIi TYPE <br /> OF WORK WILL BE COMPLIED NJITH WNETHEfl SFECIf-IED HEPEIN <br /> SINK ISERVICE-DAR, ETC.) OR NOT, TNE GflANTING OF A PEHMIT DO[5 NOT PFESUME TO <br /> GIVE AUTHOPITv TO VIOLATE OR Cl�NCEL THE PqOVI510N5 OF <br /> ANY OTHEF ;TATC pR LOCAL LAW REGVLATIIVG CONST(iUCTION <br /> OR THE PERFOfiMANCE OF CONSTRUCTION. <br /> SVBTOTAL <br /> PERMIT S <br /> TOTALFEE 5 ,'j�n <br /> x Yf iJ� <br /> SIGNATUREOFCONTF�ICTORORAUTH.AGENT �ATE <br /> SIDE YAR�SETDACK STflEET SET�ACK NEqR YARDSETBACK PLAN CHECK NUM�EF PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AflEA VACANT SITE i <br /> ❑vEs ❑No FEES VALUATION FEE <br /> "fVPE OF CONST. UCCUPoONCV GFOUP NO.OF DWELLING �— <br /> UNITS � <br /> 51LE OF 9LDG. NO. OF STOFIES MAX.00Q LOAO BUILDING 5 '�D�(� � � <br /> I PLUM�ING I <br /> PIR[ 20NE pASEMENT qRESPRINKLERS � i <br /> i RF.aUIRE� � <br /> ❑YES ❑NO MECHANICAL � <br /> I SPECIALCONDITIONS: —J <br /> OTHEP � <br /> � � <br /> I � <br /> — PENELT� SEC.30](al I <br /> TOTAL +� � <br /> - � <br /> PERMIT VALIDATION <br /> IINHEN PflOP[fiLY VALIDl�TED(IN iHIS SPqCEi THIS IS YOUfl PERMIT <br /> /�PpL+4T�.iFCCfPifOL'V �LANSTM. C•V. AVPPOVEOFO.(lISS:RNCE�Y <br /> I 4 � R C <br /> i <br /> _ ' i <br />