Laserfiche WebLink
� rhe erer��rcen I <br /> ; ��r,� ��� CONSTR UCTi ION . everett � <br /> ' eVerQtt PERMIT <br /> � <br /> , ��,.„4<< ._ <br /> � IYlPEIi.W.$�li:�i�.1119 <br /> ���-��� � <br /> '°' °"°""'°„" gUILDING MECHANICAL PLUMBING <br /> OEV[IOF:(VI <br /> OWWER M/\IL nDDiE55 ZIP PH.O�tNCE� <br /> i ����-1 ��;f:�:�?�., i.'��:'+'�i�A/9 t•"t'Y�'�f� <br /> t,. i <br /> ARCHITECTOR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br /> GENERALCONTRACTOR MAILADDPESS PHONE LICENSENO. <br /> i.:'3.. .` ....o- .;en-.q.� ..,�.��'.L <br /> :� .. • w! <br /> MECHANICAL CONTRACTOF MqIL ADDRE55 PHONE LICENSE NO. <br /> � , <br /> I �LUMBIYG CONTRACTOfl MAIL ADpqE55 PHONE LICENSE NO. � <br /> I W <br /> m <br /> PEFMIT C1.A550f WORK � <br /> � <br /> ,_,/ z <br /> �DUILDING �PLUMOING �MECHANICAL <br /> . �NEW ❑ADDITION ❑ALTERATION ❑qEPAIR ~ <br /> VALUAI'ION pF WpRI� � <br /> fNYI•��� [[ <br /> 5 ❑DLMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL W <br /> DESCRIBE WORK �} <br /> - a <br /> � . . ' ..a .iPJ 1�� : .���► �� . . ��.�' ,.,.����.. LY� �1 <br /> PqC1PO5ED USE <br /> hIECHANICAL <br /> L[GA�OESCRIPTIONOFPROPEqTVISHOWgELOWORATTACH TYPEOF �UEL QpIL �Nl�T. �LPG. �ELEC. <br /> FOU P � GAS <br /> �'�� � '�,�.. w ��T':'�.�J.��II�3 lF.: E NO. TVPE OF EQUIPMENT <br /> LOT pLOCN__OF FEE <br /> AIR COND. UNIT$-H.P. EA. 5 I <br /> I --- REFRIGERATION UNITS-H.P: EA. <br /> — �OILEqS� II.P. EA � <br /> GAS FIRED A.C. UNITS-TONNAGE EA. <br /> FORCED AIR SYSTEMS-B.T.U. M EA. � <br /> J06 ADDRESS � f,�^� ���i _ WqLL HEATERS-B.T.U. M <br /> ~ UNIT HEATERS-�.T.U. M � <br /> PLUMBING __ evnvoan-rive coo�ens <br /> CLOTHES DFYEfi$ � <br /> VENTILAIION FAN <br /> RANGEMOOD � <br /> NO. TYPE OF FIXTURE OR ITEM FEE />IR HANDLING UNIT- C.F.M. <br /> WATER CLOSET(TOILET) 5 �NCINERATOR � <br /> �ATHTUB <br /> _ LAVATORY(V/ASH BASIW � <br /> SHOVJEH <br /> KITCHENSINK& DISP. SUBTOTAL S <br /> DISHWASHER � <br /> LAUNORV TRAV — <br /> PERMIT q <br /> CLOTH[S WASHER -�—' TOTAL FEE $ � <br /> WATEfl HEMEF THIS PERMIT 9ECOMES NI�LL 11N� VqID IF WORK OR CONSTRUG <br /> — TION AUTFIOR12Ep IS NOT COMMENCED WITHIN 110 DAVS, OR IF <br /> UFINAL CONSTflUCTION Oq WORK IS SUSPENDED OP ApAN00NED FOH A <br /> DliIYYING FOUNTAIN PERIOD OF 120 DAVS AT l�NY TIME AFTER WOIiK IS COMNENCGD. <br /> I _ FLCOR-SINK OR DRAIN 1 HERE�Y CERTIFY TMAT I HAVE READ AND f%AMINED TNI; .�P <br /> Vl1CUUM (3qEAKERS PLICATION AND NNOW THE SAME TO�E TRUE AND COIiRECL ALL <br /> I HOGF DRAINS-flAWLEFDERS I PROVISIONS OF I.AWS AND OROWANCES GOVERNING THIS TYP@ <br /> OF WORK WILL BE COMPLIEO WIIH WHETHER SP[C�fIED h1EREIN i <br /> SINK (SERVICE-�AR, ETC.I OR NOT, THE GRl�NTING OF A PERMIT DOES NOT PqESUM11E TO <br /> I GIVE AUTHORRV TO VIOLATE OR CI�NCEI. THE PROV15101�'S OF <br /> ANV OTHER STATE OF LOCAL LAW REGULATING CIiNSTRUCTION <br /> I SU�TOTAL OP THE PERPOFMANCE OF CONST�UCTION. <br /> PERMIT 5 <br /> I TOTA�FEE 5 !-�/�r� <br /> x V/y-/ (( i <br /> SIGNATUREOFCONTRACTORORAUTH.AGENT DATE i <br /> I SIDE y�qD SET6ACK STREET Sµ�CK REAq V�t SETRl�CK P�AN CHECK NUMBER PI.AN CHECK FEE � <br /> I ( � 9�f� FEE �yt�.� qECLIPT NO. <br /> f 1 4il r��l� <br /> USE ZONE� LOT AFEA VACANT SIT�E[ GJJ ..+J <br /> �� ❑vES �JNO <br /> i FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPFNCV GFOUP NO.OF OWELLING <br /> I UNITS <br /> 1 <br /> � SIZEOF�LDG. NO.OFSTOiilES MA%.00QLOA.D �UILOING 5 �•l� �yIL�J <br /> I 4.�.�. I <br /> jFIHE ONE ❑ASEMENT RRESPRINKLERS PLUMBING � i <br /> � �$ HE�UIFED � — � <br /> GVES �NO �lECHANICAL � <br /> SPEC�AL CONOITIONS: � <br /> OTHEq I <br /> I <br /> PENELTv SEC.3071e1 I <br /> — � <br /> TOTAL y_�� I <br /> d�d <br /> PERMIT VALIDATION <br /> — WHEN PROPERIV VALiOATED UN THI55PACE1 THIS IS VOUR PERMIT I <br /> i <br /> M1PPLICATIOYACCEPiEOAV�. PLqN5O1ECNFDpV. AFPIIOVEOFOM1IS;�A�iCLUY <br /> 1 <br />