Laserfiche WebLink
!he F_vcrqiccn <br />CI1Y OI' <br />everett <br />[ilY IIAII 1599Bfl5 <br />NM[�1, 1445111NGilIY <br />?B}pl <br />L�Iq pf fOM1IMUNIIY <br />mv[�orM�xi <br />INE li <br />A'`.'k]f.D ZE`i�i'LI: <br />xrn �.��+�x <br />� <br />BUILDING <br />❑ IlU1LDING �] PLUMOING [� �1ECHANICAL <br />JALUATION OF WORK <br />� �eaenirnOrv OF PpONERTv IS <br />FOV R COPIESI <br />LOT BLOCK _ Of- <br />JOB ADDRE: <br />PLUMBING <br />A <br />L Y . Ir <br />li UqAIN <br />KERS <br />�RAINLEAOEfiS <br />-OAR, ETC.) <br />ET SE <br />SPECIAI CONDITIONS: <br />CUNSTRUCTION <br />PERMIT <br />MECHANICAL PLUMBING <br />�EW ❑qOO1TION ❑/�LTEl7ATION ❑RFPAIR <br />❑DBMOLISH ❑FENCE ❑SIGN ❑SWIAIMI4G POOL <br />TTACH <br />MECHANICAL <br />■� <br />NO. TVPE OF E�UIPMENT <br />AIR COND. UNITS-Ii.P. EA. <br />fiEFRIGERATION VNITS-H.P. EA. <br />f301LEfiS-H.P. LA. <br />GAS FIRED A.0 UNITS-TONNAGE El <br />I FORCED AIR SVSTEMS-O.T.U. M EA. <br />1lVALL NEATERS-B.T.U. M <br />I UNIT HEATERS-9.T.U. M <br />LVAVORATIVECOpLERS <br />CI.OTHLS DRYERS <br />VENTILFTION fAN <br />RANGEHOOD <br />AIR HANDLING VNIT- Qf.M, <br />INCINERATOR <br />everett <br />�:i.+-i� <br />� <br />W <br />m <br />� <br />� <br />Z <br />H <br />a <br />248 <br />I SUB TOTAL 5 j <br />PERMIT 5 <br />TOTALFEE $ � <br />THIS PERMIT BECOMES NVLL AND VOID IF WORK OR CONSTRUC� <br />TION AUTNOFIZED IS NOT GOMh1ENCED WITHIN 120 DAVS, OR IF <br />CONSTFUCTION ON WORK IS SUSPENDED OR A�ANDONLD FOq A <br />PERIOD OF 120 DAVS AT ANY TIME AFTER WORK ISCOMMENCED. <br />I HEREAV CERTIFV THAT I HAVF. FEAD AND EYAMINED THIS AP� <br />PLICATION AND KNOW THE SAME TO !tE TRUE AND CORRECT. ALL <br />PROVISIOqS OF LAWp qND OR�INl1NCES GOVEFNING THIS TYPE <br />OF WORI: WILL DE COAIPUED WITH WHETHER SPECIFIEO HEREIN <br />OF hOT, THE GRI,NTING OF l� PEFMIT DOES NOT PRESUME TO <br />GIVE AUT1�C qITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANV OTHER 'TATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OfiTHEPERFORMANCEOP CONSTRUCTION. <br />SIGNATUREOFCOMTRAC�ORORAUTM.FGENT DATE <br />cAR VARDSET�ACK PLAN CHECK NUAIBER P�.qN CHECK FEE <br />FEE RECEIPT NO. <br />ArqNT $ITE <br />iJ�. Es ❑No FEES VALUATION FEE <br />. OCC. LOAD DUII.DING I 5 i <br />PLUM8ING A <br />'SPR�NKLERS L <br />UIRED � <br />YE: [I�'O MECHA�LCAL � <br />_ �" I <br />OTHER � <br />— I <br />T <br />' PENELTY SEC.3031a1 I <br />TOTAL 23 � <br />PERMIT VALIDATION <br />LYHEN PFiOPEqLV VALIDATEO IIN T11IS SPpCE1 T1115 IS YpUFi PE RMIi <br />� �� <br />3 <br />