Laserfiche WebLink
` -• h1A1L ADDlIESS_.. ... ._._.. .... .21P _ PIIONE <br />OWNER 90290 334-3547 <br />�. 1:.a,-. ? itinoguo 2730 COiUiCr Road <br />K3o ��!'M <br />ARCH.-- CT OR DESIGNEC MAIL AODR ESS - - PHONE LICENSE NO. <br />S <br />\ <br />GENERAL CONTRACTOR 'MAIL -ADDRESS PHONE ;LICENSE NO. <br />- <br />z <br />(_ <br />_.. <br />MAIL ADDRESS PHONE LICENSE NO. <br />W <br />M F.CHANICAL CONTRACTOR <br />fWi'I <br />CONTRACTOR -•-- - - IL ADDRESS PHONE LICENSE NO. <br />PLUMFING MA <br />C11 <br />PERMIT -- - --' ,. _. .. . <br />CLASS OF WORK .. .. <br />❑qCOMBINATIOI''N <br />[DUILDING_ QHILUMBING ❑MECHANICAL <br />❑NEW []ADDITION ❑ALTERATION ❑REPAIR <br />, <br />VALUATION OF WORK ❑DEMOLISH ❑FENCE ❑SIGN QSWININIING POOL <br />, <br />.. <br />._ •,. <br />DESCRIBEWORK-.._•.. .. ... .., _. <br />20' s 20': additicit and zeaids <br />-- <br />PROPOSED USE _---,._. __ -.... ------• - <br />sinyla family residence <br />MECHANICAL" <br />_ TYPE <br />OF PROPERTY (SHOW BELOW OR ATTACH. <br />oF.ENERGY. ELEC. '- --' <br />: - `❑GAS - ❑ <br />NO. <br />TYPE OF EQUIPMENT <br />FEE -- <br />LEGAL- DESCRIPTION <br />FOl1�Cpp=ESJJ 827 ':' Everett DiV13i0n Il <br />1t <br />- <br />AIR COND. UNITS-H.P. EA. <br />S i <br />LpTT!! 11i3.. <br />BLOCK --OF <br />REFRIGERATION UNITS-H.P. EA. <br />_ - - <br />BOILERS-H.P: EA. <br />- -- <br />'FORCED AIR SYSTEMS-B.T.U. MEA. <br />_ <br />_ <br />1 <br />- <br />SPACE.& WALL: HEATERS - B.T.U. <br />JOB ADDRESS <br />. 3421 t=S W'1 <br />UNIT'HEATERS-B.T.U. <br />I --- <br />EVAPORATIVE COOLS RS <br />- - <br />CLOTHES DRYERS • <br />U <br />.." _. _. ..-... _..r_-....�...____ .._. _... __."...... <br />' PLUMBING' - <br />- .. <br />.. <br />VENTILATION FAN <br />- _ <br />._ <br />- <br />1. <br />RANGE.HODO <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />_ <br />AIR HANDLING UNIT- C.F.M. <br />NO. <br />S <br />T---1--� <br />BATH TUBS A S -- <br />CLOTHES WASHER <br />I <br />- <br />WATER HEATER--------- <br />1- <br />FAC. BUILT FIREPLACE & CHIMNEY <br />DISH WASHERS - --- <br />' <br />I <br />GAS. SYSTEM: NO OP OUTLETS = <br />DRINKING FOUNTAINS <br />' <br />SUBTOTAL S <br />" I <br />' FLOOR DRAINS <br />PERMIT $ <br />- <br />KITCHEN SINKS &- I .r <br />1 <br />TOTAL FEE S 1 Do <br />- <br />_ <br />' <br />BAR SINKS' """ '_"�•--- <br />THIS PERMIT BECOMES NULL AND VOID WORK <br />ROOF -DRAINS - RAIN LEADERS -. <br />- SHOWER BATHS - <br />0 AYS..00ONUTRU". <br />W R IF <br />AUTHORIZED NOT COMMENCED WITHIN AND D <br />SERVICE SINKS ' � <br />ED F <br />CONSTRUCTION OR 'WORK IS SUSPENDED OR ABANDONED FOR A <br />CON 'W <br />SUMPS -SEWAGE PUMP <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK ISCOMMENCED. <br />URINALS' "" '- <br />1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED -THIS AP-: <br />WATER CLOSETS <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />WATER HEAT ERS -ELECTRIC <br />PROVISIONS <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />WASH BASINS ' <br />--' <br />OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />"LAUN RY TRPITS <br />- <br />GIVE <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />_ 1 <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />- <br />- •' SUB TOTAL <br />1/30/79 <br />- _. .. PERMIT S <br />X .. <br />T <br />_ <br />- -- - BLDG. SUPPLY SIZE • <br />SIGNATURE OF CON RACTOR OR AUTH. AGENT GATE <br />WATER SERVICE SIZE <br />STREET SkTB�; REAR YZAO <br />PLAN CHECK NUMBER PLAN CHECK FEE <br />I <br />BIDE YARD SE6T. ACK {OCSETBAC <br />,• <br />FEE RECEI <br />79/ist 22.Qo gt1�i7 <br />I <br />USE ZONE LOT AREA VACANTSITE <br />.R 1 U57S 543• '❑YES •.QIVG <br />.. <br />- <br />FEES <br />VALUATION FEE <br />TYPE OF CONST. OCCUPANCY GROUP, 140. OF DWELLING <br />.. <br />,'max - 1.:;., %3 ".. <br />S 6I�Q.00 1 00 <br />SIZE�O�O� NO. OF STO iES MA%. OCC. LOAD <br />BUILDING <br />`61 <br />OO <br />PLUMBI' <br />IR ZONE BASEMENT FIRESPRINKLERS <br />REQUIRED Z][ <br />1 ' <br />MECHANICAL <br />3 AYES O <br />I <br />•_ <br />SPECIAL CONDITIONS <br />OTHER <br />1 <br />PENALTY <br />SEC. 30310) <br />SQO <br />t <br />TOTAL <br />I <br />0 <br />I <br />:=n <br />