Laserfiche WebLink
. <br /> � the fverg�cen , <br /> I =�TYo� � CONSTI�UCTIOPV �verett ' <br /> ; €�Nerett PERMIT <br /> Ci1Y NA'.l ]W BFA' I I <br /> [VFPti[ .:ASY�iIlfiOt � <br /> ?3)JI <br /> °`°, °"°":"'""" BUILDING MECHANICAL � PLUMBING <br /> aE<<«o�,��r _ � <br /> OW�VER h1l�IL ADDRI_SS ZIP PHONE <br /> �1 ��.F'T.R I�. A�OfII$ <br /> ARCHITLCTOf. DE51G'.I@R MAILADDRE55 PHONE LICENSENO. <br /> GENEFALCONTR4CTOfl MAILADDRESS PHONE �ICEWSL NO. <br /> MECHANICAL CONTRACTOR p,1AIL ADDFESS PNONE UCCNSE NO. <br /> � � � <br /> PLVMBING CONTRPCTOR MAIL AODRESS PNONE LICEHiE NO. � <br /> W <br /> m <br /> PERMIT CLA55OFWORK � ' <br /> � <br /> ❑�UILC'VG � PLUM6ING �MECHANICAL z <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑RGPAIR ~ <br /> VALUATION OF WORK � <br /> � <br /> S ❑DEMOLISH ❑FENGE ❑SIGN ❑51NIMMING PpOL W <br /> DESCRIBE WORK <br /> a <br /> n�rat�, Fra:�- �x�tc 03i <br /> PHOPOSED USE <br /> MECHANICAL <br /> LhGAL�E;�CRIPTION OF PROPERTV�SMON'BELOR OR ATTACH TVPL OF FU[L QOIL ❑GAS� ❑LPG. �ELEC. <br /> FpVR C9PIE51 � <br /> LO'r__ BLOCK_OF NO. TVPE OF E�UIPMENT FEE <br /> AIR COND. UNITS-H.P. EA. 5 � <br /> REFRIGERniION VNITS-Ii.P. [q, <br /> � — �OILFFS-H.P. EA. � <br /> GAS FIRED A.C. UNITS-TONNAGE EA. <br /> - FORCED Alq SYSTEMS-�.T.U. M EA. � <br /> J09 ADDRESS WALL HEATERS-G.T.U. M <br /> UNIT HEATERS-B.T.U. M I <br /> PLUMBING _ �vnPOWnrivecao��as <br /> CLOTH ES D R V E Fi5 � <br /> � VENTIIATION FAN <br /> HANGEIiUOD � <br /> I NO. TVPE OF FIXTURE Oq ITEM FEE �+�A Nl�NDI.ING UNIT- C.F.M. <br /> WATER CLOSETITOILETI 5 �NCINERATOR � <br /> 6ATN7U� <br /> __ LAVATORY(WqSHBASIN) � <br /> SHOWER —� '— -- <br /> KITCIIEN$INK& �ISP. -- <br /> DISIIWASHER _ SUO TOTqL � <br /> LAUNDRYTRAY — <br /> PERMIT 5 <br /> CLOTHES W/15HER TOTAL FEE 5 <br /> WATEq HEATER TNIS PEflMIT BECOMES NUL�. ANO VOID IF N'ORK OR CONSTFVG <br /> — TIGN AUrHOR12ED IS NOT COA1MENCED WITHIN 120 DAVS, OR IF <br /> UHINA� CONSTfiUCTION OR WORK IS SUSPENDE� Ofl A[3ANDONED FOR A <br /> DRINKWG POUNTAIN PEfllO� OF 720 DAVSI�T ANY iIME AFTGR WORK ISCOMMENCED. <br /> FLOOR-SINK OR DRAIN I HEREBV CEIiTIFv THAT I HAVE READ AND EXAMIN@G l'HIS AP- <br /> VACUVM �REAKERS PLI:'ATION AND KNOW TNF SA�1E TO BE TRUGl�N�CORRECT. l�LI. <br /> flOOF DRAINS--fiA1NLEADERS �FOVISION5 OF LAWS ANO ORUINANC[S GOVEfiNln;�, THIS TYP[ <br /> — ('iF WORK IVILL �E COMVLIfD WIrH l"JHETHER SPEUPIGO N[REIN <br /> SINK �SERVICE-�AR, FTC.) �— pp NOT, THE GRANTING OF A PERAiIT DOES NOT PR[SVME TO <br /> GIVE AUTHORITV TO VIOLATE OR CANCEL TN[ PSOVISIONS OF <br /> - —� ANV OTHER STATG OR LOCAL LAW ftEGULATING CONSTHUCTION <br /> OR THE PEFFORMANCE OF CONSTRVCTION. <br /> SUB TGTAL <br /> PERMIT � — <br /> TOTALFEE $ <br /> x <br /> SIGNFTVflEOFCONTRACTORORAUTH.AGEIJT OATE <br /> SInE VARD SET�ACK STfiEET SET6ACK REAq VqRD5ET0ACK PLAN CHECK NVM(3ER PLAN CIiECK FEE <br /> FEE RECEIPT NO. <br /> USE LONE LOT AREA VACANTSITE <br /> ❑v[5 ❑No FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY GROUP NO.OF OWELLING <br /> UNITS <br /> I <br /> SIZE OF (3LDG. NO.OF STORIES MAX.OCC. lOAO DUILDING $ � <br /> I <br /> PLUMdING I <br /> FIRE20NE U1�5[MENT RRESPRINKLERS <br /> REQUIREO <br /> ❑�'fl5 ❑NO MECHANICAL � <br /> I <br /> SPF.CIAL CONDITIONS' OTHER I <br /> I <br /> —'-- — PENELTY SEC.30H(a) I <br /> TOTAL � <br /> I <br /> PEfiM1T VALIDATION <br /> WHEN PROPERLY Vl�LIOAT°O (IN THIS SPACLI T1115 IS YOUR PER�IIT <br /> nnpLIUt10NACCCPT[00\. PLANSCIICIXCpOV' AI`PqOVI0t01115511PNC(OY. <br /> I L��� Q � <br />