Laserfiche WebLink
Fn�M�EVERETT &W LDIhG DePT . T�� 2256433475 ? 17� 1992 2�13Pi� :i412 P.02 <br /> APPLICATION FOR C�NSTRUCTION PERMIT �;�� <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> 6UILDING UEPARTMENT HE�TING svS7EA1: U cns U EIEciRIC U ._� <br /> 259•8810 <br /> I I DEMOLITION I I COMBINA710N , � BUILDING l 1 M[CNANICAL I I PLUMBWG �I I SIGN <br /> ocmer� unanooacrs crtr xiv p11Jryh ' <br /> �lo � C a-��-- I���D__ � I- . P�I ��evve utaQR��on G9�1-Z_ � Z �� <br /> rrr+�ui �u2r,00ncss c�rc z�r vi�pNE <br /> AR:uRFC7UNU[YIOKCO Mq�wUHl55 CIIY ZIP PIInNc � <br /> .>(�f�l F ��i GI.Jt�7�-�Z <br /> OtHC'ULCO4TP�CipF MAILADDPCSS LITY LiP GNOH2 Si�TFI�CCNSCI <br /> xt�+� SClrVrnt, r�-s (`)c..�JVR-i .. . Cc�IC2�1L_���i>N.. <br /> Cl1 9 y uFtnn�•�orycrnmncmn rn�nuruncsv ciir iiN rv�oNc 61�iE4C[N&F� <br /> �ozx <br /> � y � NVMB:v4CJH1MGi0F FIAILAUDIIEY9 CIIY 21P PnON[ SiAIlLIC[NV� <br /> �„� � � .. . .. . <br /> f.l�65 W WDnK <br /> K y � �NEW I I ADDITION I I ALTEFATION I I REPAIq I I bEMOLITION I I WOODSTOVE/FRPLINSEFT I I bWLDINGRELOCATION <br /> Q� H Q� CONiACTPEF604ANDPIIONFNO� �— <br /> yH CONiRAGiVHIC[UiN'O�N .. . _ 1.���.iF' _ >-{� (_.\R± .,`l� <br /> y OCSf.Pi0FMy1qKANU50uAnfI001nGCINJdVFf� � � <br /> � xp � _�.--.__-�.-�,•.ti�„� c����-L 14;_? +- y9�� . �. . _�:�� i � >�. _�� <br /> y Cy rHUro.[ous[orowininri p I HEREBY CBRTIFY THAT I HAVE REAb AND EXAIdINED THIS <br /> .q n �y �7�. nc• �P _�v,n,I�I T CS,aa�, f c'. APPL�CATION AND KNOY/THE SA�dE TO OE TRUE AND CORRECT.ALL <br /> HOCi1p �ec.��uts� mnouorvacwvarvisH6HNeEtuwonnrrncucpupCppi6s� � PROVISIONSOFLAWSANDORDINANCESGOVERNINCTHISTYPEOF <br /> Hy q� w1��__ e�ocK pc WOF1K WILL DE COMPLETED 1YITH WHETHER SPECIFIED HEREIN OA <br /> z H 3 -- -�� NOT. THE GRANTIN6 OF A PERMIT DOES NOT PRESUMC 70 GIVE <br /> a y [sf I ' ^�� �7 AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> t" N y �Vl(;�1� I'�flr)ls Y� �I L OTMER STATE OR LOCnI LAW REGULATING CONSTAUGTION OP THE <br /> �N PERFORMANCE OF CONSTRUC110N.THAi I AtA AU'HORIZED BY THE <br /> H 01YNER OF 7H15 PROPE{iTY TO PERFORM TNE WORK FOR \VNICM <br /> C]tyV1 APPLICAT N IS MApE AND I COMPLY WITH 1HE STATE <br /> � �'ri — ` � ,,p� COYT AC7�S lAW 18.27 RCH' ND 296200 VlAC. <br /> � �1'lC�_lC � .. � <br /> yov, ��_ . IS-1 �'. -� F. x 1����5- �`�� � <br /> � arrca:hC�raoncss � � scwncn� mq �_ <br /> 1 V (� � �Z �l ,� S6 <br /> � ��IC�c2 "�-'1 } (.'�f.� . C"��LZ(J � eurs�m.rea�r..ucevo <br /> PLUMBING MECIIANICAL <br /> ' NO. TYPE OF FIXTURE OR ITEM F[E NO. TYPL OF EOUIPMENT FEE <br /> I WATEA CLOSET(TOILET) A/C--NFIND4C UNITS—N.P. <br /> � �, ^ BATHIUB ; � FORCED AIR SYSTEM$—O.1.U, Id E.A. � <br /> �_, y 1f.1'ATORY�YASN BASIN) UNIT HEATERS—B,7,U. At <br /> I SNOWER ' � CLOTNES�RYEFS <br /> � KITCHENSIt7K8DISP _ � VENTIL4TIONFAN <br /> DISHIY�SHER RANGE HO00 --;— <br /> ' •_� —� _ . , � — , _ <br /> LAUNORYI%AY WqTERHEATER y_ <br /> I L�' � CLOTHES WASNER _ � WOOb STOVG _ <br /> VRINAI. 1AETAL PIFEPLACE 6 CHI!.1NEV <br /> OfiINKING FOUNTAIN '; fIRFPLACE INSEFiT <br /> 1 1 FLOOa�ORAIN ! HEATPUMP � <br /> �, �� `BACKFLOWPREVENTERS _ � GASPIPING � <br /> RODf DRAINS—RAINLE�OERS i .1 EXHAUST FAN —'— <br /> SINK(SEflVIGE—BAR,ETC.) � � <br /> '�1�1 —. ._. .. ... . ' —_. _ . ._ <br /> � <br /> � _. . ".. __ i ... � <br /> —T <br /> SU�lO7AL S � `Y SUDtOTA4 S ' <br /> �I �I I. _.. PERMIT 5 ' " _" PkRMIT 5. .. ... <br /> TOTALFEE S � 70TAlFEE 5 ' <br /> FOR OFFICE USE ONLY: <br /> 'f10NTSPTOLGH ItUFSFTPICX SiOCiCTO�f.K pLNICIICCKNIMOER F[G RtGFIY1N0, �� <br /> � ('� <br /> ' o' >/ 7!� -3 c-' �70���� <br /> Usk z�� l01 ulte VACAM SI1L' '� FEES VALUATION pEG <br /> �Z— _ "�o `/ nuaoiNc Fi0 S Z`� . `.L5� � — <br /> fflOICPN�iAI�QryA6LE 1Yf[OfCI1N51.1C1114L DCCW�v:v mp��pA.UAlIt -• ���� � <br /> f - ///��������� �//////���'''��/ <br /> �_J ..�' nj � PLUME3ING .� <br /> Y 01 No.flrirOA�FS on;iu[ur ��� <br /> �#�Z.�SF *' I.IFCHANICAL <br /> vss s,- c,�� N�v�e _. //G' i�l' <br /> �:uvnNGVLO�U IR1[SCRH¢�Fq6PE0L N[�IITUMIiAiION AD�ITION\I,D��NCHCCK _� <br /> _� ^ AI � <br /> /1 �V� �SFRlnNLGFi. !�.� ` 9 � 1// I ; _ <br /> h15pNF IIGCRIHNIFR6 ' '" i---- <br /> G7ATEeUIL01NO5URCMARGE � � .��� <br /> +mKcer wv+ �ooAuv�uor �GITYGFEVERE7T runucwonKs /f � — <br /> �/� LOCALSALE6 <br /> j — � `3�t�3 TAX GODE IS 3105 roTn� , '�7 ; r-�� <br /> � <br />