Laserfiche WebLink
,�,E,.,,.,,� . .PPLICATION FO�. ���,�„ <br /> ��tt°° CONSTRUCTION n <br /> ev�rett PERMIT �J <br /> BUILDINC DEPARTMENT <br /> 259-8745 TO BE COMPLETED IN INK- PLEASE PRINT <br /> ❑ DEMOIITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL O PLUMBING ❑ SIGN <br /> OnNER uAipLepORESS / Citt ¢lo PqONE <br /> •••GN�C1�A/rs����� I�. M511/0 L5� (I/ /� ��� ('-( L. r�./`� /���_ J S J ••IC� �� <br /> arr /zin vnon� <br /> �¢urneicor�rnnuon Mu��omirss cm zir p110NE uccrise. <br /> �AEGIUNIGAlC011iMGlOq M�ILRDOPE55 �IIY ZiT P�IORE ULENSE• <br /> ^WMpRICCO�I�R�L1011 M��L�UORCSS CIIY }IP 19�ON[ UCENSL• <br /> OUS50�WONN <br /> ❑ NEW ❑ ADDI710N ❑ ALTERATION G REPAIR ❑ DEMOLITION � WpODSTOVE/FRPL.INSERT ❑ BUILDING AFLOCATION <br /> AW�iIUN 0!WfHIMIC09�Of Mh�l.11lµ!i PlU9lA0p0� <br /> Uf SCRIflC WOf1K <br /> ��< <. '' - D — L_ G�i � � � �� � J / " ' ��Yl <br /> se I�r Bm�owo ' <br /> .S � �,��, , � I f1EREBY CERTIFY THAT i HAVE READ AND EXAMINED THIS Aa� <br /> PLICA110N AND KNOW THE 8^b1F TO BE iRUE AND CORHECT.ALL <br /> �cauocsc nnoHevnnovcnrvi. �owrisc�owonetucnrouncomts pROVISIONSOFLAWSANilOH01NANCESGOVERNINGTHISTVPE <br /> OF N'ORK WILL BE COMPI.ET[D WITH WHETHERSPECIFIED HERE� <br /> �or_eioc�or IN OR NOT.1�HE�RANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHOFIITV TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANYOTHER STATE OR LOCAL lAW REGULATING CONSiRUCTION <br /> OF TH[ PERFORMANCE OF CONSTRUCTION. <br /> $IONRTURE OF CONIq�CiOR OR RU7110RRE0 RGCNi DAiE <br /> X � �',� I� b'6 <br /> /J; �` <br /> ��narec�eooness enr�e�r+rscrt usmessi¢n�seNo <br /> ��' � � <br /> PIUMBIN6 MECHANICAL <br /> NO. TYPE OF FIXTURE FEE_ NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSEi�TOILEiI Alq CONO. UNliti—NP.EA. <br /> BATHTUB REFRIGERATION UNITS—II.P.EA. <br /> LAVATORY�WASH B�SIN� DOILERS—H.P.EA. <br /> SHOWER G4S FlREO AC. UNITS—iONNACE EA <br /> KITCl/EN SINKB OISP. FORCEO�IR SVST[MS—B.i.U. M EA <br /> O�SHWASHER WAII HEATERS—B.i.U. M <br /> _ LAUNORY TRAV UNI7 IIEATERS—B T.U. M <br /> _ CLOtHES WASHER _ EVAPOFAIIVFCOOLERS <br /> WATER NCAIEfl _ CIOTHES DRVERS <br /> ������� VENIILA710N 1'AN <br /> DqINKIN6 FOUNTAIN RANGE NpOD <br /> FLOOR DRAIN FIR HANDLING UNIT— C.F.M. <br /> VACUU1d�REAKEPS STOVE <br /> ROOF DRAINS—AAINLEA�ERS METqL Fl!1[PLACE A CIIIIANEY <br /> _ SINK�SERVICE—BAR,EiC.� WOODS70VE/FiPSPLACF.INS[RT <br /> SUB TOTM SUB TOTAL y <br /> __ PEfiMIT f PEPMIT S <br /> _ TOTALFEE f TOTALFEE f <br /> TNIS pORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> �ONf5C�04CK 1164f�5[IppCN SIOESCIOACN PI�HCM[CKNUMBE� PLANCI�CCh![E <br /> iEF R[CEIP1 NO <br /> iSElONE IOIN�I.� <br /> �.C�YI SIB — <br /> vy�� ��H� fEES VRLU�iION FEE <br /> 'vl�[OI'CON51 occm�nr¢v�,-,nour NOUlOWfIIINGUNIIS <br /> DUILOING y <br /> 4E0f OlpO NO Of SIq:iES lAeXOCC.IOAp <br /> PWMBINO <br /> M@CIIANIC/1. <br /> �IRE SPRINKlEFS t7E0U1NEU LJ YES ❑NO — — <br /> OIIIER <br /> PENnLTv <br /> �'PI�Cp110NACf, pY PUNtf,ll[CkCDBY APfR fORISSpANLEBV <br /> TOT11L <br />