|
' CONSTRIiCTInN
<br /> ' , ��, , � evereri
<br /> everett PERMIT
<br /> �-�„ ,,.,� � :,.,.,�,,.,
<br /> ivrn�'�T. wn +�sz��i COINBINATION • BUILDING • MECHANICAL • PLUPABING
<br /> ���vrvtiv n�ni� nouius�.
<br /> :�i�� r�u�N�.
<br /> �rc��i�tecl'.1"'•.^ v
<br /> ' .i. �: ;3" m
<br /> - -- �OH UGSIGNLH -- ------
<br /> rdni�noo�vess - ___ pidSN� . . —__i ici=r�s� r,�,.- JJ
<br /> �
<br /> i:FNERAL CONTRFCTOti MAIL AUDFESS - ' -- �
<br /> PHONL LICENSEi'Q z
<br /> 0.1ECHANICAI.CCNTRACTOR C
<br /> 1.1AIL A�OR[55 PHONE LICENSE NO. �
<br /> �r,.ti��Dr� .r�cT W
<br /> PWtd01NGCOM�qACTOR — �� �� m
<br /> MNLA��RE55 PNONE LICENSEN0. -.,j �
<br /> P6fi�tlT • �.l
<br /> C�ASS OF WORK `, ;
<br /> []COM6INATION
<br /> ❑ftUILOING � VLUMpING �p�[CMANICAL
<br /> �NF.W ❑ADpITION ❑A1.7ERATION ❑q[pn�q
<br /> VALUATION OF WORK - ---
<br /> 5 ❑oc:n�ni_isr� ❑rtrvc� ❑sir,N ❑swinmur�c runt.
<br /> DESCF16E WOqK --_-_—'—'. __ _ _ _ _.._ __ . _ _- - ". _- ._
<br /> 35 �; ;� _'�)1�_1.��P1 ___
<br /> alloroseo use
<br /> MECHANICAL
<br /> LGGl�lpESCliIP�IONOfPROPERTY�$HpWBELOWORATT�C11 ' TVPEO� [NCHt1V
<br /> FOUPCOPIE5) ❑�1�5 ❑ELEC.
<br /> LOT u�OCK_oF ___ NO. TVpEOFEOUIPMENT_ _ FEE
<br /> nlq COND.UNITS- 11P. EA. 5 I
<br /> _ R@PRIGEFAi'ION UNi15 n.P. EA.
<br /> " -- [301LCR5 -H.P. Fn. � �-- "'�-" �
<br /> _Z_� FORCEO AIR SYST[MS-U.T.U. MCA.
<br /> iuca nDo�Ess I—� __ -._ - . _ __- �
<br /> 3µ�j TUL�T.IP � SNqCG 8 WALL MEATERS - B.T.U.
<br /> I UNR HEATERS II.T.U. �
<br /> PLUMBING I�vnrorvnnve cooiens
<br /> - -_---- - . . i c�or��es unvens _— _ �
<br /> �V6NTILATION F4N -T-
<br /> � Hl�N(1L MOOD ����� �
<br /> NO. TVPE OF FIXTURE OR ITEM FEE nui �inNUi�Nr,uNiT �.F.M.
<br /> BHTH TUl3S 5
<br /> CLOTHES W45HEq i I � ..____ ����'�_ I
<br /> DISH WASHEfiS �vnT[Fl HEAT[R
<br /> DHINKING Fp�INTAINS � ����C. I;UILi FIR[PLACE R CHIMNEV �
<br /> FLOOfi DHlUNS � I ��n�� SYStEM�. NO OP OUTLETS
<br /> KITCHEN SINKS & UISP. i � _ - SUu TOTAL 5_ ��
<br /> BAR SINKi � - -- -� � - --- P[PMIT 5��
<br /> ROOF DRAIN$ RAW LEADERS � —' — -- ---- TUTnL FFE 5 IOO
<br /> SHOWEfl HA7Hy TIIIS P[qM�T OGCOML; faULL 4NU VOID IF WORK OR CONSTliUC
<br /> $ERVICE $INKS TION AUTIIORIL[p IS NUT COMhILNCED IVITHIN 1:0 UAVS, CH IF
<br /> $UMP$ - SLIVAGE PUMP CUN51 NUCTION OR YCORK IS ;:USP[NDED OH Al3l�NpONED !OR !�
<br /> URINALS i �ENIOp Uf 120 DAvg AT nNv 1�A�E I�FTER WO/iK ISCOMM[NC[D.
<br /> NJATEFi CLOSETS —i-- I IllliLllY CLRtIfY 1NAi 1 HAVE REAf) 4N0 Exl�MI =U TIIIS /�P
<br /> WATER HEAlERS ELECTRIC i �'LiCAIInN ANII KNUIV illF'SAA1[ TO f1G TRUB AND CORRECT. ALL
<br /> W/15H BASIN$ — NIiOVi:lONS nf �AIyS ANO ORDINANCLS GOV[RNWG T1115 TVVL
<br /> — I OF WOPK Wll L HL COAIPLI@D WIT11 WHETHLH SPECIFIEO HER@IN
<br /> LAUNDRV TRAVS ON NOT, TI11�, GRIINTING Uf (� PEqM1tll' DO[S NOl PHESU�IL TO
<br /> i GIVC hUTnpRITV TO VIOLATC OR C�1h^LL THL PROVISIONS Of
<br /> . ANV O111LH ;1M[ OR LpC�1L LAW H[GUI �iING CONSiIiUCTION
<br /> — � ftR TIIL' PUif ORMANCB Of CONS1HUCl IpN.
<br /> �i—
<br /> �
<br /> suo rorni �
<br /> rERmir 5
<br /> TOTAL FEE � x �.�, - � �� �„ 1Z�1��77
<br /> WnTER 5EHVICE SIZE --- - - - - - - �
<br /> NLD(i. SUPPLYSIZE •' „ niu�v[t corv� i tofvoivnut . c[rvT on1L
<br /> :iIDLYqROSET6ACK STRE[TS@T13ACK NEARVARp:i:T13AC PI.pNCNECKNUMItEi
<br /> / 'L�1N CH[CK FEE
<br /> _ / fC[ RECEIPTNO.
<br /> U(iLLON[ LOTl�h[/� �Vl1CANi51iG
<br /> ��E� �N� FEES VALUATION FEE
<br /> i VPL pF CONST. OCCUPANCV GFOUP NO.OF OWLLi.INf - �-
<br /> UNITS
<br /> I
<br /> 512E OF pLDG. - NO.OF Si0lil[S MAx.00C. LOAp f1UILDINL' S �
<br /> �
<br /> FIREZONE �ASEMENT HFlLSPfiINKLl.lib - ���UMlIING �
<br /> rvoouir��n -- �
<br /> ❑vt15 ❑No M�cHnNICnL � nn
<br /> SVECInL CONU!TIONS�. ��-Yv--
<br /> ---- ____ O1HEN I
<br /> . - "_ -_- --_ __' �
<br /> - -_- -----_ -' ---- VF:NALIV :;I`i.. JO:tla1 I
<br /> __ — _ _ - . _. . __. ._ ._ _- _-__ --1--__
<br /> TOTAL �
<br /> _ j� Ul�
<br /> . P[RMIT VALIDATION p
<br /> -- wiu rv r•qni�r i�i c vni in,vrn nra �,�ur;�if,cti ifj�d�9�'�ZiTRr Q
<br /> --- - — Y4ii�R REG}EIPT r,
<br /> _ ,
<br /> ������,�,�,.:,.�,,,,��,.— �.��„s�:,,�,K��,,,. ����,�,���,,,,�,�•;�,,.,.,� �„ • THANK YOki;
<br /> F� � .
<br /> �
<br /> + i 6 � 11
<br /> �,.
<br />
|