Laserfiche WebLink
��r�PPi.ICATION FCl�w? e��,��, <br /> I�e Ever9�een C U N S T R U C T Y O N O <br /> CITY OF <br /> ever�tt PERMIT <br /> BUILDING DEPARTMENT <br /> ZSg.g�q� TO BE COMPLETED IN INK• PLEASE PRINT <br /> ❑ DEMOLITION QCOMBINATION (3BUILDING ❑ MECHANICAL O PLUMBING ❑ SIGN <br /> owrvcn M�.aAooness cm zir rHor+c <br /> �i'NY'o Ne�� 6'.9C/iv{�rR 3'/3o Tcr/aL:p AJc.. �UPr_�� �.7s.7-/ 3s'S� <br /> nllCnil[C�011UCSiGnER MAiInD��E55 GI1V 2iP PnOrvC <br /> GI.NCMLCONIRACIOf1 IIMLAOOBE55 CIIY ZIP PIIONE VLEN[E• <br /> r/�rc L.vk�s Ca...a7- �' n Rox 3a"3 Sn�o, 9�J9u sL8v3�o 7/�,¢E�LC_2y//'Y <br /> I.ILOUMULGONIMC100 MAIL�DO�[55 CIIY 21P PIIONE LICENSE• <br /> PLUTAI1�nqCON11mC�On MeILAD��E55 GIPI 21P ���ONE I�CE��S[• <br /> r�urc�N,� �'iu.� s%N� Y37-z/� y oti F,•,� <br /> CUSS Of\VORN <br /> ❑ NE\Y ❑ A�DITION ❑ ALfERATION REPAIR ❑ DEMOLITION ❑ WOODS70VE/FRFL.INSEPT ❑ BUILDING FELOC�110�! <br /> v.wanoH o�wonn icost or�nni�ianis���us tnoon� <br /> �� OUO. o0 <br /> oiscnmr.�wnrc <br /> CH/ P ��' � �NA3 <br /> usr�.arowioirvc I HEFEBY CERTIFY Tl1AT I HAVE READ AND E`�AMWED THIS AP• <br /> FCC'S . PLICATIONANDKNOWTHESAtiiETOBETRUEANDCORRECT.IILL <br /> u.rn�oisum�ua��urrnurourisnowNauowonnnncurouneomes PqOVISIONSOFL/1WSANDORDINANCESGOVERNINGTHIST'!PE <br /> a�.lb gjj /�r LqT oF DCv� ks' OPWORI(WILLBECOhiPLETEDWITNWHETHERSPECIFIEDHERE• <br /> ioi—oioc�—ov.�—/' IN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTFIORITY TO VIOLATE OR CANCEL TI1E PROVISIOMS OF <br /> QJG £ 8 '3 / f'L T o 'F Eue'er' Tt ANYOitiERSTATEORLOCALLAWREGULATINGCONSTRUCTION <br /> OR THE PERFORMANCE OF CONSiRUCTION. <br /> SIGNAiU�E Of GONiRAGTOR OR AUTHORIZE�A4F.tJt U�iE <br /> n� V I S ( OnJ /� ^ <br /> X �J' Q ��1.�--- a-z c. ' a G� <br /> APPLIG/•���5 CIIY DUSINE55 LICENSE NO <br /> 1`ROJEGiApOHE55 <br /> 3�{3o ra/,a�; H��' . <br /> PLUMDING MECHANICAL _--.-- <br /> TYPE OF FI%TUNE FEE NG. n'PE OF EOUIPMENT FEE <br /> NO. — <br /> � WAIERCLOSETITOIIEA OB AIRCOND. UNITS—HP.EA. <br /> 1 BAT11TU9 e2 6 __ RL�RIGEFIATION UNITS—H.P.EA. <br /> 1 LAVAIORY IWASH BASINI � a __. OOILERS—M.P.EA. -- <br /> ( 5110WER � O _ G�S FIRED AC.UNIiS—TONNAGE EA <br /> 1 NITCHEN '�INH 8 DISP. � IL _ �ORCEO AIR SVS7EM5—BS.U. M EA. <br /> DI516YA511Ef7 _ WALL NEATEHS—B.T.U. M _ <br /> 1 LAUNOqVTRAV D _ UNITHEAiERS—f7.T.U. M _ <br /> � CLOIHES WASHER p0 EVAPORATIVE COOLERS _ <br /> � WATERHEATER Od CLOTHESDRYERS -- <br /> — VENTILATION FAN <br /> URIIIAL <br /> ORiNKING FOUNTAIN RANGE HOOD <br /> iLOOR DFAIN AIR NANDLING UNIT— QF.AL — <br /> VACUUM BHEAKERS STOVE -- <br /> ROOF DRAINS—RAINLEADERS METAL FIREPLACE 6 CHIMNEV <br /> SINK�SERVICE—BAP,ETC. IVOODSTOVE/FIREPLACE INSERT <br /> SUUTOTAL QO SUOTOTAL s —— <br /> PEPMIT 5 PERMIT 1 -- — <br /> TOTAIFEE S 6(� TOTALFEE s <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> fllpni$CIDaCN Il[ARSCIpAGN SIOESEiBAGM <br /> PLAN GMECN NUMOEfl PLAN C11ECN f EE <br /> fEE R[CEIPINO <br /> �� — <br /> USEZON[ LO�A�ER ypLRNfSIIE F[ES VRLURTiON FEE <br /> OYES 0Y0 <br /> lYP[OMCON51 occura�cvcnour NOOFpWELIINGUN113 <br /> BUILOINO f /� � <br /> SiiE O��LD(1 NO OP SIOniES MA%OCC LOP� �� � <br /> PI.UMpIN� <br /> MECH�NICAL <br /> fIRE SPRINKLERS REOUIRED ❑VES ❑ NO oTHEB <br /> PENf.LTY _ <br /> nPPUCAliO��PLCaY fLnNgO�CCrcE00V APPRFOPISSWNGE�Y ,� 51 <br /> TOTAL V <br />