Laserfiche WebLink
ItAe Enn�;nrrr <br /> i ���� �>� CONSTRUCTlON everett <br /> evere�t PERMIT <br /> �,.�.,,� ,�, <br /> ,,<<,�„ .:� .,�:��;:�,., <br /> � ,::�� <br /> "`°' °;,;°�;',;;°:�',;, BUILDING MECHANICAL PLiJMBING <br /> OWNER MNL ADDRE55 ZIP PHON[ <br /> `�'. -'• ':� FCeiEf� �'t�a3��dL 7`7+� i7pPq,t� �I�1t rppd <br /> ARCHITECTOROESIGNGF MI�ILApDRESS VHONE LICENSEP'7. �•iG�U+�V <br /> GENERALCONTR4ACTOR MAILAD�qE55 PHONE LIGENSENO. <br /> ��iCN <br /> MECHqN1CAL CONT�iACTOF MqIL ADOqESS PHONE I.ICENSE NO. <br /> PLUMHING CONTRACTOR MAIL AODpE55 PHONE LICENSE NO. � <br /> W <br /> m <br /> PERMIT CLA55OF WORk j <br /> ]� Z <br /> ZJ OUILOING �PLUMBING �MECMANICAL F <br /> ❑NEW ❑ADDITION �AITERATION ❑aern�n � <br /> VALVATION OF WORK -- <br /> 5 3��,�� ❑oie+ousi ❑crNci ❑siaN ❑SWIM1IAIWG PO�`,_ W <br /> oescRior woaK .__— - __._ — _. _- — a <br /> �oorujne UF �st�an 3.6 5 0 <br /> vr.oaoseu us� <br /> ?Cp� MECHANICAL <br /> iVPL UP I'UFL �OIL �NAT. ��YG, �ELEC. <br /> �[GAL OESCRIPTION OF PROPEqTV ISHOW OELOW OR ATTACH GAS <br /> POUR COf'IL51 <br /> �oT oLocK_oF NO. TYPEOFEUUIPMENT FEE <br /> AIR COND.UNITS-H.P. EA. S I <br /> REFRIGGFATION VNITS-HP. EA. <br /> E301LER5-II.P. EA. � <br /> G/15 FIRED A.G UNITS-TONNAGE EA. <br /> FORCEO AIR SVSTEMS-�.T.V. M EA. � <br /> JOO A�p(DRESSy.��, ! A � WqLL HEATERS-O.T.U. M <br /> Y� TC]^�'�r ..a�� �SS UNITIIF.ATEf15-D.T.U. M11 I <br /> [V APO RAT I V E COOL[HS <br /> PLUMBING <br /> CLOTIi[5 DRYEPS � <br /> VENTILATION FAN <br /> RANGEHOOD � <br /> NO. 7VpE OF FIXTURE OR ITEM FEE n�� IIANDI.ING UNIT- C.F.M. <br /> _ WATERCLOSET(TOILET) 5 INCINERATOR � <br /> �ATHTU� � <br /> L4Vl�TORV�WASHBASIN) _ � <br /> 51101V[R�- - <br /> __ �KitC�ILN;iNKkD15P. SUBTOTAL 5 � <br /> I�i;HWASH[�I PERMIT 5 <br /> _ _ I nUNf��tc 7qnY �OTAL FEE 5 <br /> CI.OiI�I;CdASHER � <br /> lvnTLH HEATER 'HIS PERMIT BECOMES NVLL ANO VOID IF N'ORK OP COWSTRUC� <br /> — TION iIUTNORl2k� IS NOT COAIMEIJ('[O tVITHIN 120 OAVS, OR If <br /> URINAL � CONSTRUCTION OR IYOPK IS SUSPENpED Ofl AOANOONE� FOfl A I <br /> _ f]R�NKING FOVI�iq�ry PCRIOU OP 120 DAVS Ai (1NY TIA1E AFTLA WORK ISCOAIMENCEO. � <br /> FLOOR-SINK OR JRAIN I NERE6V CERTIFV TNAT I HAVE READ AN� E%AMWED THIS AP� I <br /> VACUUM UREAKERS PLICATION AND KNOW THE SAME TO GE THUE AND CORq[CT. ALL <br /> ROOF DFlAINS-NAINLEADERS P�OVISIONS Of lAWS AND OADINl�NCES GOVLRNING THIS TYP@ I <br /> — JF WORK WILL f3[ COMPLIEO IVITH WHETHER SP[GPIEO HEPEIN <br /> SINK (SERVICE-OAR, ETC.) O!i NOi, THE GRANTING OF A PEPMIT DOES NOT PR@SUME TO <br /> --�-- GIVE AUTIIOfiITY TO VIOLATE OR CANCEL lME PROVISIONS OF <br /> �NV OTHEq SiME OR I.00AL LAW REGU�nTING CONSTPUCTION <br /> -- —�_ pFi l'H[FERPOliMl�NCE OF CONSTIiUCTION. <br /> SUD TOTAL <br /> i _ PERMIT S� <br /> � TOTALFEE E <br /> � X z��-�� <br /> SIGNI�'tUREOFCONTR.4CTOROfiAUTH.AGEP:T OATE <br /> SI�E Y.qD SETOACK STR[[T SETfJIaCK FEAq Vl�qOSET13l1CN PLAN CH[CK NUMO[R PLAN CHECK FEE <br /> PHE FECEIPT NO. <br /> USE ZONE LCT AREA VACAN7SITE <br /> � ❑vEs ❑rvo FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCV GROUP NDAF DWELLING '— <br /> UNITS � <br /> SIZE OP pLOG. NO.OF STO�ilES MA%.00C. LOA❑ BUILOING 53i�(� � li.l� <br /> ���....i Mtli <br /> PL'JM�ING I <br /> IIHLZONF. BASEMLNT RHFSPPINKLEfiS � <br /> RfOU1REp � <br /> ❑V[5 ❑NO ryiECHANICAL � <br /> —SPECI�I�L CO��N�D�I�TIONS: OTMER � <br /> �'fiLt'..i'��,' ��1:�. .�. i^� 7 — I <br /> —��- . � PENELTY SEJ. 9031a1 1 <br /> TOTAL �' j�� <br /> �ILS 1LVYC�tT L�S �.�FCiSY�.L� �{:5��1' ���� PERMIT VALIDATION <br /> tiT�Stifil � e�0r�10 �:y JOPS7S'0:1 • wr��N nnorc�i_v vnuo;..rco nrv �i{is�r�ncei nus is voun rinr.+ir <br /> i <br /> np„�it'n:iur;M:ctrl[Up� ��nt15CNECK[oBv� RPvqovEOFaP�GSunNCtOv � <br /> �t� <br /> I � _ � � <br /> s <br />