Laserfiche WebLink
APP�iCAfION FOR CONSTRIr�:TiON <br /> PERMIT <br /> ^�Crcrgreen <br /> CIT'f OP r�rirli <br /> evere.tt � <br /> BUILDING DEI�ARTh7ENT 1 O`��cy <br /> 259�BFt0 .� TO BE'COMPLQTED IN�NK L SE PRIN � <br /> q � <br /> h�U'^tt��, ,.���� ���tiv. U�ti� '� l.v�<-v��1\��,,. -� T�1.�_A�:ue � i: `� I_ `_ ZJ 3 <br /> c��vca mni��ooac�s � r� .�Q..ScSY'�� 3 ����71{!Q ,Y� /IJ� !'M�.-��� <br /> �._r�yi <br /> i[N4qt \ MnILnDORE55 CnV pin pNONE <br /> 1�.�� �1�.>'a-: �`U1\V- �L kN,� �l��C�..�1tiU. <br /> <FCI'4ECtOPDE5IGNER MUL�p�FESS -1 CiIY Jn PIIONE ' <br /> ������1���,�� (,a�,,v1,� � `��J�. � ,, ,� t ��u� ���- � � � <br /> GCNCR1lCONi AQOR MMLADOI�F55 CIIY ZIP YMONE �"!NS[• <br /> 1�U1: �//9C/�/�2 I!)�' <br /> M[CIUMCALCON'PALiOP MAIL�P:'RES$ GIIY ZIP PHONE IICENSE• <br /> y �� PWNk�NGGONiqACtOR MAtL�ODRE55 CIIY ZIP PNONE L�GENSE• <br /> C7y <br /> �1 y m - <br /> C�aSBOFNbarc <br /> � �y yNEW ❑ ADDITION ❑ AlTE7ATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/PRPL.INSFHT ❑ BUILDINGFELOCATION <br /> 1[NaY*�MpROVEMENT OR INiEPIOH PEMOOEL ONLY \ CqNiApT MR$pN ANp PNpHt NO <br /> H H CGN1F�CiPRiCEOFWOPK� ' 1 /� L /^ I <br /> K�n DCCROEW MlOSOU�RE�OOL�GEINVOLVEC� '�I � ���.��rLY�3'�L� � , <br /> f; .� F 00 <br /> °�� 1ti ��c�C �� �7 ��0� — — -------- <br /> N�..� �apPcSEltuSEorBWLOMG INF9EBVCERTIfVTHqiIHAVEREADANDL%A�dINEDTI115APPlICATiCNAND <br /> ,��-, Z� �4 ��'� x KN�W TME S4MET0�3E TRUE AND CORRECT ALL PROVISIONSOF LAWSAN� <br /> � Q i[Gu0E5eainoNorvaOVERrvISNOwnBELo.von�•rnee�oVaCoeiEs ORDINANCESGOVERNMGTIIISTVPEOFW0V7KWILL�ECOAIP�ETEDWITH <br /> y � WNETH6RSPECIPIEDHEREINORNOT.THEGRANTINGOFAPEflMIT00E5N0T <br /> PR[SUh1E TO GIVE AUTHORIiY 70 VIOLATE OP CANCEL THE PqOVISIONS Of <br /> H ['+JOH �J �pT__ BOK � OF _ ANYOTHEliSTATEORLOCALLNVIREGULATMGCON5TV7UCTIONOFTHEPEfl� <br /> O FORh1ANCF OF C NSTqUCTION THAT I AM AUTNORIZED BV TME OWNER OF <br /> C) <br /> �� � SP � T��ISPFlOPER . PERFORMTHEWOflKFORWN:CHAPPLICATIONISMAD[ <br /> H — <br /> ��-t�G AND I�CONQ�P{.' 'ATr{ 7ME STATE CON79ACiORS LAW 1827 RC\V n;lG <br /> '7'M - _ 2962 W1 l . _�+ <br /> H� 1 � <br /> su�+nii'.Er cp, F c*:I +uwinoa�zEonccrv. oniE <br /> x <br /> X il <br /> g � � `\\ c.. ( , �_� �� ' — 1� � ' -- !- �7, ��,_`�_ <br /> C]l7 p� ria,—»Ecranor�cs _ . _ __ � . <br /> f+('� M - �t1LG�".1 ( lP.i'I'!I :I�'t:tiE'1'lAN9fllI5ryC5S1A1'C <br /> 7 7 <br /> r�� <br /> �� <br /> yO � PLUMBING MECNANICAL <br /> � NO. TYPE OF FIXTUPE OR ITEM — _FEE NO. - TYPE OF EOUIPMENT _— —_'_ FEE — <br /> WATER CLOSET�TOILEn —�, A/C�-A'HNDLG UNITS-H P. <br /> _>__ " <br /> THTUB G _ fORCED AIR SVSTEMS-B.TL. Id EA _ <br /> LA OPY�WASHBASINI UNITHE ER9-ATU. � A7 <br /> � SHOW 7 CLO�YERS <br /> I �_ KITCHEN NKBDISP. __ _ bENTILATION N _ � <br /> _' DISNYlASHE _ _ R4NGE HOOD <br /> LAUNORV TRAV 1'�ATER MEATER <br /> CLOTMES WASMER 1YOJD STOVE <br /> • UFINAL MEIALFIREPLACEBCHIh EV <br /> i � ORINKING FOUNTAIN _ FIREPLACE INSERT _ <br /> � FIOOR DRAIN HEFI PUMP <br /> dACKfLOW PREVENTERS GAS PIPING <br /> _ ROOFDRAINS-RAIN A�ERS _ E%HhUSTFAN _ <br /> =� ___ <br /> � SINN�SERVICE- i.ETCI _ __ _ <br /> � — _ <br /> ' __ —� <br /> �_`_' � —— � —�__—_ <br /> '. —�_`-�- -__ <br /> SUBTOTAL 5 SUBTOTAL S <br /> PERMIT 5 PEFMIT S <br /> � TOTAL FEE 5 TOTAL PEE 5 <br /> ��I I, fRON15�Eji0ALM RERR6[lOACN SIOES[10nCR —y PLANC(N;EC NUMpEP °EE PFCEIP(i�NO./� <br /> ... C� ' c��il ST I (_; ��7 W�� 0.V71(�� <br /> USCZON LOiARE4 VAr,.�NTSRC � <br /> �__ '� � XFes o no FEES /ALUATION FEE <br /> -r -- <br /> ivreorwr+sr. `/� xcucnc�reaour nooroxeiur�cuNns eUILOiNG i1- ' -t�._ ' �� �.1 �.- ,(�� <br /> A.IOWPBLbACTU�CI/ _ , I TJ � �J� � _ _ <br /> f�1Y T\ J PIUMBING <br /> sizcoreioc noorsroniEs esMc occio�o -- -----" — - -- <br /> I33� s� —1- Z ��N ��Q' MECHANICAL - - <br /> nEiGMrirtniimioH OTHER <br /> �}-�Z �F G����' /J - - — --1� �:�'_. <br /> RCSPqINNlERSRCOUIRED OYES NO C�� <br /> - STATE BUIL�ING SURCHARGG ; ,� � <br /> STATEENERGVSURCHARGE `�. ) r� <br /> e�aucaioHncc r r�ar�swrq_ar -- �� �. T. <br /> � ��� , PUBLIC WORKS y� ( <br /> �`"�� TOTAL <br /> : '! <br /> - /uixL�,,�� � YlQf�tltpi�i-r(p� pi,�a,ls .:• CX=� <br /> O���l�iAl�� SO��UvGlT'��,� <br />