|
y0c/wulMlL:acsrt�-�r.cspasiL�'imswassuwe'`.va.s�� 5 ``�_„ � l� �5. , '���, } ry� � ��.r. . _ .-. .- Y� �� z rt� +� �
<br /> �. i. '.51" `. �^�- " ^-- l (�'y6' ��`�' ��� <• �_; 4P-nl6r� i � � 2.'�'�zl :�c S i�m.,�.'i.
<br />�� �. �y �t5,"'+C .e ��@�it.����r� �.,r+'�'.�` _ Y' 7 ' _ ���e��`"q"r'"����� �� .
<br /> ...� .�. , ���`�'"��� ��t� '�*'v
<br />/��,r,.. -— — '.��.,.'�—^. . .'�> .P,, r'" . �" �
<br /> Y/,
<br />�'Y . <�.�'�
<br /> J�l APfP�,9C�►YIG�J l=AR �:ONS7°RIJ�T_ .�I+! PERM1�'
<br /> ,:;; ��������
<br /> tx tt �
<br />�� ,r�r;f rn�e�e����e� TO BE COMPLETED IN INK—FLEASE PRINT
<br /> CITYOF
<br />���r =° evere�tt
<br /> HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑
<br /> �fr� �s BUILDING DEPARTMENT
<br /> 259-8810
<br />��(�"`t����' DEMOLITION COMBlNATION BUILDING MECHANICAL PLUMBING SIGN
<br /> y��g'y�Ij�o� �OW[� IAAILAD�RE55 GIiY ZIP PMONE
<br /> r 1
<br /> {
<br /> ,,;.;'. �,�.,Nn, � /t�(�/L- a�r£ /2Yst ��il/a,..� u17-98�J3y �2}.Yo � y
<br /> ' �r� TENANT IdAIL ADDRESS CITV ZIP PHONE
<br />�� t"
<br /> ���,t ARCHIiECTOrDESIGNEfl MNLA�ORESS CI7Y TIP
<br /> ,[ C
<br />�� . �' �,n.a-h�(���r�i r�-Pe r o �.�.�r,r _{� �, �E
<br /> t�{ GNcRALCONTRACTOR h1A'LAOD ESS Giv 21P PNONE LICENSEs
<br /> iV't�,{�ii,, �.i'1)AH.CG�'E�-�r�!<l,�p•�a�iL.+•<S/1jpS �/tL._ .�✓�..Af 9Pz�'3 oRY�-3a3G '�AN�IBRR //OKN
<br /> 'y�� I A E G H F N I C A L W N T R A C T O R M A I L A D D R E S S GITv ZIP PHONE �ICENSE Y
<br /> ���
<br /> ;` .
<br /> �I PLUM1101NG GONTFACTOF MAIL ADDRE55 CITY 21P PHONE �ICENSE�
<br /> i
<br /> 11
<br /> � ��`^. CLAS�OF WOFK - —
<br /> ��it�: '.. NEW �. �. ADDITION . �. ALTERATION . REPAIR xDEMOLITION . . WOODSTOVE/FRPL INSEF7T ._. BUILDING RELOCATION
<br /> �!I#�I CONTACT PEPSON AND PHONE N0.
<br /> �1 �� �G�O =� � b
<br /> CONiRACT PPICE CF WORN �ANa G2�.✓
<br /> � �k DESGFIBEWORKANOSOUAREFOOTAGEINVOWED �Sp'3036
<br /> A
<br /> '��,� X �e,�o/,�� �ox o -(G��� , —
<br /> ��Jfi•;_' , yHOPOSE0115EOF9UILDING I HEREBY CERTIFY THAT I HAVE FEAD AND EXAMWED THIS
<br />�"� >��1PIE4 �o b t t a �a ,� � APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL
<br />. � LEGAL�ESCRIPTIONOF PROPERTV�SHOYlN BELOW OR ATTACH FOUR COPIES� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF
<br />� 'r WORK WILL BE COMPLETED WITH WHETHER SPEGFIED HEREIN OR
<br /> 'i � tor_�_ o�ocK _� oF / . � � +-� NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE
<br />:,{�(I�:
<br /> t �� � AJTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY
<br />,tI'i(,:aj4���. O — / UiFIER STATE OR LOCAL LAW REGULAI"ING CONSTRUCTION OR THE
<br />" 'j �, � PERFOFMANCE OF CONSTRUCTION. THAT I AM AUTHORI2EU BY THE
<br />,pi���i�A�` OWNEfl OF THIS PROPERTY TO PERFORM THE WORK FOR VJHICH
<br /> . � APPLICATION IS MADE AND I COMPLY WITH THE STATE
<br /> CONTRACTORS LAW t8.27 ACW AtJD 296200 WAC.�/�3/9�
<br />'�'�t��t� � SIGNATUREOFCONfRACTORORAUTHUH12EDAGENT DATE a �p
<br />����j����� . �F�CCJPS
<br /> � � X �zNi.GRE�N� v�zoo8 REPa�a � - r�.�J-,�
<br />�;1;.�`���`�,GS iPRQ1ECT A�RES� ' � ��� S �_ nPPLICANTS GITY�USINES I , �
<br /> 74
<br /> S
<br />':y{tp'�.y�,;' PLUMBING MECHANICAL
<br /> "�'!; �� NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE
<br />` j.�� WATERCLOSET�TOIL[T) � ,Ar�A/HNDLGUNITS-H.P. ; I
<br />,��,��, ' �' BATHTUB ; FORCED AIR SYSTEMS-B.T.U. M E.A. �
<br /> t��j! LAVATORY(WASH BASIN) � UNiT HEATERS-B.T.U. M ;
<br /> I��i��: SHOWFR
<br />���� � CLO'i HES DRYERS �
<br /> l��u-'�` �� KITCHEN SINK&DISP ; r
<br /> �I{ •� VEN,i:.ATION FAN �
<br /> ���I�i "s� DISHWASHER � RANGEHOOD ,
<br />�,'.��k����t-„ � _ LhUNDRY TRAY WATEFi HEAiER �
<br />,pl��lt�� , CLOTHES WASHER � WOOD STOVE ;
<br />;;iI�I��I,( �., URINAL ; METAL FIREPLACE&CHIMNEV �
<br />����^�11��!' �- DRINI(ING FOUNTAIN �
<br />�,;i�j,�,i,���,�,: � FIREPLACEINSERT ,
<br /> � FLOOR DRv,I1J � HEAT PUMP �
<br /> i; —
<br /> � - FACKFLOW PREVENTERS ; GAS PIPING �
<br /> �� �'�f��3 ��'.00F DRAINS--RA�NLEADERS � EXHAUST FAN ;
<br /> ��:`:�t'Jr - SINK(SERVICE-BAR, ETC.) ; �-
<br /> .;.�,,l,,������t� , �
<br /> . i;��l!1,� — --T_
<br /> � i
<br /> � —
<br /> ��.-�',i�{{��y� SUB TOTAL $ r
<br />;,,,,i�,;;� . I SUB TOTAL S
<br /> '�� � PERMIT $ � PERMIT $
<br /> __ TOTALFEE S TOTALFEE 5
<br /> FOR OFFICE USE ONLY:
<br /> ,:�lj'I�t�: FRONTSETBACK REARSETBACH SIDESETBACK PLANCHECNNU'dB_R FEE RECEIPTNO.
<br />.<;.,,�„�1i4;
<br />�».Ceki�IP 1.
<br /> ���`1 USEZONE LOTAREA VqCANT5ITE
<br /> � r���. FEES VALUATION FEE
<br /> ry . > T
<br />�� ,�(�! BUIL�ING
<br /> "'!!!�l !. 1VPE OF CONiS.ALLOWABIE 1VPE Of CONS7 ACiIIAL acuP/.Ncr xL of mvEUMGbrirts
<br /> ���-'+�(tr'i cacuv pLUMBING
<br />-(� y'`y•_ i
<br /> �i(;7�i�Ir �—
<br /> -,.� f f SIZE OF dLDG. NO.OF STORIES BASEMENT i
<br /> :: �� ;i� MECHANICAL i
<br /> .�,i�',i�E:t.
<br /> ������i�� OCCUPANCYLOAD FIRESPRNNLERSREO'D IIEIGHTLIMITATION ADDITIONALPLANCHECK �
<br /> ���''��f I ..
<br /> i
<br />..��!Ir?�� OTH[R i
<br /> BEASON FOR SPqiNKLEf15
<br /> STATE BUILOP'G SUP.CHAflGE
<br /> IPliprct:�Y PLANSAPPFOVEDBY CITY OF EVERE7T PUBLIC WORKS
<br /> ,'� - ,.; LOCAL SALES '
<br />,;;;, , ,';�.' TAX CODE IS 3105 70TAL ;
<br />; , ,
<br /> ;.;:� .:;�,,,
<br />��
<br />
|