Laserfiche WebLink
� (he-�i�erRreen -- <br />, �"Y°F � - '�`'ONSTRUCTIOP'� <br />i,;; , � <br />ev��ett PERMIT PERMIT NO. �6266 <br />CITY HPLL y?� 7a5 . <br />V EVERE}',r.�,�s�zd)''y[� `�e6��INATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MALLApDRESS CITY 21P PHONE <br />GENfiflA:LONTqqGTOR MAIL AD�RE55 CITY ZIP PHONE LICENSE 11 <br />�aiiie <br />MECNANICA� CONTRACTOR NAIL AD�RE55 CITY ZIP PHONE LICENSE N <br />P�UMBING WNTRACTOF MAIL ADD9ESS QTY ZIP PHONE LICENSE M <br />� NEW ❑ ADDITION ❑ qLTERAT�ON [] REPAIR � DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br />VALUATION OF WORK <br />SrJ����O.�� <br />DESCRIBE WOflN <br />Single family residence <br />-------.... „�„ ..� rn�rcni � �anurv etWW oX ATTpCH FOUfl COPiES� <br />�or 23 BLOCK�OFW���OW Creek G7en <br />IJJV � <br />PLUMBING <br />0 <br />m <br />V-N <br />TYPE OF FIXTURE <br />� WATERCLOSET�TOILEn <br />BATHTUB <br />LA�ATORY (N'ASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWqSHER <br />LAUNDRYTRAV <br />CLOTHES WASHER <br />WATER HEATER <br />UFINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF GRAINS — RAINLEAOE <br />SIYK (SERVICE — BAR, ETQ) <br />SUB TOTAL � � <br />PERMIT s <br />TOTAL PEE S [ <br />CE7 SETBACK REAR YARD S <br />� , <br />AHEA VACAN7 SITE <br />�)(YES �:NO <br />R-3 <br />R-1415 � 2 <br />FIRE ZONE BASEME <br />APPROVALS <br />1. ENViRONMEN7AL CMECK LIST <br />2. BI�IL�ING PLANS — <br />3. FIRE HYDRANT `" <br />d. FIRE PROTECTION SY57�y <br />5. GRADING <br />��6. DRAINAGE <br />�Y.ENVIFONMENTALIMPAC�STATEA <br />'� 8. HEALTH DIS7RICT iv <br />'7lPPLICATION ACG BY ==pLANS <br />c_ � <br />c� <br />_ : �JS9 <br />-J <br />1 <br />OCG LOAD <br />5 <br />APPR.FOR <br />lc <br />DATE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPIICATION AND KNOW THE SAME i0 BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL AW REGULATING CONSTRUCTION OR THE <br />PERF�ANCE OF CONSTRUCTION. <br />SIGNATU OF�^qpCTOq OR AUTHCR2E0 AGENT �/ OATE � <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FOHCED AIF� SYS7EMS — B.T.U. M EA. <br />� WALL HEA7ERS — B.T.U. M <br />UNI7 HEATEHS — B.T.U. M <br />EVAPORATIVE COOLERS <br />j C�OTHES DRYERS <br />VENTILATION FAN <br />� RANGEHOOD <br />AI(i HANDLING UNIT — C.F.M. <br />j STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />PLAN CHECK <br />86/16266 <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />SUB TOTAL S <br />PERMIT f <br />TOTAL FEE S <br />PLAN CI <br />FEE bdS1C <br />VALUATION <br />� 50,���. <br />RECEIPT NO. <br />FEE <br />SEC. 303 (a) <br />TOTAL <br />32E <br />PEqM1T VALIDATION <br />WHEN PROPERLY VALIDA7ED pN THIS SPACE) 7HI Is,YOL" P IT <br />1325 �1;�.�`�- <br />AUDRE:;S FILE <br />