Laserfiche WebLink
---_ ._ _..: �.�- ., <br /> I t/lY hVPIr�ICPI) I <br /> �,�t �� CONSTRUCTlON everefit � <br /> everett QERI��T � <br /> CIIY IIALL Ti998d5 <br /> EVEPEiL WALIiNGIIII: <br /> ssim <br /> �F=� �°=�^,M����T� BUILDING MECHANICAL PLUNiBIN <br /> OfVEIOPMENt <br /> ZIP PHON6 <br /> OWNER MAILAODR[55 ' , J �� <br /> . .. � . , . ' � ' � <br /> . 1 � r' � 1 <br /> ;-.;�;•�:i � -,��� . _ . ?., ; . 1 , :;, . :1r�,-..✓, �., : _ <br /> ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br /> '. . :, ..- ' ... _ 7 r;l �"=..'l'?) ... . .. . "�!�=, � I <br /> ,"�r� . i.l�' �)":' � ':5.. <br /> GENERALCONTRACTOfi MAILADORESS PHONE LICENSENO. <br /> � '." :l•i_'-? : .,..,' <br /> I ':E16"]...'. �:� �.3't$:h_ ... ...._ <br /> MECHANICAL CONTR/1CTCR MAIL ADDHE55 PHONE LICENSE NO. <br /> I - .;/:./'i:: � <br /> PLVMBItJG CONTRACTOR MAII. AODRESS PHONE LICENSE NO. (yJ <br /> m <br /> Jacobson Plumbing � <br /> PEFMIT CLAS50���M1'ORk � <br /> z <br /> I QOUILOING �':PLUMBING �MECHANICAL ~ <br /> QNEW ❑ADDITI'JN ❑ALTEftATION ❑REPAIR � <br /> VALU/1T�OV OP�4'ORK W <br /> 11 , �, 1;; -�". ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIAIMING POOL � <br /> S --- �ry <br /> DI:SCRIBLWORK �Z ` 5 <br /> :�:.Iljlr�' ��C1;.S;2� r�'. rl �.��. �-.:Y <br /> PFiOPOSE�VSE MEC�IANICAL <br /> ;'':?+l:j�!' �'�'Iil�; "-i39j.:�i... ..;. <br /> � TVPLOFFUEL �O�L ❑Gn5 ❑LPG. �ELEC. <br /> LEGAL DESCRIPTION OF PROPEFTV It:HOW [3ELOW OF MTnCH <br /> r-OURbO?LESI ;]j-A,•t.::.d�i:_l"r'1•':�'' �-`%�•-'i-�-'f�' NO. TYPEOFEQUIPMENT FEE _ <br /> LOT 6LUCK—.-OF_ qlft COND. UNITS-H.P. EA. 5 � <br /> ' l w. C RLFRIGERATIONUNITS-H.P. EA. <br /> V �J5 �Z�_ � 601LEIiS H.P. EA � <br /> —�GAS FIREU A.C. UNITS-TONNAGE EA. ,� <br /> - FONCFO AIH 5�5�.EMS-B.1.J. M EF. � <br /> J03 ADDPE3S VJALL H[..iFRS--� T_U. __ �`�' <br /> �);:1:� "3r.i iv��•.r�� '�!a6(: UN�-1 Yg/.�-iE(i5-ft.T.U. M � <br /> EVAPORATIVECOOLERS <br /> PLUMBING � c�on+es uavcas __ 7 �� <br /> � VENTILATION FAN <br /> JV <br /> 1 RANGEHO00 <br /> AIR HAN�LING UNIT- 0.F.M. <br /> NO TYPEOFFIXTUREORITEM FE� �"` INCWERATOR � <br /> WATER CLOSETITOILET) 5 <br /> --I <br /> BATHTUN � <br /> � L'nb'ATORY(WASH BASIN) _ --" <br /> SHOWER —L. SUOI'OTAL S <br /> KITCHEN SINK& OISP. —�--�• <br /> �ISHWASHEFi PER�PT 5 � �i <br /> LAUNORY TRAY �� � � TOTAL FEE 5 I <br /> CLOTHES W�+SHEfl �' �� � <br /> THIS P[FM111T f3ECOMES NULL At<D VOID IF WOFK OR CONST l .,� <br /> 1 WATER HEATEft � ' TION AUTHORIZED IS NCT COMMENCED WITHIN 120 DAYS, OH IF <br /> ��— CONSTRUCTION OP. WORK IS SUSPENDEO OR AUANDONEO FOP A <br /> URINAL PBRIOD OF 120 DA�S AT AtJV TIME l�FTER WORK IS COMMENCEU. <br /> ORINKINGFOUNTAIN ._� �^ <br /> �LOOR-SINK OR DRAIN _1 1 HERE6V CEflTIFY TF;AT' 1 HAVE FEA� AND EXl�MINED THIS AP- <br /> PLICATION ANO KNOW THE St�hi[ TO �E TRUE AND CORRECT. AlL <br /> VACUUM RfiEAKERS PROVISIONS OF LAWS AND ORDIVANC[5 GOVERNWG THIS TVPE <br /> � ROOF DRAINS-RAINLEADERS OF WORK W�LL 8E COMPLIEO bVlTl�i VJHETHEfl SPLGIFIEO NEREIN <br /> I �' SINK (SEFVICE-�AP, ETC.) O(t NOT. TFIE GRANTING Of- A PEFMIi DOES NOT PRESUME TO <br /> GIVE AUTHORITV TO VIOLI�TE Oh CANCEL THE PROVISIONS OF <br /> --�-- ANV OTHER STAT[ OR LOCFL LA\V REGVLATIN(�CONSTRUCTION <br /> I . - - OR THE PERFORMANCE OF CONSTRUCTION. <br /> I SUBTOTAL 'J. �t., <br /> PEflM1T 5 �'' <br /> TOTALFEC 5 � i ._ t��l^;�� <br /> x <br /> SIGNATUF.cOFCONTRACTORORAUTH.AGENT DATE <br /> SIDE VARD SETEIACK STREET SET�ACK REAR VAR�SETBACK PLAN CHECK NUA18[R PLAN CHECK FEE <br /> 7N �j' �.> FEE .. :�. ., f1ECEIPI' N/�O. <br /> 7� / •^� 1 ��,.�,fJV <br /> USE ZQ�IES LOT AREA VACANT SITE <br /> ❑vEs ❑rvo FEES VALUATION FEE <br /> TY'rE OF CONSf. OCCUPANCY GRDUP NO.OF DWELLING - � I <br /> „ UNIT$ i ��..�� <br /> j,'_-"; : 1.' '.'1 �. �.' ' <br /> J ' <br /> SIZE OF BLOG. NO.OF STOflIES MAX. OCC. LOAO BUILDI� 5 jI <br /> — ? f '.. . <br /> PLG I I <br /> FIR!' ZONE_ B�15EfvlF�NT FIRESPf11NKLERS _ — <br /> .�1 FEQUIflED Mf.CHAflICAL L � � <br /> " ❑YES �'NO <br /> I <br /> I SPEG:IL CONDITIONS: Ol 'ER I <br /> I '�� ��:M.:-� `� M' PENELI'Y SEC. 3031a) � <br /> —___'— _-- .. r I .. <br /> - TOTAL � <br /> PLRMI7 V.ILIDATION <br /> - WNEN PROPERLV VALI�ATED UN THIS SPAC[)THIS IS VOUR 7ERMIT <br /> q�PLIf.AtIONACLCPIFDOY PIANSUIFCKC�UY AP�qOVE��011i551iPNC(�T <br /> .. . .. . . . � � <br /> I <br /> l.r <br />