Laserfiche WebLink
( thc Fvcr'gleCn I <br /> ��i� �� CONSTRUC�ION everett <br /> e�'e�'ett PERMI� <br /> cnv�wu is�Jsas, <br /> cv[nn�.e:ns�nuctnv <br /> se±oi <br /> °��� °° �°^,'.�°�° BUILDING MECNANICAL PLUMBING <br /> �evEiarmex� <br /> OWNER M[�ILC.DDRESS ZIP PHONL <br /> t'�T;`° . .;t -_•. .�� �a2�+7'7� 329-77 <br /> ,_ , <br /> AFCHITECT OR OESIGIJER MAIL AODFE55 PHONE LP,:ENSG NO. <br /> GENERAL �UIJTRACTOR MAIL ADDfiESS P�iONE L,CENSE NO. <br /> ::�.�. <br /> MECHANICAL CONTRACTOR MAIL ADORE55 �HONE IJCENSE NO. <br /> _ � <br /> PLUM�WG CONTflACTOR MAIL ADDRESS PHONE LICENSE NO. W <br /> m <br /> c <br /> PEflMIT CLASS OF WOqK � <br /> z <br /> +�DUILDING ❑ PLUA4BING ❑MECHANICAL I �y� F <br /> VWEW ❑ADDITION ❑.1LTERATION ❑REPAIR � <br /> VALUATION OF WOfiK � . <br /> 2t�M.Nf ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL W <br /> 5 ,�„1 .� _ a <br /> I DESCRIBE4vOflK .. .a.,, . ., _ ' !)Jj ��] <br />� : : �i c <br /> PROPOSED USE MECHANICHL <br /> TVPEOF- FUEL �OIL �Gns. �LPG. �EIEC. <br /> L[GAL DESCRIPTION OI' PflOPERTY ISHOW��LOW OR ATl"nCN <br /> FOUR COPIES) ' <br /> LOT�•r ry.� ••� . rc•••��; NO. TVPEOFE�UIPMENT FEE <br /> •�`''�^3.eLOCK-� F ,Yt`" '-� AIqCOND. UNITS-�H.P. EA. 5 � <br /> REFliIGERui!ONUN�TS-H.P. LA_ _� <br /> 601LERS-Ii.P. LA I <br /> GAS FIRED A.C, UNITS-TONNAGE EA. —7 <br /> FORCEDPIR ;'�'ISTEMS-B.T.U. MEA. I <br /> JOD A�DRESS y N'ALL HEATEF'S-O.T.V. M <br /> y�y� tt•f'..l -Vi VNIT HEATERS-B.T.U. M i <br /> EVl1PORAiIVE COOLERS <br /> PLUA161NG CL0IHESDR�ERS I <br /> VENTILA"ION FAN <br /> RANGEHOOD I <br /> NO. TVPE OF FIXTURE OR ITEM Fp� _ �+IR HANDLING UNIT- C.F.M. _ <br /> N'PTFR CLOSFTITOILETI 5 INCINEftATO(� I <br /> .IATHTUO - � <br /> LAVATORV IWASH 9ASIN) — � <br /> SHOWEF <br /> _ KITCHEN SINK & CISP. � _ $U6 TOTAL 5 I <br /> OISH\NASIIER PERMIT 5 <br /> LAUNDRVTRAY TOTAIFEE 5 I <br /> CLOTHESWASHFR I <br /> THIS PERMIT DE�OMES NULL AND VOIO IF WORK OR CONSTftUC� <br /> WAl Efi HEATER � TION AUl'HOFI2ED IS NOT COMMENCED WITHIN 1:0 DAYS, OR IF <br /> URIN4L COYSTRVCTION OR WORK IS SUSPENqE� Ofl AfiANDONED FOR ? <br /> - PERIOD OF 1?0 DA�S AT ANY TIME AFTER WURK IS COMMENCED. <br /> �RINYING f-DUNTAIN <br /> FLOOR-SINh' OR �RAIN I HEftEOY CERTIFY THAT I HAVE flEAD AND EXAMINED THIS AP- <br /> VHCUUM AREAKERS �-- PLICATION ANI] Y.NOW THE SAAIE i0 E3E TRUE l�ND CORRECT. ALL <br /> ROOF OPAINS-FAINLENDLViS I"--' �'AOVISIONS OF LANlS A�JD ORUINANCES GOVERNING THIS TVPE <br /> . OF WOFK WILL 5E COMPLIEG WITH N'HETHER SP[CIFIEO HEREIN <br /> SINK ISERVICE-BAfi, F.TC.) OR NOT, �HF GfiANTING OF A YC-PMIT DOES NOT NRESUME TO <br /> '- �—" GIYE AUTNOflITV TO VIOLATE OF CC.NC`cL THE p(cOVI510N5 OF <br /> - ANV OTHER STATE OP LOCAL LAW REGULATING CONSTRUCTION <br /> OFl THE PFRFORMANCE OF CONSTfiUCTIpN. <br /> SUB TOTAL <br /> PERMIT 5�— <br /> t-Ol'AL FEE S�_ ��M+�� <br /> Xa�� <br /> SIGNATUREOPCONTIiACTOPORr�UTH. nGENT Ol�TE <br /> I SI�E �SGT�ACK STREETS 4CK RF.APYqRDSETBACKPLANCHECKNUMA[R FLGNC4ECKFEE <br /> � � �a� FEE IFECEIPTNO. <br /> I USE ZONE LOT nREA VACANT SI'E <br /> � "�J ❑vE5 �rdo fEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GflDUP UO.OS DW^ELLING � <br /> L ����—y� — y��y� <br /> SIZE OF �LO�G.�.y NO.OF STORIES MA%.00C. LOAD OUILDING $ .aznw�yC.� il{ I.V <br /> �'�/W�1 � PLUM[31NG � <br /> 41HE ZONE 6ASEMENT �IRESPRINK�ERS � <br /> ��I F�UUIFE� � <br /> � n(X".'^ ❑VES �NO MECHA%ICAL I <br /> I SP@CIALCOMDITIONS: _ OTHER ' <br /> I <br /> — — T <br /> . VENELT'! SEC. J091a1 � <br /> -- --_ I <br /> -- TOTAL � <br />( PERMiT VALIUA"fION <br /> WHEN PROfF_RLY Vf�L J."�TF.D UN TIIIS SPnCE) THI515 YOUR PERMIT <br /> �f^UCATI(]NAf,C[Pi[�IIV�. PLFlSCIIECKE��V�. AVVPO\FDF!ihI55UNNLCIIY <br /> L C� �s C• '.'.O C.• <br /> i n i <br />� � <br /> ....... ._ _.. <br /> ...__ 7_.,. ... . ._.. . ' ' `_ . _ — . . <br />