Laserfiche WebLink
dieE�rrgreen �-^pNSTRUCTION " � <br />CITY OF <br />ever�tt PERMIT pERMIT NO. 100� Z <br />CIIY HALL 7.59-87d5 <br />eveaerr. wn sezo� ❑ COMBINATION �X BUILDING � MECHANICAL PLUMBING <br />OVMER MAIL A09AE55 CITY ZIP P��OKE <br />JOHN F RUSCH 2819 - 91ct Straaat Eueee'Lt � Z52-8980 <br />ARCHRECi OR pESiGtlER ��AIL AO�RF.55 CITT IIV PMONE <br />GENERALfANiPALTOR IAAiLA00RE55 LItY 21P �HONE LICEN551 <br />IdEGNANICALCONiRFLiOR IAAllA0GPE55 CRY ZIC PHONf. L�GENSEI <br />PLUMBWGG9NiP/+GTOR MAILO�DFE55 CiTv 21P PNONE LICErvSE� <br />S <br />OF WOPK <br />❑NEW ❑ADDITION PCX4LTERAiION ❑REPAIR ❑DEMOUTION GFENCE ❑SIGN GARAGE <br />e and rebuild interior masonry, repair chimn�y <br />IEGNL �ESCRIPIICN OF PROPERTY RHOW pE <br />�o. 11 &12qlOCK � O �F Ready <br />�oenoq�+�s�9 _ p�st Street <br />PLUMBING <br />N0. TYPE OF FIXTU <br />WATER <br />DRAIN <br />v <br />� <br />VARD SETBi�Ck � STREET <br />STORIES <br />1. ENVIflONMENTALCHECKLIST <br />2. BUILOING PLANS _ <br />3. P�(iE HYORANT ' <br />a. FIRE PROTECTION SYSTEIA <br />5. GRA�ING � � <br />� - 6. D�7�11NAGE <br />' 7. ENVIFONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT ,. <br />.-, pPPIICAT10N ACC. DY '��� PLANS CHECKED BY <br />I HER[BY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br />FouncoaiFs� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS nf LAWS AND ORDINANCES GOVERNING THIS <br />' S � St dd TYPE Of WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE PRO� <br />VISIOMS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSyq UCTION OR THE PERFORAIANCE OF CONSTRUCTION. <br />�.,..,..Lo�l���,.�R�e�,n�,�a�,�eo�.ceu., onte <br />X p'ivry � <br />MECH NICAL <br />FEE NO. TYPE OF EOUI <br />AIR CONI.. UNITS — H.P. EA. <br />REFRIGERATION UNI15 — H. <br />�OILERS — HP. EA. <br />GAS FIPED �A. UNITS —TO <br />FORCG� NR SVSTeMS — B 1 <br />W ALL H[ATERS — 0 T.U. <br />UNIT HEATERS — B.T.U. <br />SETBACK <br />VACAIJT SITE <br />❑YES ❑NO <br />PLUMOING <br />MECHANICAL <br />OTHER <br />APP0. FOR ISSUANCE DY <br />ADDRESS FILE <br />1 <br />SUBTOTAL s <br />PERMIT 5 <br />TOTAL FEE S J ISO <br />PLAN CHECK FEE <br />FEE REC4';PT NO. <br />VALUATION FEE <br />5550.00 11 50 <br />7 50 <br />U.OA. <br />SEC. 303 (a) <br />19 0 <br />VALIDATED (IN iH1S SPACE) THI515 YOUFl PERMiT ^' <br />. . � � I I . � ' -- `Y <br />c"� <br />� <br />-� <br />i � <br />' <br />1 . i <br />