Laserfiche WebLink
�f <br /> ��° ``T� C�NSTRUCI'ION F � � � <br /> everett PERMIT PERMI7- NQ:_ 21411 <br /> 259 -8745 <br /> ❑ DEMOLITION L�F COMB�NATION ❑ BUILDING ❑ MECHANICAL ❑ pLIJMBING ❑ SIGN <br /> OWNER MAILADDRESS LiTY ZIP PHONE <br /> Ezek Pacific Huts and rastles 1420 NW Gilman B'vd #2272 92 i05 <br /> BFCMITECTOIiDE51GNER M0.1LnDOFESS GTY ZIP PHONE <br /> CENERALCONTRACTOR MAIIAO�RE55 GTV ZiV PHONE �ICENS[� <br /> Owner nA rFTH�i6txn <br /> ME.,HANICPI(.ONTRACTOR MqILADDRE55 CITY 71P PHONE LICEVSE� <br /> FWMBINGCOIJTRACTOR AIAILADDRE55 CITY ZIP PHONE LICENSE+ <br /> GLASSOf WDNN <br /> C�7 NEW ❑ ADDITION ❑ qLTERATION ❑ REPAIR O DEMOLITION ❑ BUILDING RELOCATION <br /> VALUATION OF WORK <br /> $ 63,400.00 <br /> OESCRIBE WORK <br /> New Construction <br /> HEATSOURCE <br /> C] ELEGTHICITY ❑ GAS ❑ WOODSTOVE ❑ OTHEH <br /> PROPOSEO USE OF BUII�ING <br /> Sin le famil residence � HEREBY CERTIFY THAT I HAVE RER,D AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGALDESCRIPTIONOFPROPERTY�SMOWBELOWOFATfAGHFOURCOPIES� CORRECT. ALL PROVISiONS OF LAWS AND ORDINANCES <br /> ior 1 e�ocK _ oF Greenwood Bluff GOVERNING THIS TYPF OF WORK WILL 8E COMPUED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> V�OLATE OR CANCEL THF PROVISIONS OF ANY UTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PERFORMANCE OF CONSTRUCTION. <br /> JOBAD�RESS SIGN�TURE Of CONTqnCTJR.ApT�IORiZEL 4GENT.Oli OWNER pATE <br /> 4709 Sth Ave. W. _ X � / Z7�,��i <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE � NO. TYPE OF EOUIPMENT FEE <br /> 3 WATERCLOSET�TOILET� A�C-A/HN�LGUNITS-H.P. <br /> ], DATHTU� REFqIGERAlION UNITS-H.P.EA. <br /> 3 LAVATORY�WASH BASIN) BOILERS-B T.U.iH P. <br /> ], SHOWER G\SFlREDA�C.UNITS-BSL <br /> ,1 KITCHEN SINK 8 DISP FORCEO AIR SYSTEMS-�.TL. ht EA. <br /> _1 OISHWASNER WALL HEATERS-�T U M <br /> LAUNORV TRAV UNIT HEAT�RS—�.T.U. M <br /> 1 CLOTNES WASHER ' EVAPORATIVECOOLERS <br /> URINAL CLOTNES OFYEflS �` �� � � ��'�F <br /> ORINKING FUUNTAIN <br /> �] VENTILATIOIJ PAN <br /> FLOOR DRAIN .. <br /> ], RAI�GE MOOD <br /> DACKFLOW PqEVENTERS ], �yATER HEATLH � ' <br /> ROOF DflAINS—RAINLEADERi WOOD STOVE <br /> SINK(SERVICE—BAR,ETC.) ], METAL FlREPLACE 8 CHIMN <br /> FlREPLACEINSERT w ' <br /> HEAT PUMP � ' <br /> GASPIPINIi ' �' <br /> EXHAUSTFAN ` <br /> SUB TOTAL f SUB L '"� <br /> PEPMIT S PEP T <br /> TOTALFEE S TOT - <br /> FRONr SETOACK REnR SETonCK SipE SETBnCh PLAN CtIECK NUM�ER F ' , " q IPT NO. <br /> 20 20 10&6 88/21411 �2E84..058140 •B14689 <br /> USE20NE LOiqREA yqCANT5ITE <br /> R-1 7427 vEs ❑r�o FEES VALUATION FEE <br /> TYPEOFCONST OCCU�ANGYGi10UP NOOFOWELLMGUNITS BUILDING S Q�J�J SO <br /> V—N 2-3 1 PLUM6ING <br /> sizeoFoioc No oFsronies n+nx occ i.ono 55 00 <br /> 1800 } z N A �dECHANICAL 67 SO <br /> INVESTIGATION FEE Sec.304�e� z6 <br /> FIRE SPRINKLERS(7EOUIRED ❑YES L!S NO <br /> STA7E DUIL�ING SURCHARGE 5 <br /> STATEENERGYSURCHARGE 15 0 <br /> APPLILATIONACC �V PL4fJ5CHECHE�t)Y APPR FOPISSUANCE�V <br /> DRIVEWAV PEilM17 — 20 00 I <br /> s.x. J.[a. J.w. rora� i <br /> z i <br /> PERMIT VALIDATION I <br /> WHEN PROPEflLV VALIDATED pN THIS SPACE�THI515 VOUR PERMIT <br /> t� I <br /> I C� <br /> �� <br /> r• <br /> N <br />