Laserfiche WebLink
,.�,.,o,,,� '�_,�PPLICATION FG .: everetl <br /> �TM�F CONSTRUCTION � <br /> �verett PERMIT <br /> IUILDING DEPARTMEWT <br /> 'S9•8745 TO BE COMPLETED IN !NK- PLEASE PRINT <br /> ] DEMOLITION ❑ COMBINATION ff� BUILDING ❑ MECHANICAL ❑ PLUMBING �SIGN <br /> NNER M�IL��ORESS CIiY ZI� PHONE <br /> �i�',� ,�n� 1�EIz S a A1 � 70 3 — ��ti C,� ,�GE.t�x�� 9�'3D / <br /> iCMIfECTOR0E910NER M�IL�DORE95 Cltt ZIP PIIONE - <br /> cNEN�IGONIHRGtOR M�IL�011(iE55 Clrv piP P��ONE �IGENSE <br /> �i/1 M � iu � fLA tit l���_l�e r�s /90/ 3 S'oa.,c�v�� S�uwcrc� n1d',19� / � 9 97 , �e � a��JL <br /> Ec�uNicei coN*rucron Mna eonness cnv zin r�or+c <br /> � // IICENSE• <br /> �.U' So N ��/fl. �vEaEt7- ��i`�,=(l7/ <br /> .UMdINOCOI11fUC�ON —� M�ILAOORE55 CITY ZIP PIIONE LICENSE� . <br /> .�SS OG WOfIN <br />� NEW ❑ AD�ITION � ALTERATION ❑ REPAIR ❑ DEMOLI710N ❑ WOODS70VE/FRPL.INSERT ❑ BUII.DING RELOCATION <br />\W�iIONOGWO NIWSIOfMRiCqPl5FLU51�8 RI //� � <br />�[��1�-�iaNij"� i .t1SJ`,Q �� �/Sff ���ffS�tt� <br /> ESCRIBE WORN <br /> ti � � <br /> 9E Of BUILOINO <br /> I fiEREBY CERTIFY THAT I HAVE READ AND EXNMINED THIS AP• <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALI_ <br /> iO�LDESCRIPIIONOFPROPERIYISNOWNBELOWOR�ITAG11f011flCOPIE51 PROVISIONSC�LAWS�NDORDINANCESGOVERNINGTHISTYPE <br /> ��v � ����o� ���! OFWORKWILLBECOMPLETEDWITHWHETHERSPECIFIEDHERE �� <br />��rL'4._e�oc�_ev_,� INORNOT.THEGRANTINGOFAPERMITDOESNOTPRESUMETO i <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL TIiE PROVISIONS OF <br /> ANYOTHERSTATEORLOCALLAWREGULATINGCONSTRUCTION I <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATUp OFCONiRACTORORAU pRIZEOAGENT DA7E I�I���, � <br /> X� �, . �/ �� <br /> � � 9 - d D -d / - o �� _ �i r <br /> OJECT�O�NE55 APPLILANTS diY BUSINE SS LICENSE NO. <br /> ,.i —�F-/l . � . - <br /> LUMBINO MECHANICAL <br /> NO. TYPE GF FIRTUflE FEE NO. TVPE OF EOUIPMENT FEE <br /> WATER CLOSET�TOILEn AIR COND. UNITS—H.P.EA. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA. <br /> LAVATORYIWASH BASIN� BOILERS—H.P.EA. <br /> SHOWER GAS FIRED AQ UNITS—TONNAGE EA. <br />, KITCHEN SINK 6 Ulu^P. (�. � FORCED AIR SYSTEMS—B.T.U. M EA. <br /> �ISHWASHER � WALL NEATERS—B.T.U. M _ <br /> LAUNDRY TRAV UNIT IIEATERS—B.T.U. M <br /> CLOTHES WASHEA EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN Q <br /> �RINKING FOUNTAIN RANGE f100� <br /> FLOOR DRAIN AIR HANDLING UNIT— QF.M. <br />� VACUf1M BREANEflS STOVE <br /> HOOFDRAINS—FAMLEAbERS METALFIREPLACEB CHIMNEY <br /> SINK(SERVICE—BAR,EiC. WOODSTOVE/FIREPLACE INSERT <br /> SUBTOTAL U SUBTOTAL f G <br /> PERMIT S PEHMIT S _� <br />_ TOTAL FEE S �J(,I TOTAL FEE f _� <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONMEL <br /> iONiSEIBACN RLAp5Ef0ACK 510[SELpAGN PUNCIIECKNUM2IER 1`UNCu[CNfEE <br /> GEE nFCEIPt NO <br /> SE ZONE LOt�RER ynf.nNI511F � <br /> ❑YES 1]NO FEES V�IU�T10N FEF <br /> PEO�COt15� OLCUI`4tlCYGPOUP NOOFDWELLINGUHIIS <br /> OUILDING S <br /> 2E OF pL�G. NO OI StORiES MR%.OCG.f.0A0 <br /> PLUMBING IU O � <br /> MECMANIC/L �(�_ (.��� <br /> IRE SPRINNLERS REOUIf7ED ❑ VES U NO � —�F— <br /> OTMER <br /> PENAUY <br />�PlIC4IlONACC OV PLANSCIIGCNEDBY AP{'fl iOflI55UlNCEOY — <br /> T0TI1L <br /> �'�' � G ' <br />