Laserfiche WebLink
bPPLICATION FOR <br />thsErorpros^ CO N ST R U CT I O N <br />CITY OF <br />ever�tt PERMIT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICE$ <br />CITY HALL 259�8745 <br />eveaerT,wnvazoi �COMBINATION p BUILDING ❑MECHANICAL ❑PLUMBING PERMIT N <br />M/.IL �Uf]MI55 CII\ ZIP PNONF <br />ow��w r 3S� —s3f <br />everen <br />� <br />I d �l�' %� t, !'✓ O% vP S,C � t%2Y l nr viwHe <br />ePO11IICTONDI$IGA(N M�Ile0�0.155 <br />G(N(RAl(ONIRA(iON MAll�0�R15$ <br />C�iv Z�P VHOM[ IICFNS[ � <br />� n�1 s� �- �s /y � 0 5" s s�'A, F Sf sTY� ��vN 9s/��> �b'l �t YY-n�rKn .�s��r� <br />� t v vHo c i c[ s[ <br />♦IIMANIUI COHIRACIOR MAII AD00.ISS <br />PIU�.�RInCCOMtR�Ct00. MAIIADDNfSS <br />CIiY ZIP PNON[ IICENSf I <br />❑NE\4 ❑ADD�T�ON ❑ALiERATION <br />VLWAIION Of N'OXN C� <br />+�i�n�� <br />nisc�oaa <br />. , .a 0 < i .R., . _ � . <br />❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BU�LDING RELOUT�ON <br />lf G/.l UI SCRIPI lOn Of PROP! 0.tY ISNOW N b[lOW OR el1e011 OUR CO��I51 <br />ioi ._ e�ac � or <br />�OP GO�0.155 � <br />l�la ��N�'l�i Sx , l� .�,,,, — <br />PLUMBING <br />NO. TYPE OF FI%iURE FEE <br />WATEN CIOifT I70l�FT) <br />flA711TU8 <br />LAVATORY 1�':�SH PASIN) <br />SHOWEN <br />KITCNfN $�NK 8 915P <br />UISwASHER <br />IAUNDRY!RAV <br />CIOTHES K'ASHER <br />WATER MEATER <br />URINAL <br />ORINKING FOUNIAIN <br />FIOOIt DRAIN <br />VACUUM1I PNFAI(ERS <br />NOOF ORAINS—NAINIFA�[RS <br />SINKISERVICL—NAR. fTCI <br />SU� TOT�L <br />�wwr S <br />USI ZOM1I <br />TYPE Of CONST <br />STRE(TSLTOACK RURVARDS[111� <br />�pT�N{A yACANTSRE <br />OYfS GNO <br />OCCUPANCVGROUP NOOFDWkILING <br />h0 OFSTORIfS M�X OCC LOAD <br />A�fROVAlS <br />1. ENVIRONN[N7Al CNECK 115T <br />7. OUIIDING PlANS <br />7 fIRE HYDNANT <br />.1 {INE PRO7ECT�UN SYSTEM <br />5 GNAO�NGF%U��TION 6 CLfANINGICRUHNING <br />6 DRAINAGf <br />7.fN\':NONMFNTAIIMPACT57ATEMENT <br />E HF��TM DISTRICT <br />SY � DATE <br />.om�r•nnH�CC 6Y PLANSCMECKEDBY I �PPp �OR <br />91-%9 <br />I HEREBY CERTIFY THAT I HAVE REA� AND EXAMINED THIS AP- <br />PPOVIS ONS OF LAW$ AND ORDINAONCES GOVERNINOG T7115 TYPE <br />O� WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HFREIN <br />Oi NOT. l::E GRANTIIJG OF A PERMIT DOES NOT PRESUME TO <br />GI /E AUTHORITY TO VIOLATE OR CANCEL THE PROVISION$ OF <br />AN� OTHER STATE OR LOCAL ! AW REGULATING CONSTRUCTION <br />OR 1 NF °ERFORMANCE Of CONSTRUCTION. <br />SIGNATUNE OF CONIRACiON OR AUTMOH�ZED AGENT DATE <br />BY <br />OFF <br />_HP <br />FEfRILEHATION UNITS—MP EA _ <br />NOIlERS—��� [A <br />GA$ FIHEO AC UNI7$—TONNAGE EA <br />fOXCED AIH SVSTEMS—B T U M <br />\YALL HIATERS—BT U. h� <br />UMT HUTEHS—� T U M <br />CM[CR <br />HOOD <br />RES <br />SU! TOTAI s <br />PUN CHECK FEE <br />fEE I RECBPT NO. <br />nunou+c s <br />PWA1111NG <br />M[CHANIUL <br />01HER <br />UBC <br />PENAl1Y SIC IO71a1 <br />TOT�I <br />PERMIT VALIDATIOH <br />WIIEN PNOPERIY VALIOATEOIIN iN15 SPACFI TMIS �S YOUR PERAIIT <br />