Laserfiche WebLink
.... `.: ' . . <br />, 1 <br />,�.E�.,�,�� HPPLICATI�N FO� <br />cinoF CONSTRUCTIOf� <br />e�verett PERMIT <br />BUILDING DEPARTM[NT <br />259-8745 TO 3E CflMPLETED IN Ini( • PLEASE PRINT <br />_ . . .._ .....�_.. �'s''_. <br />everetl <br />� <br />❑ DEMOLITION ❑ COMBINAT�ON ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />ownen M�i��ooness cirr zir riwr+e ' <br />LQ /yql Sa/fe,7 vaig-9� �4vc . S�. E✓e��l/` r£3zo8 3s s zos� <br />�IICIIItEC10f10ESI0NER MAILA�ORE55 Cltt ZIP Pi'ONE <br />�,Uq�lSoNd-�s5b� • 3z�/ /3ro.�(way, 5o."f"eE. Ev�Pr'e/� 9Bza/ ZS�-SSs� <br />GENE4�lG fPACi00 M�1ILADONE55 I' Cltt� ZIP PNONE LICENSE• � <br />/l.: /�4�Id,4�,�1%�.�,7 No,�.s�" 89Z9 �� /�/. S�. Eiev�r� q8zoa ��s-i9z�-/yR�vrw< <br />AIELN�NIC4LLONI �CiOq M�II.ADORESS UfY � ZIP P1101:[ �ICENSE�r`/U• <br />`� <br />PWMBINGCONiRAGiOq MAIL�OOBE55 Cltt ZIP PIIONE ULENS[• <br />__"�� _. .. _.... <br />❑ NEW ADOITION ❑ ALTERATIOP! ❑ REPAIR ❑ OEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING tiELOCATION <br />VAl UATION Of �VO�K �LOST OF MRIERtALS PlU9 LA90N� <br />2. /�d � <br />---- __ _ �yo <br />use or ouaoum <br />LEGAL OESCOIPiION OF PROPEPiY �SNOWN DELO W OR ATTACH FGUfl COPIE51 . <br />LOt�aee p_DO �/ {� �' � �T , �� <br />9LOC�_AF <br />PROJ[CTApDRE55 <br />��/S1-9�- <br />� <br />TRAY <br />v�. SE, E-'�BYf <br />I HEREBY CERTIFY TFIAT I HAVE READ AND EXAMINED THIS AP• <br />PI.IC�TION AND KNOW THE SAME TO BE TRUEANDCORRECT. ALL <br />PROVISIONS GF LAWSAND ORDIN�NCES GOVERFIING THIS TYPE <br />OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE• <br />�N OR NOT. THE GRANTING OF A PERMITOOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE Of CONSTRUCTION. <br />SION�7URE O ON7HACTOH OF AUiHORIZEO AGEN� DAlE <br />X�t�a�c� "''�fi r�[. �w•.-�% <br />�r_nuc �+r CRY9USMESSUCENSENO <br />D%6Z �f8 <br />1NICAL <br />TYPE OF EOUIPMENT <br />AIR COND. UNITS—H.P. EA. <br />f1EFRIGERATION UNITS—H.P. EA. <br />�OILEFlS—VI.P.EA. <br />GAS FIRED A.C. UNITS—TONNAGE EA <br />FORCED AIR SYSTEMS—B.T.U. M EA. <br />WALL HEATERS—B.T.U. M <br />UNITHEATERS—D.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES �RYEHS <br />VENTILATION FAN <br />F7ANGE I100D <br />AIR HANQLIN� UNIT— GF.M, <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />iRONi 5EI0ACK PEAq SET�ACN SIDE SElOACN PLr1N CHECH NU1.IpEf1 l ��AN GIIELK iEE <br />a/LI �� d� �� I�L� `] LEE t-: L �( (� RECEIPi NO �.%��r J <br />USE20NE �DTAREA ` f — — <br />�%_ � J�i��J� ❑ E5+�0 FEES VALOATION FEB <br />� <br />LVPEOiCONSi OCCpPAIlGYGROUP NO.OFDWEL�INGW�ItS <br />� � �- � / DUIL011�G S 2�U' (� ;� S ( <br />SREOFBWO NOOlSiOBiE3 MAX.00C.lOnO - <br />N� � /�� PLUM91N4 <br />!%J�D .8.�/cK i�ENEE,LZ • rnr:cunr�icn� <br />FIRE SPFINKLERS REOUIREO ❑ YES kJ NO <br />Oi11Efl <br />PENALTY <br />APPLICAiIONACCOV PLANSCHELNEpOY APPRFORISSUPNCEDY — - <br />� � TOiAL <br />�•G <br />