Laserfiche WebLink
U1P I. rinp,o... GONSi'RUC iON <br />CifYHI j - PERMIT <br />everett <br />it' <br />VI[1 11,wA'w,ul COMBINATION • BUILDING • MECHANICAL PLUMBING <br />UWNLH MAIL AIIUIi L:1S ZIP I-HUNL <br />V�1'Q�S m1LbPLc�_J;Aa�G_�_I <br />AliCll ILCI UII UU:IGNL 1 MAIL'ADDIIESS PHONE LICLNSL NV. <br />m .1c"/>`�. s _ Q�la� - v..i.._...L,,�R��� �i3s i�ra <br />U L.NL RAL CUN I HALT UH MAIL ADDRESS—PHUNP. LICENSE NU. <br />PLUMIHNGCONI IIACIOIIMAILADDHESS PHONE LICENSE NO. <br />PLI{MIT CLASS OF WORK <br />❑COMBINA710N <br />Ip.yyUU1LDING ❑PLUMBING []MECHANICAL <br />❑NEW ADDITION [I ALTERATION ❑RCPn ni <br />VALUAIIUN OF YlV FIR <br />� noO C� ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />S <br />AA or3 r7n1t 4 <br />PHOPOSLU USE <br />LT.GA OESCF ILiI TION OF PROPE Ii <br />FOUR COP, <br />E��SI y <br />t LOT.L�J�Y ITLOCK i3_ OF__4 <br />PLUMBING <br />t I+ <br />a <br />reverett <br />MECHANICAL <br />TVPE OF ENERGY <br />❑GAS XELEG. <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS-H.P. EA. <br />REFRIGERATION UNITS -)I P. EA. <br />S <br />r— <br />SOILETIS H.P. EA. <br />I <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />—_ <br />SPACE III %VALE HEATERS - B.T.U. <br />UNIT HEATERS -B.T.U. <br />I <br />-� <br />_ <br />EVAPORATIVE COOLERS <br />� <br />—_ <br />CLOTHES UHYCRS <br />I <br />VENTILAIION FAN <br />--- RANGE. 1160,E) ^ <br />AHI HANDLING UNIT- C.F.M. <br />WATLH HEATER <br />FAC. BUILT FIREPLACE R CHIMNE` <br />GAS. SYSTEM: NO OP OUTLET <br />RAIN LEADERS —I—I 1 70TAL FEE 5 <br />THIS PERMII BECOMES NUI.I AND VOID IF WORK OR COISTRUC. <br />TION AUTHORIZLD IS NOT COMVENCED WITHIN 120 DAYS. OR IF <br />,E PUMP CONSI RUCTION U11 t1JOI1K IS SItSPENDLD ORABANDONED FGII A <br />`I PERIUU OF 120 DAYS AT ANY IOJE AF TER WORK IS COMMENCED. <br />'-_-- - 1 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP <br />P LICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />S -- ELECTRIC 'I PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />1 OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />IS OR NOT. THE GRANTING OF A PERMIT DOES NOT PRI'SUME TO <br />GIVE. AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONS'TRUCIION <br />1 OR THE PERFORMANCE OF CONSTRUCTION. <br />SUBTOTAL i <br />PERMIT S <br />_ TOTALT' /OT <br />TER SERVICE SIZE BLDG. SUPPLY SIZE SIUNA URC OF CONTR TUROR AUT AGENT GATE <br />SIDE YARD SL I IIACK <br />f YPC OF CID NS T. <br />STILL LT SL TRACK <br />CUT AHLA <br />UCCIIPANCY GRUUY <br />fi L A H YA R D SL 70 AC A <br />PLAN CHECK NL <br />VACANT SITE <br />❑YES ❑NO <br />FEES <br />NO.OF76WELLING <br />UNITS <br />_ <br />BUILDING <br />SIZE OF 01.UC. <br />NO. OF STUTIIES <br />2 <br />IMAX. OCC. LUAO <br />1 <br />PLUMBING <br />FI/{{E ZUNt <br />IIASLMlNI <br />fiRE SPRINKLLHS <br />RLOUIHLU <br />❑YES ❑NO <br />MECHANICAL <br />S0'l CIAL CONDITIONS <br />OTHER <br />PENALTY <br />TOTAL _-- <br />ir�ii niun�.���il�li <br />nrv_- <br />ICI AII'.11111 �I II ItY ...��___ <br />nPYIIUVI I��I1111t:.uMa111Y <br />_ - - <br />-- <br />V \�..... <br />PLAN CHECK F EE <br />FEE RECEIPT NO. <br />V�q�_1/0 <br />ALUATION FEE <br />�T <br />I <br />1 <br />S c G <br />SEC. 0001al <br />Will N PHUPL III Y V AI MAT L D IIN 1 HIS SPACEI 11415 IS YOUII Pt HNII <br />AODIRESs FILE <br />A <br />A <br />