Laserfiche WebLink
the E.rrgreeN <br />CITY1), CONSTRUCTION <br />everett `'v`'re" <br />„I,NI PERMIT <br />111 RI II Wg5,11NLI0N <br />f[K11 <br />aVI 01 cam YRNHv BUILDING MECHANICAL PLUMBING o[vl[�w[xT <br />VER <br />Ry *G xt� MAIL nDOHFSti zip <br />416r'L'� A ILI�r PHONE �� <br />ei16r Jl• LA •7 M uIU.T�ry <br />MCI 11v AUURESS PHONE LICENSE NO. cc <br />W <br />PERMIT Q] <br />CLASS OF WORK <br />2J� D <br />13UILDING ❑ PLUMBING ❑ MECHANICAL Z <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ~ <br />VALUAT OF ORK ss <br />S ❑DEMOLISH 3FENCE ❑SIGN ❑SWIMMING POOL W <br />DESCRIBE WORK 7r FINE%I TO rrs" pm O_ <br />PROPOSED USE 1410 <br />MECHANICAL <br />I.EGAI DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH T APE OF FUEL ❑OIL ❑NAT, LPG. ELEC. <br />FOUR WE" <br />OAS <br />LOT - BLOCK_OF�' i NO_. TYPE OF EQUIPMENT FEE <br />AIR COND. UNITS-H.P. Eq.- <br />REFRIGERATION UNITS-H.P. EA. ��— <br />BOILERS-H.P. EA. <br />OAS FIRED A.C. UNITS -TONNAGE EA. <br />JOB ADDRESS -- FORCED AIR SYSTEMS-B.T.U. M EA. I <br />TO 009 Pro 96 go WALL HEATERS-B.T.U. M <br />UNIT HEATERS-S.T.U. M <br />PLUMBING EVAPORATIVE COOLERS <br />NO UNIT- <br />IwI neu WASHER <br />TOTAL FEE 61 <br />WATER HEATER <br />---T <br />Tills PERMIT BECOMES NULL IV(:VOID IF WORK DR CONSTR VC <br />URINAL <br />---- - I <br />TION AUTHORIZED NOT COMMENCED WITHIN 120 DAYS, OR IF <br />DRINKING FOUNTAIN <br />i <br />ION OR WOR <br />- PERIOD OFCONSTRUCTt O DAYS AT K IS SUSPENDED OR ABANDONED FOR A <br />ANY TIME AFTER WORK <br />FLOOR -SINK OR DRAIN <br />I <br />IS COMMENCED. <br />_ VACUUM BREAKERS <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS All <br />PLICATION AND KNOW THE SAME TO <br />ROOF DRAINS-RAINLEADERS <br />I-- <br />BE TRUE AND CORRECT. AL[ <br />- PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />SINK (SERVICE --BAR ETC.) <br />---- <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />SUBTOTAL <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />PERMIT <br />S <br />TOTAL FEE <br />S <br />x <br />SIGNATURE OFCONTRACTOROR AUTH.AGENT GATE <br />SETBACK STREMETBACK <br />REAR YAROSETBAC <br />P LAN CHECK NUMBER PLAN CHECK FEfi <br />LOT AREA <br />VACANT SITE <br />FEE RECEIPT NO. <br />O NST. OCCUPANCY GROUP <br />FrIR_Rf-_BASEPTWf- <br />❑v6s ONO <br />NO, OF DWELLING <br />FEES VALUATION FEE <br />UNltfi <br />I <br />DG. NO. OF STORIES <br />AX.00C. LOAD <br />- - -_ <br />BUILDING S !la 5 M <br />I 1 KL <br />PLUMBING I <br />REQUIRED <br />T— <br />❑YES ONO <br />MECHANICAI <br />I <br />',PECIAL CONDITIONS' <br />_ - - I --- <br />---- <br />OTHER I <br />PENELTY SEC. 303(a) 1 <br />—___- <br />_—_--_ <br />_—L_.. <br />TOTAL I <br />PERMIT VALIDATION <br />--- <br />WIZEN PSOPE SLY VALIDATED (IN TIIIS SPACEI THIS IS YOUR PERMIT <br />,M <br />