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APPLICATI�1 FOR CONSTRUC'1��N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> HEATING SVSTEM: ❑GAS ❑ELECTRIC <br /> BUILDING DEPARTMLNT —� <br /> 259-8810 <br /> G ON IJ COMBINATION ❑ BUILDING . MECHANICAL ❑PLUMBING ❑ SIGN <br /> avncn uni�nooF[ss cm xir vHoxe <br /> �5 t�?1��ar � ��Z?Lwl�Zv ��7F,�G–QE�' ) WV'L–'• �53�{l�" <br /> iE1NMi MALL WDPC55 ❑Y 2 '�PIqOE <br /> — --- l '� � - � �1rGs ���c 2192C.� C'�rrttt a. 9.S'll1 <br /> APLNIIECL(%IOESIGNEfI MAiMDFE55 CRY ZIV PNC1:E ��J A_ /��,�J� <br /> G(> Cl L <br /> GENEM{IJf�pITp���00Fi55 CIfY tiP (�'��/1 P�I�KK!i/E1�//� SUiELICEI6E� <br /> w [� . V✓l_✓ ` I <br /> M[CHANC�ICON1PAGiON 4L�O�PE55 CIiY ZIP PNONE SUiEl1LEN5E• <br /> -�rrr��,����u���r,z���. �� - �lBy ►����n►c�.J <br /> RVA�0M6CONiP�LTp11 M1iLAD�AF55 C�iY IP FIIONE 9AELICCNSE• <br /> 4-L D`26 <br /> CpIIMCiPflIGEOiWOPR .^^ <br /> �.d� <br /> °�—�"c"��'s'"�°°�i`�tit�-�Lt)02 E— '�}1'��''I "'°1�t�lyl�lDi1 'Z�lo 5 C�i <br /> �iJ oo _ <br /> I HEREBV CERTIFY THAT I HAVE READ AND =XAMINED THIS <br /> raon�seousea non+c /� 1 ' `-� APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECi ALL <br /> `T��L �y.,�AJ I�j PROVISIONS Of LAWS AND ORDINRNCES GOVERNING THIS TYPE OF <br /> lEG0.DE5tPiP110NOFPPOFENIY�SNOWNBRONOB�Ti�L111VIJLOPiES� WORK WILL BE COMPLETED WITH WHETHEfl SPECIFIED HEREIN OR <br /> NOT.TNE GFANTING OF A PERMIT OOES NOT PRESUME TO GIVE <br /> �or BtxK �F �UT!{ORITY TO VIOLATE Ofl CANCEI.THE PROVISIONS OF ANV <br /> OTHER STATE OR LOCAL LAW FEGULATING CONSTRUCTION OR THE <br /> — PEflFORh7ANCE OF CONSTRUCTION.THAT I AA7 AUTHOHIZED BY TME <br /> OWNER OF TNIS PROPERTV TO PERFOfllA THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> rnnee�rneiormueee CONTPAC70RSLAWt 7RCWAND29620U C. <br /> / <br /> Cq15iPULtION LO�N IENDEII./31DPE55,TELEPIIIXIE NIIM3EP ��� <br /> M��pp _ s x o.rt <br /> �'7 m m�e�n�r�(ess�mwxuo <br /> L�/ <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TUHE OF REM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATLR CLOSEi(TOILET) NC—NHN�LG UNITS—H.P. <br /> BAiHTUB FOFCEDAIRSYSTFMS—B.T.U. IA E.A. <br /> LAVATORV�WASH BASIN) UNIT HEATERS—B.T.U. M <br /> SHOWEfl CLOTHESDRVERS <br /> NITCHEN SINH 8 DISP VENTILATION FAN ' <br /> _ --� <br /> DISHWASHER RANGE HOOD <br /> LAUN�RV TRAV �NATER HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FlflEPLACE�WOO'J BURNING� <br /> OFINKING FOUNTAIN FIREPLAC!"INSEili <br /> FI.00R DRAIN HEAT PliA1F <br /> BACKFLOW PREVENTERS GAS PIPING <br /> ROOF URAINS—RAINLEADEflS E%HAUST FAN <br /> SINK ISEHVICE—BAH,ETC.� <br /> SUBiOTAI 5 SUBTOTAL 5 <br /> PERMIT S PERMIT 5 7 I <br /> TOTALFEE S TOTALPEE S J.' ' <br /> FOR OFFICE USE ONLY: <br /> iRONi5ElB0CK flEABSEiMCK SIDESETDAGK PUNCNFCGNOMBLP FEE PECFPiNO. <br /> u5E2a+E �0*naen ��CerisrtE FEES VAIUATION FEE _ <br /> ❑ VE$ ❑ NO gWWING <br /> �rxamxsr rvo.oisronies arpw�r .oaow���mcuxns — <br /> "tl1 PLUI.IBING <br /> SR[OFBIW. flflESVflINKLL115flEQ0 BAS[MENf MECH4NIGIL �) �' <br /> n ves ❑ No <br /> OGLUPANCYLO�O Fl11E�U11MP[OU IIEIGHL4MIiAlICN AODITIONA�PUNCHEGK <br /> OTHEN <br /> IIEASON � <br /> SiATE BUIIDING SURCHAFGE <br /> INL�Y.EBY PIANS�PPP0VE�0Y CITYOfEVEHET? PUBLIC.WOflNS <br /> LOC11L SALES '�—• <br /> o..e TAX COOE IS?+J5 iou� <br />