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�vkc�,ErerKreen - � �ONSTRUCTIO�r! ' <br />Urv or I � <br />e�e�ett PERNlIT PERMIT NO. 161HO <br />CITY MALL 259�8765 <br />� ev�eUr�,i�ses� �� �jbll�dINAT10N � BUILDING ❑ MECHA�VICAL ❑ PLUMBING <br />OWNEfl MAIL ADORE55 CITY 21P PHO'IE <br />(Yow-Western <br />RRGHITECT OR DESIGNER MAIL A�DRESS CITV 21P PHONE <br />GENERnL CONTRRC70R MAI� ADDRE55 CITY Z;P PMONE LICENSE I <br />MECHANICAL CONTRqCiJR MOAL AD�RE55 GTY ZIP PMONE UCENSE � <br />PLUMBING LONTRAGTOH MAIL AODRESS CITY Z�p PMONE LICENSE � <br />� NEW ❑ AO�ITION ❑ ALTERATION ❑ REPF.IR ❑ DEMOLiTION O FENCE ❑ SIGN ❑ WOOD S70VE/FIREPLACE INSERT <br />VALUFTION OF WORK <br />sz3�,soo.00 <br />DESCRIBE WOR1c <br />�nstruct aoartment buildin� - 7ti „n;r� _ ni.�rt. iz <br />LO7__pLOCN_OF <br />PLUMBING <br />TYPE OF FIXTURE OR <br />WATEF CLOSET (TOILEn <br />BA�HTUB <br />LAVA1'ORY�WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATER NEq7E9 <br />:iMINAL <br />DRINKING FOU�'TAIN <br />FLOOR ORAIN <br />VACUUM BREAKERS �j70S0 Y <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — OAR, ETC.) <br />SUB TOTAL <br />PEHMIT <br />TOTALFEE <br />V�DF � �•'� R-1 <br />SIZE OF BLDG. NO. OF STOR <br />15,994 SF 2 <br />FIRE ZONE BASEMENT <br />APPROVALS <br />7. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS � <br />3.FIREHYDRANT �� <br />a. FIRE PROTECTION SYSTEItr <br />5. GRADING <br />6"DRAINAGE <br />T.�ENVIRONMENTALIMPAQL9TATEMENT <br />8'HEALiH0�5TRICT � <br />APPLICATION ACG. BY � L�ANS CHF <br />c: <br />c� <br />J.E.F. <br />nTTACH FOIIR COPIES� <br />13 <br />S <br />S <br />S <br />VACANT SITE <br />:_YES .-.NO <br />YES X NO <br />FOR ISSUANCE BY <br />L. C. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OF CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OFCONSTRUCTION. <br />SIGNATURE�CQMyiACTqRORpUTH�[�yAGENT DATE <br />MECHANICAL <br />N0. TYPE OF EOUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H,P. EA. <br />UOILERS — H.P.EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCEO AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.7.U. M <br />EVAPORATIVE COOLERS <br />16 CLO7HES DRYERS <br />32 VENTILATION FAN <br />RANGEHOOD — VE:rit1255 <br />AIR HANDLING UNIT — C.F.M. <br />S70VE — WOOD <br />g METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />TOTAL <br />SUB TOTAL <br />PERMI7 <br />TOTAL FEE <br />FEE <br />FEE <br />S <br />S <br />s 228 <br />�HECK FEE <br />RECEIPT NO. <br />VALUATION I FEE <br />5237.500. <br />1232 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS�IS_y P �tlT � <br />c ° '� �� ; I �. �:� — �. <br />. � . � . , i �. . <br />� , . .� <br />ADDRESS FILE <br />