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�theb�er�,�.� ,�NSTRUCTION � - <br />� - .--�.'7 <br />„ urvoo �' <br />�����"" PERMIT PERMIT NO. 1612�� <br />CITV MAl 259�87a5 <br />v�E���°��d'•' r�❑ �UMB�NATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNEH \tAILRDDPESS GITY ZIP PMONE <br />rrnw-wAGra,-,1 <br />ANCNITECT OR OESIGNEP �'.AI� A�DRESS QTY 21P PHONE <br />GENERAL GONTRAGiOR MAIL AOORESS CI7V ZIP PNONC LICENSE � <br />MECMRNICA� CONTPFGTOR MAIL ADORESS CITY T.' <br />PLUMBING CONTR�CTOR M41L ADDRE55 GITY ZIP PMGNE �ICENSE � <br />Q NEW ❑ ADOITION ❑ ALTERATICN ❑ REPAIq ❑ DEMPLITION ❑ FFNCE ❑ SIGN � WOOD STOVEIFIREPLACE INSERT <br />S 9,600 <br />OESCRIBE WORK <br />Laundry & Exercise Facility attached to Auilding 11 <br />�or <br />JOB ADDRE55 IQCV U� � � V' � G 1/ <br />Attached to Building � <br />PLUMBING <br />N0. TYPE OF FIXTURE OR <br />1"lATER CLOSET (TOI LEn <br />� BATHTUB <br />� LAVATORYIWASHBASIN� <br />(1 SHOWER <br />p LAUNORYTRAY <br />_ 6 CLO7NE5 WASHER <br />WATEP HEA7ER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEAOERS <br />„ SINK (SERVICE — BAR, ETQ) <br />SUB TOTAL <br />PENMIT <br />TOTAL FEE <br />APPNOVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2, BUILDING PLANS `� <br />3.FIREHYDRANT �n <br />a. FIRE PROTECTION SVST2A1' <br />5. GRADING � <br />6�OFAINPf,E :.� <br />�7.ENVIRUNMENTALIMPAG'FB�A7 <br />: B, HEALTH DISTRIC <br />APP�ICATION ACC <br />c= <br />L " � i <br />�- -.i <br />0 <br />J <br />ATTACH <br />FEE <br />;YES . NO <br />YES <br />I HEREBY CERTIt=Y THAT I HAVE READ AND LXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS �ND ORDINANCES <br />GOVERNING THIS TYPC OF WORK WILL BE COMPLICD WITH <br />WHEI"HER SPECIFIED HEREIN OR NOT. THE (iRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEI THE PROVISIONS OF ANY OTHER STPTF OR <br />LOCAL LAuV REGULATING CONSTRUCTION OR THE <br />PC-RFORMANCE OF CONSTRUCTION. <br />$IGNATUFE 0 0 AjiTO OR hl AGENT DATE <br />%: � �/� / ///.td � ���� <br />MECHANICAL <br />N0. TYPE OF EOUIPMENT FEE <br />O AIR COND. UNITS — H.P. EA. <br />O REFRIGERATION UNITS — M.P. EA. <br />O BOILERS — H.P. EA. <br />O GAS FIRED A.C. UNI7S — TONNAGE EA. <br />0 FORCED AIR SVSTEMS — B.T.U. M EA. <br />O INALL HEATERS — B.T.U. M <br />O UNIT HEATESS — B.T.U. M <br />O EVAPORATIVF COOLERS <br />C) CLOTHES DRVERS 2'7 00 <br />1 VENTILATION FAN 3 00 <br />O qqNGE HOOD <br />0 AIR HANOLING UNIT — C.F.M. <br />O STOVE — WOOD <br />O METAL �°IREPLt.CE R CHIMNEY <br />0 FIREPLACEINSERT <br />O HEAT PUMP <br />SUB TOTAL S <br />PERMIT S <br />TO7AL FEE S <br />PLAN CHEGK NUMBER PLAN CHECKFEE <br />FEE I RECEIPT N0. <br />FEES I VALUATION I FEE <br />i <br />LOAD BUILDING b9 600.00 80 SO <br />PLUMBING 36 0 <br />KLERS MECNANICAL 30 00 <br />DATE �THER <br />PENALTY U.B.C. <br />SEC. 303 (a) <br />TOTAL 146.50 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) 7HIS IS YOUR PERMIT <br />0">0 `03�.)O - �. <br />ADDRE55 RLE <br />� _. <br />�. �.�_��...�. i ' � <br />. , . ..�i. • .i <br />