|
��x
<br />sxyv�+
<br />yZH
<br />�C C'1
<br />H �f
<br />'� H �+J
<br />V1 H
<br />���i
<br />H�8
<br />�. n
<br />�yy�
<br />rHy
<br />O y
<br />F1
<br />n C7 N
<br />���
<br />H O t�ir
<br />APPLICATIO � FOR CONSTRUCT. .1N PERMIT ��r
<br />TO BE COMPLETED IN BLACK INK—P�EASE PRINT ^^���T
<br />� HEA7WGSvs1EM JGAS JPLFCiHIC �
<br />f�UILUii:� DEPAR71dFNT I ...._ _. _ .. . . . .. . ... . . . .
<br />ZCi9 BH10 i.��>.-� �-�`
<br />DEMOLITION COMBINATION XBUILDING MECHANICAL PLUMBING =�i����
<br />— -- _ ,
<br />��.In �. .,,.,�, , i,i�'�'Ti �./ �,.� ."�/,�`. 'iu. �; .
<br />=$.�.q�yd Ce�Sf, Y�QUP/IP rNC %20H - OAK {:AA.QeR l,�AsN. � G7s 9� 9i ..
<br />'I4M1N� �.n,nli'.,.�i_. , � . � i.
<br />Sea s;+E - sr�oRes-�dc v; uays a,�t�. 7oi �s � � ��-,��, -,� ��,<<,�
<br />� , ,,; , •,,,. , . �.,
<br />e �dy d y
<br />,,.,:�� �,,.��,��, , .,, , .. . , . �., �� , , .
<br />T D._�wti�i:s_ Conis y" ScRv�e�. Sc,4ttic w, i/ y�iJy �APu.pC� /ys�'�
<br />v� nNUIroNID�f.ton nni nnt+,!'. � .• . � .��di i� . �
<br />������ � . J 7�' � —
<br />ii .pPf.il:OHiRM1CiO� �R n..i. .� . �.•.. 'I�fllliq`f�
<br />c�essorwonn --�"� � �--....
<br />NEW ADDITION ALTERA1iOr; yS HfPAIF
<br />�T-----
<br />—
<br />i �7 � C'Y ['
<br />rnuranct rrucz or wp�.
<br />���� �:<<,�o� v.,�,K ���os��,�„t �,: :r �� ,�.. .. � ^
<br />Sa'Sr.�a��u.✓ 5�.� w 1,✓� -F,'�v, fd
<br />�norosVr��rwr�.��.�,.;/ �QOrrti 1. . - yr., .7:�
<br />�v,�., kPt's— -
<br />[1f1.1n, '. V ,. . i,��iVk f Hf'I I!151_R7
<br />ii�.��n.i.i�.�ianno.�oer��:�.ren•. ,� r.•.��: ,; ..._. _� .. .
<br />• vw /o_ ,.,,a� i o0o Bc�a�eiy y�,��
<br />i �EAC�t /7 ��V Z
<br />(�ARc� I � 3937ao/ 009 aoo/
<br />� ,.���
<br />rlcl 75A''
<br />N0. iVPE OF FIXTURE OR ITI
<br />WATERCLO51'1 i7Cnll f�
<br />�3AT HT I IF3
<br />t AVATOFiV �\'JASH (3A,'VIIJi
<br />SIiOW(=f�
<br />__ —___
<br />Y.nLN[�N bih✓. a D�SP
<br />nr�,i�wnsi,[n _� _.
<br />i nuvn�iJ u�nv -
<br />ilt�ii�f5WA5M[R '-
<br />iIHiN�I ..__ _—._--'
<br />��HIClRING FOUNTMN �
<br />f l /)UR DRMt!
<br />BnCKrLOW PRCVL'Nif RS
<br />PUOP DRAINS P�INI F��ERS
<br />'tihK SEHVIC[—OAR ETC.)
<br />FOR OFFICE USE ONLV:
<br />�, „.� �,,: . j �,� �,�,� ��.�
<br />i,r�arcoNiseuow�p�� rvr�nrcaxsi
<br />�,iZE Oi BlUti NO Of SfUAi
<br />��GUP�Nf.YIO�D �It1CSPiiNK1.
<br />41 ASON I'OR SPRitP11 i�'.
<br />SUI310�n1 i
<br />PCRMII
<br />iOTALffL 5
<br />� ��,,..
<br />---t�„r.,��� .,,
<br />O �0'9 a
<br />FEF.
<br />�uuu :.�,.., . � , . . .
<br />E9 OASIIAIh�
<br />HFIGItl �✓��n'� .
<br />�.� ��� � �'�^•��^"'� � �"'• CITYOFEVCRETT
<br />I �Y' ������' �����= l OCAI. SALES
<br />�t�' �N'' �� TA'! COD[ IS 3105
<br />�iZ"It/ i� 1�'1
<br />[�inl_DiNG RELOc;�
<br />ITa Ny N9, n�a z; �z .� a Z g
<br />� ��LNGL3v GGRTIFv 7HAT I HAVE READ AND E%AMWLU i�'���
<br />APPLIGA710N AtJD KNOVJ THE SAId[ TO BE i RUE ANU GORFiECT. AI I
<br />PF�OVISiONS OF LAWS ANO OAO�NANCE$ GOVERNING THIS TVPE O�
<br />�,'.'GRK WILL BE COMVLETECI WIiN WHETHER SPECIFIED H[fiEIN O'�
<br />Nr)i THF GFANTING OF A PERIAIT DOES NOT PRESUME TO GIVI
<br />:��.iiHORITV TO VIOLATE O� C�NCEL THE PROVISIONS OF AN°
<br />��.;nFR SiATE Oq LOCAI LAW REGULATWG CONSTRUCTION OR Tn!
<br />�'ENPORMA '� OF G01JS7RUCIION THAT I Ald AUTHORIZE� BV 1H!
<br />�sCRJ[R OF THIS PROPEFTV TO PFFfOHM THf WORK FOR WHIP�
<br />nf+t��IGATION IS MAf]E AND I CO�dP1.V WIiH TH[ STATI
<br />. i,r�IHn( 1;1��ti tn�V 1f•.':'rq� p/Gtiil'[��,:nOlVnf.
<br />x �f7?!+�`'"•u (c // - �L
<br />d
<br />TVPE OF FOWPI.IEN7
<br />nl. qHr�t�IGIR11il, �fP
<br />f(�fiLf(�AiNSvti1E!�15 �F3TU �M h �t
<br />UNIT HF�1( IIti f31 U M
<br />CL01Hf_5 URVEHS�-
<br />vC.NiILAlION �AN
<br />��nrvc� i�cioo -- �
<br />vinr r�� ��r nr r ra
<br />W(lpp tiiOVE
<br />1.11_I�L F�RFPLAC[ A CHrt.WEV
<br />FIHLPLACEINSfRi
<br />HC�I PUI.IP-
<br />(lAfi PI�9H17 _' __ .
<br />rxnnust�nri
<br />SU� T07M
<br />PGRM11
<br />TOTAI. f F F
<br />�
<br />��� � i�� � ��1-�J"
<br />run uiNr, _ /.; ,7 r�
<br />ri uret�ir� , . -- _ _ .
<br />r.0 �.nnNir.ni.
<br />n1il���IONAI PIhNCHiiCN
<br />'..I'HlryYll H
<br />SiAil RIIII.PMGtiLI11C11�NG1
<br />PUHI IG WONRS� �" �
<br />roini . _ _ -- ----- - —
<br />FEE
<br />�!y i
<br />Lf!
<br />
|