Laserfiche WebLink
APPLICATI� FOR CONSTRUCT�N PERMIT � <br /> TO BE COMPLETED�N BLACK INK-PLEASE PRINT <br /> BUILDING�EPARTMENT I HEATINGSYSTEM: ;JGAS UELECTRIC J__ <br /> 259�8810 <br /> � '. DEMOLITION � � COMBINATION—�/�- i '�. BUILDIN(i : I MECNANICAL � I PLUMBINO Il SION <br /> �o - u� C�I�irv i� m E <br /> ,.� ���' — �u• �9.,U.t9 5ay J'%. <br /> ' nu�qi unn wun� .rv !e nv�[ �Jie��� <br /> �.G�LWD[5G M�4�OI1f1f55 il♦ VI10NE <br /> �..� ��N ��o�'-�?_�f�l�l���'�'— ,���2d6 � y.s���9Cs <br /> �+�.nrtn � n uuieoo arv nr y r�+w[ sret[ic�u�s. <br /> �1��'u.t.��i -------- <br /> M[0�1N�Ul[pI1P61CP MLA��O�[55 fi�v L� P�Nf SI�iFLRLMY� <br /> Ptl1YBiNGCW111�[IOII MAILAp[111(SS Cllv jIV VIICHF 511lElCENSf� <br /> <�„A�,PaKE�,�, 19,�32 — -- <br /> -orscnie[xrnx�r�osa nrrm� . invarro -- cou— n;nr. r�y�rr��r.�.rw -0.30 ' <br /> 1��+.r . te1�1� ' <br /> _� � O O��.TD <br /> M " <br /> ��= <br /> i HEflEOY C[R7IFY iNAT I HnVE REAO AND E%RMINEO TNIS <br /> rnovos usE a Buuowo �PPLICA71ON ANU NNOW THE SAME i0 BE TPUE AND CORRECT ALL <br /> c-GdrC'-lL��+K'��� PflOVIS10NS OF LA1YS AND ONDINANCES(30VERNING THIS TVPE OF <br /> i a¢o[uninuonarrnav[nmqs�awporiowwi(���{{{'�i nI�ivx�cw/�iy�i.�� WORK WILL BE GOMPLETED WITH WHETMEP SPECIFlED HEFEIN OR <br /> im�� xocK—al— w 1LKLG_l7LLCS-- NOT.TNE GRANTIN(i OF A PERMIi DOE$NOT PPESUME TO�IVE <br /> AUTHORITv TO VIOLATE OH C�NCE� THE PROVISIONS OF �NV <br /> OTHEfl STRTE OR LOCAI LAW REOULATINQ CONSiRUCTION OP iH[ <br /> -- -- -' �-—�"-�-- ' PERFOFM�NCE OF CONSTRUCTION.THAT I AM AUTHORIZEO Bv THE <br /> OWNER OF TMIS PROPERTY TO PENFORM TME WOfiM1 FOR WHICH <br /> -- --- APPLICATION IS MA�E AND I COMPLI' WIiH TIIE STATE <br /> ve�[�����eE����� _� n/� CONTHAC10R5 LAW IB 27 PCW AN�:Stl 7M�WAI, <br /> L <br /> LLNSIPIII:�KINlOA111fINfN�MIPF55 lEl[RNN[NiIMfl(11 <br /> YR0.IECT URE99 �y�� "— _ <br /> � <br /> n <br /> PLUMtlINO MECHANICAL M <br /> NO. TYVE OF FI%TUHE OH ITEM FEE NO TYPE OF EOUIPUENT FEE <br /> WATENCLOSET�TOILET� i AC—AHN�LGUNIiS—HP <br /> BATHTl18 � FORCEDAIqSYSTEMS—B.TU. M E�. <br /> LAVATORY�WASNBASIN� ' UNITHEATERS- �TU. M <br /> SIIOWEfi CLOiHES URYEFS <br /> KITCHEN S'NK 6 OISP VENTILATION fAN <br /> DISNWASHER HANGE HO00 <br /> -- �_- - - <br /> _L LAUNDRViqAV WATERHEATCR <br /> CLOTMES V.'ASHER WOOD STOVE <br /> 11RINAL MET�L FIREPUGE IWOOD BURNING� <br /> ORINIUNG FOUN7AIN FIREPL�CE INSERT <br /> FLOOR DRAIN HEAT PUMP <br />� BACNFLOWPREVENTERS GASPIPING <br /> ROOF DRAINS-RAINLEADERS E%H�UST FAN <br /> SINK ISERVICE-BAR.ETF) <br /> .i <br /> SUBTOTAL f SUBTOTAL f <br /> PERMIT S 7ERMIT S <br /> TOTALFEE S TOTALFEE f <br /> FOR OFFICE USE ONLY: <br /> lPoN�SC��S , ��F�NSFI'1CN SiMiflB�jt VIMICnfCXiN4tlF �EF � �� NECENf��� <br /> LS <br /> uumyc.� �or�nc� veur�rsuc FEE9 V�LW710N FEE <br /> ��S IZ 7.SZ� YES �NO BUiI�iNG ��LyfZ�qO � GU <br /> i.ttaca1si Noas�wiFs �� ,..�+� — <br /> � /L �/+��yj��(��/�/r� •�M,, vluAlelNG <br /> 1�ITEClptUi flPfSVNMxLERSRWD B�SNfNI MECIIANIC�I <br /> � u, �Es xNo _ <br /> � N ����Fk�NMNLOO IIEK.MU41��1bN �DORIONAIVUN(:NECN� �Q _ <br />'� EP�i � --2�, orHcn <br /> n[�s�x -- <br /> Si�IE dUILDiNO SIIPC�URGE <br /> wu—.te.�— nexs�oIv�nIwme. CITYOFEVfRET1 vueucwonns ' - <br /> y�l LOGIL S�IES � <br /> ont .J iAII COOE 13�105 roTu 7 /I� <br />