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,„,E„ro�,� APP�.ICATION FOR' <br />��TM°° C�.NSiRUCTiON <br />ever�tt PERMIT <br />DEPT OF COMMUNIIY OEVELOPMENT SERVICES <br />CITY NALI 157�87�5 <br />eveflEtt.wnvezot ❑COMBINATION ❑BUILDING ❑MECHANICAL ❑PLUMBINC PERMITNO. <br />cii� rir vMor�� <br />').31 NiAei�sc�, L[c��cT{` �5<�.�3�,� <br />nr vNor� <br />(;�N�q.LL (O4IM('IOM MAII ApOMl55 � IIY Llf IMON! llChil! I <br />! <br />M�e�r� S:n��•. '>�z y� ��i��:o� �ntf[� �f�s��9 C.2W4'l�'3 <br />�nc���aic.icor+�ioe � M+ueoo.�u nn nr r�om ucer+st� <br />1'IVNRiyC(ONIqACIOq MAilAppq155 Clt� 21P PIION[ lK[NSE/ <br />(U1501 NONK �� <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOIITION ❑FENCE l�'J�SIGN ❑GARALE ❑BUILDINGREIOCATION <br />V�lW11UN01 NORIt <br />' �,�i�.C�� ..��C' <br />UISCMIflI WON� <br />�..s �',nLZ `5 ;n rti O��I <br />veorosio ou or nmimYc <br />1( W l p15GIM ION OI YIIpV! q!Y �5110W N BI lON OM �� t�l N 101111 COPII51 <br />l01 �_ BIOCR _ OI <br />�on +ooa�ss <br />PWMBING <br />NO. Tl/E OF FIXTUIIf <br />WA7EP C105lT ITOLIETI <br />UVASORY �WASN pA51N1 <br />KITCNEN SINb 6 DISP <br />UUNDFV TNAY <br />CLOIHES W�SHFN <br />N'AI[p HEAifR <br />URINAL <br />ROO{ OY.AINS—RAINLFA�ERS <br />iOTAII[! <br />YARDSITBACK S7NF[i5[T11e <br />USE 10NE I lOT AREA <br />�c.✓Ltt LZ�A� <br />A►��OVAIf <br />1 ENVIqONM[NTAL CMFCK lIST <br />3 BUIl01NG PlANS <br />7 FIpE HYDRANT <br />� fIRE PNOTEC110N SYSTEM <br />S GXADINGf%CAVATIONBCIURING/LRUBflINL <br />6 DRAINAGE <br />7 ENVIRONMINTAL IMPACT STATEMENT <br />E MEAtTM DISTRICT <br />APPIIUTION ACC BY PUNS C/HFCKEO BY <br />�; l'1�I: i� <br />��r �� <br />H449 <br />FEE <br />C,rsfr'k. �+L� <br />I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS AP• <br />PLICATION AND KNOW THE SAME TO BE TRUE AtJD CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING iH15 TYPE <br />OF WORK K'ILL BE COMPLIED WITH WHETHER SPECIFIED NEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PNiSUME TO <br />GIVE AUTHORITY TO VIOLAiE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNAIURF Of CONipACTOR OR AUIHORIZED ACENT DATF <br />x t�'U.... �� /� —/y- ��� <br />MECHANIGI <br />NO. iY�f OF EQUI�MENT FFE <br />HOIlFRS--HP kA <br />LAS iIRFD AC UNITS—TONNACE FA <br />fONQDAIRSY5TEM5—BTU MEA <br />WALLMUiFPS—BTU M <br />UNIi HlATEPS—tl 1 U M <br />FVAVONATIVE COOL[NS <br />RANC[HOOD <br />SIOVE <br />f /[�MIT • <br />1 TOT�IiFF � <br />0.[AR Y�RD 5[TBACK PIAN �N[CK NUMOFX PIAN CMFCR FEE <br />FfE RECFIPT NO. <br />VnCANT SIIE <br />OYFS ❑NO �«S VAIWTION I[! <br />��. <br />APPp fOR <br />� !' �`� <br />DATE <br />eunoi�: s �90�� w <br />PIUMflING <br />MFCHANICAL <br />OTNFR <br />PENAITY U.BC. ^ <br />5[C JO71�) <br />IOTAI <br />flIIMIT VAlI0AT10N <br />WHEN PROPEPIY VAUDATED pN TNIS SPACF� TMIS IS YOU0. YEAMIT <br />j6' ' llv� �v �.f� <br />