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APPLICATIOK =0R CONSTRUCTIC.1 PERMIT � <br /> TO BE COMPLETED�N&LACK IHK�LEASE PRIIdT <br /> BUILDING DEPARTMENT HEATING SVSTEM: U GAS ❑ELECTRIC ❑ I <br /> 259-8870 <br /> DEMOLITOH COMBINATIOH BUILDING MECHANICIIL PLUM6ING SIGN <br /> OWN[P M�4I.OG1fFi C�iY IW MIONE <br /> �ylc..t/c ��. � 9���'/,�.�,,�i.�,.. S �r,`ff�, (c��' 96/ug >,s-n•e: _ <br /> rtr�+.� u�k�orm�ss cm za Pwr� <br /> ANLNI'[CiqIDE5M4fR M�l�Wqf6$ CIiY TP Mq4E <br /> 4�YfYM, p�iq�rlpp M�AMpiC55 CiTY ZN NA:Nf ST1TElICEMY• <br /> S}�n l.l L �«a•:•�1... Jtl.�,-c1LdtJ ��.I.__ U� C✓id flo�3 d9d-f�Ieb rTHR<r:I��7R� <br /> M[fn�NCNfAN1N CR MM.AppRE45 Crtv ZF >��OME SLAiEIICFNH• <br /> iT� -- <br /> hWNMGfAIiRI.CiCA YI.4MIXIE55 GiY tN VMONE 6TAiCLCEM¢� <br /> CU55O�WdM <br /> NEW � ADDITION ALTERATION X REPF�R � DEMOLITION wOODSTOVE'FflPLINSERT BUILDINGRELOG/TiON <br /> (y J'q�111Ci I'[R:qN I,NO%qNE Ip <br /> ca+rn�cran�ccawom y�lO,j9F. 00 -r�_., \..L.ii�y Jd/. �3�- SCe� <br /> ocsc;n�ec won.r.�o eown[rao.�a nrvavco �� �_�.•• — <br /> 1�<,,, r�l � � S20o+� <br /> vnrvrosmuseore ioMc i HER[BV C[RTIFY THAT I HAVE READ AN� E%AMMED TMIS <br /> APPLIC0.TION AND Y.NOW TME SAME TO�E TRUE AND fORRECT ALL <br /> iFc���E�p���apq�pn.i,.����,��*t�w�aq�p�sl PFOVISIONSOPLAWSANDORDINANCESGOVERNINGTHISTYPEOF <br /> WORK WILL BE COMPIETED WITH WMETMER S�EC��IED H[HEIN OF <br /> ��� �K a NOL THE GRAhTING OF A PEFMIT DOES NOT PRES'�ML TO GWE <br /> AUTMOHITV TO VIOLATE OR GANCLL TME PROVISIJNS OF ANY <br /> OTHER STATE OR tOCAL LAW RECULATING CONSTRUCTION OR THE <br /> — PERWRIdANCE OF LONSTRUC:TION TNAT I AM AUtNORIZEO A/TML <br /> OWNIq OF THIS PROPERTV TO PEflFORM TH[WORN FOR WHICH <br /> APPLICATION IS 1dAUE AND I COMPLV WITM THL STATE <br /> CONiRACTOFSIAW 1B2]RCW AN�29G.700 WAC <br /> _ i�// / <br /> "___ X�'/�2>��fi1_L�t�ai G/�/fL <br /> 1'flOJCOM�FE% — f .�n. eV <br /> 30II �-Lf-(�,a'[• � Y�l'I _ <br /> PLUMlMG MECNANICRI, <br /> NO. TYPE OF F 1(TURE OR REM FEE NO. TYPE OF EOUIPMENT iEE <br /> WAT[PCLOSET�TOILET) � A'C—R'HNDLGUNITS—NP <br /> ( BATHTUB FORGEOAIRSv5TEM5—BTU. ME.A. ' _ <br /> LAVATORY�WASHBASIN� UNITNEATERS—BT.U. �A _ _ <br /> SHOWER CLOTNESDRVERS ' <br /> NliChcN SINN 8 OISP VENTILATION FAN <br /> DISHW�SMEH RANGE IIOOD <br /> LAUNDRV TNAV WATER HEATER <br /> GIOiMES WASHER WOOO iTOVE _ <br /> URINAL METAL FIFEPLACG 8 CHIMNEV <br /> ORINY.ING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN HLAT PU�.1P <br /> BACNFIOW PREVENTERS GAS PIPING ' <br /> ROOF DPAMS—RAIHLEAOERS EXHAL';T Ff.N <br /> —�— <br /> SINK(SERVICE-9Afl.ETC.� __ <br /> SUBTOTAI b SUBTOTAL S <br /> PERMIT S PERMIT $ <br /> TOl'qL Fr':E 5 TOTpL FEE E <br /> FOR OFFlCE USE ONLY: <br /> rawtscre�cK nunsele�crc s�oeseie�c« ruvtmFCKHuueEa rrc nFccmrxo <br /> 3Uyo <br /> uss 1we �m eau vncun ru*c FEES V�LUATION FEE <br /> BU'LOiNG �a(y � �J <br /> 1�Rq[O4t6I.LLON�lt[ TIPfIXCGM51�t1114 arVw.r �qwpwli�+uu�5 — <br /> �� FLUMBIMG <br /> SiIEarBLDa xoofSioq�ES Br.S[E1EM MELHANICAI <br /> ____ L� <br /> I:CCII✓ENCVIO�D PNESPfIM(tEH5PE0D NEIOMlMI1�iION ADD�TIONAIFIAHCHECM— --��� <br /> SPRINKIER <br /> Nf�50NfO�SORNMlE0.5 — �— <br /> STRTE BUIlDINO SURCHARGE <br /> wl�xcer ruNs�nrnovroev CITYOFEVEflE7T pueucwoaKs <br /> LOCl1l SALES ' <br /> ��lf CODE IS�105 *o*�� 3a SD <br />