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;ry�ro,�� APPLICATION fO�t <br />CONSTRUCTION <br />�verett PERMIT <br />9UILDINO DEPARTMENT <br />?59-8810 TO 8[ COMPLETED IN INK • PLEASE PRINT <br />I DEMOLITION O COMSIriATION ,�'BUILDIN(i ❑ MECHANICAL <br />r�{n wui �ooneee cm rir <br />LCAM�M,S RZZl4 hUG 31419 I�Av� S �rc� wo q80�o3 <br />�GUtEC10RDE6�ONER Mul�O0REE9 GrtY � LO <br />-� _ . w; k _. <br />� ch <br />���nn <br />e <br />❑ PLUMBINO O SION <br />�MOMf <br />�ra c 9 y!o — ol �o <br />� S �4-�YkS <br />.NEMLGONTR�GIOH � MUl �OOPE�S CRY bP vNpNE i10EN9E � <br />�PR����t a3(do E�KfCa� ��c EY�b S4i�iv 98loz 3Z3-8�6o OsPQEYDI13zMW <br />ILN�NiGL iP�LTON MUL��OPES! CitY (iP ��HONf r LqFMSE• <br />U <br />IIMSiNOCONfP1CIOR M�il IUDNESS Cirv 21P Pi�ONE IiCEN9E • <br />� �SG Of WpRR �{{ ' " <br />� NEW ❑ ADDI110N J{1 �ITFRATION ❑ REPAIH ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ Riiiin�vnoc�nr.�in.� <br />�ro�ccr�noa[se t' G <br />. ��� ry� l <br />nu��No <br />N0. TYrE C <br />WIITEP CLOSET 1 <br />lATNTU! <br />UVATORY �WASI <br />lMOM/ER <br />MIiC/1EN 81NR { <br />qlMWA9HER <br />UUNONY TR11Y <br />fxUnrt9 wASN! <br />UMNAL <br />d11NKIN0 FOUNI <br />FLOOR ORAM <br />MCKfLOW PREV <br />IIOOf dMIN3 - � <br />BINII ISERVIGE - <br />�E lONE <br />e'i <br />OU� TO <br />/111MIT <br />3-2 <br />Of 6TONIE! <br />� <br />UN� <br />�- <br />:C iW10 <br />20 <br />,"A110�N�CC flv IPLANBCM�lY I�IP0.IOF1l8U� <br />\yY\ � <br />I HEREBV CERTIFY THAT I HAVE REAO AND EXAMINED THIS AP• <br />PLICATION AND KNOW THE SAME TO BE TRUE ANDCORRECT. ALL <br />PROVISIONSOF LAWSAND ORDINANCES OOVERNING T� IIS TVPE <br />OF WORK WILL BE COMPLETED WITH WHETHER SPECIFi � D HERE• <br />IN OH NOT. THE GRANTIN� OF A PERMIT DOES NOT PREbUME TO <br />61VE AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANV OTHER 3TATE OR LOCAL lqW REOULATING CONSTRUCTtON <br />OR THE PERFORMANCE OF CONSTRUCTION. , <br />SION�TU�I6�OFDT�qpq�UTHpRIZED;��i ' OATE <br />X U % <br />MECMANICAL <br />NO. TYR OF [OUIrMFNT <br />/dC —11MNOL0 UNITS — M P. <br />REFRIOER�TION UNITS —N P. EA. <br />BUIlERS — B.T.UM P. <br />O�S FIREO �.C. UNITB — B.LU. <br />FORCEDAIR9Y9TEMS—BT.U. M <br />WALLME�TERB—B.T.U. M <br />UNIT XEATERS — B.T.U. M <br />EVAPORATIVE COOlER9 <br />CLOTNEBORYEP9 <br />VENTIUTIO : PAN <br />HANOENOOD <br />WATER HEATER <br />WOODSTOVE <br />METAL flFEPLACE � CMIMNEY <br />FIRkPLACEINSERT <br />HEATPUMP <br />OAS PIPINO <br />EXH�USTF�N <br />Nl� TOTAL <br />RnN <br />TOT�L r!! <br />NUMBER fEE <br />��I37 �� <br />NECEIPT NO. <br />��2�� <br />uN�Te euaoiNa S <br />PlUM81N0 <br />MECNANICAL <br />OTHER <br />D 8TATE BUILOINO SURCHAROE <br />S7ATEENEROY9URCHAROE <br />NGE BY <br />PUBLIC WORKB <br />TOTAL <br />PROPERTV OWNERA ARE PEBPON818LE FOR DETERMININO AlL <br />PiIOPENTY LINE LOCATIONBAND REUTED EABEMENTB. <br />