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_ � <br /> Ui�� r�.�rr.rnrn <br /> � � CONSTRUCTICy <br /> ever�tt PERMlT PERMIT N0. 135� �� <br /> CIiV NALL 159�P745 <br /> eveaerr wa sezoi �] COMBINATION � BUILDING �_; MECHANICAL C_; PLUMBIN3 <br /> U�Y�EA MRq 1DORE55 CIiY SIP PHONF <br /> YOUTH �TREACH PO BOX 2757 v�ratS__W6�g2pa_ a�g_ang3 <br /> �NCMiiECi OR OESIGNER M4L��pR[55 C�iV IiP PNONE <br /> � GENER�I CONLN�CiOR MML�ppRESS CIL� ZIP PNONL UGENSE� <br /> Same <br /> MEGH1NiC�L GONIR�GTOR MMl�DORESS piiY ZIP PMONF IICENSE� <br /> PWMBING CONTP�CiOR M�iL�OORE55 CI1Y zlP Vn04[. LICENSE• <br /> CLASS OF WpAK � _ !t <br /> �NEW ❑ADDITION �ALTER�TION ❑REPAIR � DEMOLITION O FENCE ❑ SIGN ❑ WOO�STO'/E/FIREPLACE INSERT <br /> VA��TLOVO F�V RK - -. <br /> �ESGRI E WOR -- <br /> �Idd � doors - interior <br /> PROFOSED IISE OF BUILOING <br /> Regional crisis center for youth I HEREBY CEHTIFV THAT I HAVE READ AND EXAMINED THIS <br /> i.cu.�oescniriwH or reonenrr isnow er�owoa nrrncN vaun cowesi APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> io�_e�ocn_ov_ GOVERNING THIS TYPF. OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR N01-. THE GRANTING OF A <br /> PERMIT DOES NOT PfiESUME TO GIVE AUTHORITY TO VIOLATE <br /> -- OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> —�� –____- ....____. PERFORMANCE OF CONSTRUCTION. <br /> JOB�DDNESS SiGN� OF CON) UIHOR¢ED�GENi DAIF <br /> 510 W. Casino Road X ' 6 27 84 <br /> PLUMBINO M � <br /> NO. TYPE OF FIXTURE OR ITEM � FEE N . TYPE OF EOJIPMENT FEE <br /> WATERCLOSET�TOILET� AIR COND.UNITS- MP. EA. <br /> BATHTUB qEFRIGERATION UNITS - HP. EA. <br /> LAVATORY�WASM BASIN� BOILERS - NP EA. <br /> SMOWER GAS iIRED A C UNITS - TONNA6E EA. <br /> __ KITCNEN SINN 8 DISP. FORCED AIP,SYSTEMS - B iL. M E�. <br /> DISHWASHER WALL MEAlERS - B TL. M <br /> LRUNORYTRAy UNIT HEATEflS - BS.U. M <br /> CIOTMESWASHER EVAPOHAiIVE COOLERS <br /> W�TEFIIFATER CLOTHES DRVERS <br /> UflINAL VENTILATION FAN <br /> DRINNING FOUNTAIN RANGE HOOD <br /> FLOOR OR�IN AIR HANDLING UNIT - C.F.M. <br /> VACUUM BREANEHS STOVE - WO00 <br /> HOOF DRAINS- RAINLEADEHS MEiAL FIPEPLACE 6 CMIMNEY <br /> SINN(SERVICE - BAR,ETC.) FIflEPLACE INSERT <br /> - NEATPUMP <br /> SUS TOTl1l __ y SUB TOTAL f <br /> _ PERMIl ____ { PERMIT--- s - —� <br /> TOTAL PEE f TOT�I FEE � i <br /> SIDE YAP�SETBACK STFEEfSETPACM REAq YARDSETBRCN PLAN CHEGN NUMBFR PLAN CHECNfEE <br /> fEE RECEIPT NO <br /> USE ZONE LOT AREA -..-- VACANT SITE - _ _____'__'. . _ __ . _ . .__.. _. __ ___ <br /> "___- <br /> VES NO FEES VALUIITION FEE <br /> _ . _ ._ _- __.__ .._- _--.. .__--__ _-_ <br /> TVPE OF CONST. OCCUPANCY GPOUP NO OF DWBLLING UNITS <br /> __-.__-_____-. .. _ _'._ -- _. ... <br /> - ___-__ _.____'_ __.._'_____. BUILOING Q00.00 �Q O <br /> SVE OF BLDG NO Of STORIES MAx OCC lDFO ... <br /> PLUMBINO <br /> _'__-"_-"_-- __._'___ . <br /> RRE ZONE AASI3MENT � � FlFE SPRINNLFRS � --��--- --'-- -- <br /> REOUIRED <br /> A1ECkANICAL � <br /> VES NO ---- �_. . _ <br /> APPPOV�LS BV D�TE OTNER �� <br /> _-- _ __-_'___—' _-___-_- _.__. ._ _ .____ <br /> _ '__. . ___. . -' . '__—'____ _'___. .- ___ <br /> 1 ENVIRONMENTAL CMECI( LIST _ ___ PENALTV U B C <br /> 2 BUIL�INGPLANS _ _ SEC JOJ�eI <br /> 3 FlREMY�qANT'-- � '-- -�-- -' -' TOlpL —��� - -'— - <br /> � FIRE PR07ECTION SVSTEM PERMIT VRLID�TION <br /> 5 GRADING _ � WHEN PRpPERLV VAUDFiED�IN THIS SPACE) THIS�S YOI�RREPMIT _, � <br /> 6 OPAINA6E - ' � � �� i � � <br /> 7 ENVIPONMENTALIMPqCTSTATEMENT � � <br /> L B HEALTH DISTRIC7 ' . <br /> APPLICAT�ON ACG BY PLANS CMECNED BY APPR FOR ISSUANCE BY <br /> � i 1'. i <br /> i <br /> � 1 � <br /> r,i ',CI'i I ' � <br />