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� <br /> APPLICATIC .J FOR CONSTRUC7 _JN PERMIT �� i <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT � <br /> Ilf �IMr9 S1'STFM J GAS J ELC-CTRIC .�1 `�� �,� � ' I <br /> BUILDING DEPARTMENT � - - <br /> 259 8810 I <br /> DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br /> �: . � �, <br /> � � . . � : . . �� / /!r 1 'y_/ . � lN __. I <br /> b l I�� .' • �� � � � / � p � PII(Nlf <br /> � .I 1�Il n ����-.i .. <br /> p 1 , �C <br /> iy - ,� '•'E�N Su << r�'Hv 1`i7 Y (`<.�il__S� r . . i � 9S <br /> N GtY ZIP PIIONE � <br /> yy Na'��RPCiOR�E9GHFR MML�DDPE55 <br /> � � M __.. �II <br /> y � �„INfMICONiF�CiOR ����AOOAESS <br /> GITV 71G PHfttiE S1ATE LILFN�I <br /> O C70 I <br /> � y H L•�y/w:E� _— LiIY ZiP nNOf1E ST�TEIICENSE� II <br /> � UI�����NILAICONTN�CiDfi IA�ILADpRE55 <br /> � <br /> 4 LIIV lIP P110NE SiPlf IIf.ENSf I <br /> O H �"�UMOINGCONTRACtOR M�R AU��F55 --- <br /> I � � __ _ . .___—_ <br /> H ' � �'.�SSOfWORK -- �� <br /> � � _NEW ADDITION ALTERATION �CREPAIR_ [�Ft.1011i1ON WOODSTOVE;FRPLINSERT BUILDINGRELOCATION <br /> N �,�n:i rr nsoN�r�o rr�oee No <br /> N <br /> � N ��ir�rn�crrn�ctorwoArc ��.�L4� `�� __ <.��_.-..���s�.ti�_c._._ _- 'f33_CS�S_!_-_— ' <br /> C y f✓tiCI11HFWONN�N050U�REfOOT�OEINVDLVEU <br /> ° � �'C� ✓E oc � 1.liUoc�-S s� c.,._n �^—/�E�'< �����- <br /> q rnocoseouseereunort+c i HEREBV CEFTIFV THAT I NAVE READ AND F%AMW[D THIS <br /> O y APPLIC��ION AND KNOW THE SAML TO BE TRUE AN�GORRECT.ALL <br /> �d�T.1 N�•� (��'^^P • � PnOVISIONS OF LAWS AND ORDINANCES GOVERNMG THIS TVPE OF <br /> �roa�sceiPrror�ovvaoPentvreHowr+ne��m'on�*r�cHvouncoaiEs� `,,���qk yyILL BE COMPIFTED WITH WHE7HEA SPEC�fIFD HEREIN OR <br /> ���i e�ocn �k _. NOT THE GRANTING OF A PERMIT DOES NOT PRES'�MF TO GIVE <br /> AUTHORITV 70 VIOLATE OR CANCEL THE PROVI`IJNS OF ANV <br /> C�iNCR STATE Oii LOCAL LAW PGGULATING CONSTRUCTION OR THE <br /> - PERFORMANCE OF CONSTRUCTION THAT I AM AIiTHORIZED AV THE <br /> OWNF.ii OF THIS PROPERTV TO PERFORM THE WORK FOH WHICH <br /> -� nPPLICATION IS MADE AND I COMP�V WITH THF STATE <br /> -- CONIR�CTORSLAW id27RCW�ND296200W�C <br /> __ X �..t�.L �i'�ir-��-�.�. .-�/C' '/S.- �L . <br /> ___'._- _._-_'-'_ <br /> -"_-._- . . .. _ ._ ., <br /> Fnnllu�unntss J / !`. ,���v' ._. —_ .__ —'—. . _. <br /> / ' ��r) . � a�`��4+- .S f . �-✓'c,2t-� -.. ., .. . <br /> � C� PLUMBING MECHANICAL <br /> �{ FEE NO. TYPE OFEOUIPMENT FEE <br /> NO. TYPE OF FI%TURE OR ITEM q� p i�plDl G UNilti ��1 P. <br /> 1 WATER CLOSE 1 iTOil I U --- - _ <br /> _--__ �-- ♦ FOqCE0NR5V5711�ti BTU M C � ~- <br /> BATH7U0 �- - �� <br /> �� .- .- _ - - . UNIT NCATEPS � P T tl !d <br /> 1 LAVATORV INIASH BASiNi - - --- '- " <br /> _ _ - <br /> � --- -----� -- -- CLOTHESORvfRS <br /> SHOWER . . __. _-_ _. _ .. __ <br /> _—_ —__ <br /> - ---- VENi1LATION FAN . <br /> NRCHEN SINK 8 DISP .. . ' - � � " <br /> � _____.__- _.. _ <br /> __ -�— - —� PANGE HOOU . ... � <br /> � _ DISHWASHER —._. � .-_. .__. _ . _ -_. . i—. . <br /> -- � W�TER HFATER <br /> I I =' - LAUNDRV iRAV -- � -- � - _�— - -� _ _ _ - . . .. <br /> � � CLOTNF.S WASHER _ � N100D STOVE ___ ___ -T— <br /> URINAL _ _ . _ ' ME7ALFIHEPLACE 8 HIMNEV _ _ <br /> DRINKINGFOUNTAIN __ PIREPLACEINSE__ __�— <br /> __ <br /> �� HEA7 PUMP� _____._��� �-�-�� <br /> � FLOOADRAW �� -�— <br /> __ <br /> �t� BACKFLOWP ENTERS ' G�S.PIP _.. --� <br /> -�----� . E%�A 151 FAN . — <br /> ROOF DR�IaS-RAINLEADERS ; --- � � _ <br /> SINH($�VICE-BAR_ETG.) - - <br /> � _ _ - - � <br /> , '�I�� . . . . . _ . --__. .-'T— <br /> � _ . � <br /> '_ I _'____. --. -_--T_ <br /> , -_ - _ -__.. <br /> I <br /> I •_� SUB TOTAI b SUB TO7AL 5 _ <br /> - _. <br /> ____ ______ . _.--_-PEFIMIT E <br /> � ��I - .. -.. . -. -..- PERMIT 8 ---� <br /> - <br /> ._ _—_-_._ '_—-• <br /> � - -- � �- --- 10TAL FEE 5. .� ...�� �-� �-� � ��� � TOiAL FEF $ y_ <br /> fOR OFFICE USE ONLY: ��r�.ii„�H� <br /> r�'nn'r,ieecn ..- ,orenFe n`n - wuHft15�tEn ._. .-- n(�5 oa�FEESu+� "� VALUAiION FEE _T_ <br /> pUll[1MC l�. _iG� <br /> i��i�i�LONIS�IIOW�BLL IYPIdCON5IAC1Wi rcmr�w. �+�Mo-n�� •.. . � <br /> '•'O.1° PIUMIIW6 __ _ <br /> _ _. .__"__. _. .__ <br /> �,it� ur Pi00 NO OP SifMiES BaSEPENt � MI LNr1NICAL . " <br /> _. _" .-"__'__ . i <br /> � __ --" � '- �Uf]IiiONALPLANCHECN ' <br /> irt�ut`ANGYLO�O FlRE6PRNNLEP'iRFOU HPGHIUMi1��iON _ _ _ � �� - <br /> � <br /> � <br /> SPRINNI ER � <br /> ._.. . .. _ _ _ "—�—. <br /> ._ - _..._ _—--__._ <br /> ��I�tiON FOR SPRMNlERS <br /> SiAiE 6UI�DING SUFCNARG[ `�_ '_l � <br /> nun�i�ov rinriservn��vrunv �ITYOFE�IERETT PUIt1.iCWORKS � <br /> LOCAL SALES , Sa <br /> TAI(CODE IS 3105 *oTA� <br />