|
�� crc
<br /> "'� "' PERMIT
<br /> eve rett
<br /> , �,, .,�� , �...,",,..
<br /> i �-� niii. w� ��n:�,� COMBINATION • RUILDING • MECHANICAI_ • PLUMf31NG
<br /> �nvw.i; ,�.,ii nnuni�:,, Fi�� ..�u,n�� —
<br /> GO/J �f�D L�V�tJ 2�j2—�'4�Z-cF �
<br /> ,���,����� �:, „�� �,��.��,N� �� �,.,�� ���;�,���;�.�; � ���� ,���� � r �:� �,.�� . �
<br /> --- _--- �
<br /> �11NLNAI Ct1N11���'itlH MA�I_AOOH[SS P�u�'JI I_�CLM�,! r!ri
<br /> J l�c.� C c�n�5 �. 25z-q f�z� 3
<br /> nn n�nrvicn� CnN� ��nc�nH � � Mn�L nooFess - P���r� __-. uceNlil ra�� -
<br /> W
<br /> _---- _ ---- --- - -- r"
<br /> - - -- �o
<br /> P�UMIIINGCONIRACTOR MAILApDqE55 PIIONL � I.ICEN;f Nn
<br /> PEqMIT CI.4:;Of WOlIK ._"____.-_.-
<br /> �COMOINATION
<br /> ❑OUILDING �PLUM11pING �MF.CIIANICM.
<br /> G9�rw ❑nouinaN ❑ni.rrnniioN ❑mm�u�
<br /> ----------- ------ -- ---- -- --- --
<br /> VAWMIONUf WOHK
<br /> ��OdO. O-O• . -- --. Clurmniis� ❑rtNct L7�.�on� ❑�;ivi.���irv�, r�,�;�
<br /> oescRiae w�nK � - -_ . . _.. . ..-_ - --- - —
<br /> G o.v ' 2UG "�L!
<br /> r�AOPoseo use
<br /> MECHANICAL
<br /> ---- ._ .--- -- - - - -----
<br /> -- TVPI UI CNI P.Y
<br /> LLGAI�ESCRIPTIpN OF PHOPLRI V I;IIOW OF t�1W OR A� In(LI �_��q:; ❑ELEC.
<br /> F OU R COPI t51 �• A
<br /> Lo��2n�oC�rI-�-C�UN��S �10�. NO.� JVPE OF E�UIPMLNT FEE
<br /> � �nin cuHo. urvns u.P. en. S —j---
<br /> A �ni � nirtr�nt�nrvurvn�: ��r tn - —Y---
<br /> ��V� /�. ' . 1_"_'
<br /> ---'_"' -' --- ___ .Nt111 f II'1 IU` I n
<br /> _____ . ....._ 1
<br /> � InNCFIiniH !;Vf:1fMti H.T.U. MEA.
<br /> � I—'___-"__ —._-_. _.__ _ . . ..-__—
<br /> JOA /10OR[;5 •;Pnf,f B WAI.I �ICM[RS - P.T.U.
<br /> _-_
<br /> 22C� Z NE5 niu <<,N�, ,�� �,� ,,. �, . �. ----;---
<br /> PLUMBING �i vnrunnt ivt cnni t r�,;.-- . _�_._-_ . _—�-_
<br /> — —_____ �2� �:� ni�qsunvtr�s �
<br /> -- ----- - - ----- d�,iir�.n �nua�inrv �� —�---
<br /> !��nnrvci n�iun �
<br /> NO. TVPE OF FIXTUflE OR ITEM FE�_ I nii� ��nnli�i iNr, uniii �_ i r,�_ _�__
<br /> 9l�7N IUHS 5 � I
<br /> ' CLOTHES WASHER � Wnlf R nFMEn - -�- --'--r--'
<br /> �j�� UISN WASNFRS � �AC. IIUII_1 IIHtPLACF Y. CNIhWEY"-� - .....-'--�---
<br /> ORINKING FOUNTAINS � .ns. Sn;tEM Na oP oUTLfTs � -r
<br /> R_OOfi UHAINS � —_ �___
<br /> KRCHEN SINKS h UISP ----- --� �' j --- � . . . ,uli inTn1 5 �,��
<br /> ___'— _.._ __ __ _—
<br /> F3AR SIhKS - -._�_. ..� _ I f Ivnlir 5 3�+
<br /> __ ____ -' _ . ._ _. _ _ _ .
<br /> .v
<br /> ROOF DRAINS HAIN LEADEflS _ ._�_ �oin� r bi 5 2�I��Z'J
<br /> $HOWEH IIMHS llu.•: 19 RM�I IIlCOMFS NU11 ANU VO�U il WnHI, nH C�1N:iRUC
<br /> SERVICE SINK$ -� 110N AUtHOHiZFU IS NO1 COMMLNCFU WliluN �:�it nnvG. OH i�
<br /> SUMPS 5[WAGE PUMP --- �:��N:�Hu[uorv nq wonK is.usr[No�n ni� nunNnnw_n fon n
<br /> - - PEliIOD UI 1?0 pAYti Al �NV IIMC A{tl�.R WU11k I^.Ct�MMF.NCtp.
<br /> URINALS ---_ -- . IIFHfIW Cf.I1111 Y IIIA1 I IIAVL f1FAD ANfI L%AMWLII tlll; �P
<br /> WATEF CLOSETS _ �I iCniinN nNl) KN�1W t11F SnMC Tt�111 1 HU( nN[)cOlifi[Cr. M.l.
<br /> WntER I1EA7ER5 - ELECTRIC � rncivitiinhs nl i nw.^. nNU oRnINnN[L5 r.ov[nNiNn iHls rvpE
<br /> WASH HASINS �--j 01 WDttK WII I ❑L COM�'LICU WI111 W��I Tr1En :;PFCIFIfU HFnFIN
<br /> LAUNCRV TRAVS -�— �)H NU1, ll❑ GHAN11Nt, Uf n P61�MiT DOI�S NU1 PRf,SUME TO
<br /> —�-- civt nun�uniiv tn vioi.nTE on cnNc�_� na rnovisior.s or
<br /> — — � .- ANVUIHLH ".IAlIUH1UCA1. lAWHI.�lUTAIiN(1CnN:;iNUCTION
<br /> _ ___ _.__" . _ _ � . _ _ OI� I�IIP1lf��HM4NCbO1Ct�N51RUC1it1N
<br /> � /)__' _ .-_ -- _ _. ,
<br /> SUB TOTAL � - -
<br /> PERMIT .. S._- 3��0 . ��t�
<br /> �TO AL FEE__ �- ._ ��i�00 c� ��"CxK �/�.��_'' r''«c_- .._/ �7J
<br /> WAiEfl SE111'ICF S17F =/ �_BIUI SUII'I.V SVf .,i ,mniui�� ui r,uN�llnC�hnannutu n�:t:Ni un�� � "
<br /> SIUE YAl1U S[TIIACK SI HI Ll liClIlpCK R[AR Vl�f1Uti1 IIIf�CK 1'I nP!i:ll! Cv. NIIM01 fl PLAN CIIECK FEE
<br /> 5 r� ZO �T 'LQ '�'~� 111A / �iI:CEIPT NO.
<br /> .___ _ -__' "_-_—�. rl, fj��, y'?, /"QIU�
<br /> VSl TOrvF Lot nnFn --' VACANT;I�.-
<br /> �y�y� - __ ."'.___ -.__
<br /> � r� _ _ vL.�/{„�__ ���" �� PEES VALUAiION FEE
<br /> TYi'EOFICOVSL OCCUP�4}�N^CVGNOUI' NO.UIUWIIIINCV--- . .-. .. - ---" � - - .. . .— -'"'"-�--
<br /> '.�-/�I 1.r UN�Tti � , .
<br /> . - __.._. _- __I. _._ _. . _ —_�_—'__
<br /> 512f UF p1.f1G. -..--. . .. NU. t�f� IUNIL$- -- M4%. OCC. I OA❑ ❑llll DW(i 5///7/�/Y� �/�I /�/�
<br /> 1 ('� I / _ . . __'______ _. . -fvC�•a_i_.__ __ .-_`/( VC.d
<br /> _S� x � _J _ t__'
<br /> _..._. — "___ _ _ 19 UMHING . '��,�^
<br /> f IH[ ZUNt IIl1;f MI N1----- � �-- 1iH1.51•RiNKLI.-�iS-- ... .._--___- . �./
<br /> I , f1EUUItiLO � 1.
<br /> 3 /�O ❑Vf; �'!O MICIIANICM. /J5�/�i-�
<br /> � _.--_—__."_ _' _ (_ �Vt�✓
<br /> si�� cin� r.nrvuinur.y� ��n�tn �
<br /> . . . ___ _ . _ . ___ . i
<br /> .. v+ ------ - --- . . ___. �_t. .__-
<br /> _' -'._. . . �.. . .. . . .. .. .. ___...-------_____ rrNni.�v �;i.c an��ni i
<br /> � v. „� � --. . . _ _ . __ .l . .--
<br /> ---
<br /> :.,� � _ -- — --- rorn� 2�L i
<br /> � '
<br /> — � --
<br /> �,p � � b C {r� PGqM1T VALIDATION [ n
<br /> � .� A NJllllvl'lii�i9 �11 � V41 'I�AIII� IIN �II:�.ITCL� I .� IS '(IUIIPfIIAIII
<br /> x � _ -
<br /> �~
<br /> � . -� a — - YOU R REG�EIPT
<br /> .�,=:�:,.. �, -- -
<br /> �H.ANK YOU
<br /> -� �,;�, , , . 1 ,,,,�,.,. -���.,.-�.�,���,,,.,,--�,.,, , .
<br /> � ��,-;;---- . 9 t�- ��
<br /> � .
<br /> �
<br />
|