Laserfiche WebLink
APPLICATIO�' FOR CONSTRUCTI('N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUIIDING DEPAHTMENT I ^�TING SVSiEM: U GAS l]ELF.CTRIC O _� <br /> 259�B810 <br /> 1=1 DEMOLITION Il COMBINATION i 1 BUILDING �IECHANICAL f I PLUMBIN6 f 1 SIGk <br /> ,�E;JG .�'iA/n2r �.�EllvtcES ��-C3c� 3707 .5F-�tT?l�% qdl�c�. — <br /> �i[IWL1� 'f�� I� W.1�0011f6ati , ^ CIIY !V R4^M <br /> 1������ ol�U� <br /> MG0FL1pR �iK1411 M�l/.UCl1f6S GIY lV %vMk <br /> Y�� __ <br /> psx(9µUM'� fdl 4�L�OCIV55 Clb I�P RUI( S1R[lC[MS[I <br /> �����1 c __1�a� �sTc�t�E �4��E E. �,�►hrrr� 3S 9-ila9 <br /> Y[lIYMCNCCNIRACI Wl Sb GIY !V � RICNC 511fC1K�N5F� <br /> WESNF,r("fi�C�pr 5707�F�4Tllb 4SU�( 7(o7-S�S G/E57VZz1�� <br /> nunwca��iuc�m awwEss cnr 1v vHouc su�[iz[xss. <br /> canwcr rnr,�a�wnr�O � <br /> p.ecaetwwc��osawarm*�ccrvo.nn cwuc�rcnsoauwnur.crn.�/G f./13Dt� I <br /> T. . _' •1�.1�� T C. - /i • O 305 . <br /> S �J S �YCT i HEREBV CER7IFY THAT I NAVE REAU ANU E%AMINEO THIS <br /> rmro6fous[ar uiowo APPLICATION AND NNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINr1NCE5 GOVERNING TMIS TYPE OF <br /> icauascwr*ioxamarcnrv�w�eEiowon•n.ceroocovisi WORN WILL BE COMPLETEO WITN WHETNER SPECIFIED HEHEIN OP <br /> NOT. THE GRAN�ING OF q PENMIT UOES NOT PRESUME TO GIVE <br /> im xou-- a AU7HORITY TO VIOLATE ON CRNCEL TME PROVISIONS OF ANY <br /> OTNER STATE OR LOCAL UW REGUTATING LONSTRIICTION ON TNE <br /> PERFOqMANCE OF CIXJSTRUCTION.THAT I AA1 AUfHORIZED BV THE <br /> OWNER OF THIS PPOPEHTY TO PERFORM iNE WORK FOR WMICH <br /> APPLICAiION IS MAOC AND I COMPLY WITH THE STATE <br /> vurtuuioxuuan CONTflACTO SUWIBR7RLWAND296200WAC. <br /> ew¢rnwriou iaw i[xxn.wwuu.r[i[nKe1E r�weFn .� Q <br /> PR ECTADOflESS �Q�a ��w��7� <br /> p�w� <br /> PLUMBINO r ECHANICAL+~ <br /> N0. TYPE OF FI%TURE OP REM FEE NO. TYPE OF EOUIPMENT FEE <br /> W�TER CLOSET�TOILET) A�C--AMNOLf UNITS—NP <br /> BATMTUB fOPCE0AIq5YS7i:M5-97.0 ME.A. <br /> LAVAIORY�WASMBASIW UNITH@ATERS—BTA. M <br /> SNOWEfl CLOTME$OFv[RS <br /> KITCMEN SINN b DISP VC N711A710N FAN <br /> DISHWASHER RAHGF NOOD �'— <br /> UUN�RY TMY WqTEq H[qTER <br /> CLOTMES W�SNER W(X1D STOVE <br /> URINAL METAL GIREPLACE(1V000 BURNING� <br /> Of`INNING fOUNTRM FlREPLACE INSERT <br /> FLOOq DRAIN NEAT PUMP <br /> �ACNFLOW PNEVENTERS GAS PIPIYG <br /> pOOF DRAINS—RAINLEADEHS E%NAU57 FAN <br /> SINK�SERVICE—OAR.ETCJ ' �Y <br /> .^.UO TOTAL S SI1B TOTAL S I' <br /> PEflM1T 5 PERMIT S ��j� <br /> TOTALFEE f TOTpLfEE f <br /> fOR OFflCE USE ONLV: <br /> rnow�s[tew nuns��e�rx srocsanw.. n�wuaa n r�� actrrw <br /> � � <br /> usfmn[ w�uu� wc.w�vrt FEFS V�LU�TION FEE <br /> f i YES Il NO oUnDwc <br /> �maruui � worairncs arr,..a. .��...�.n — <br /> "0� PIUMBING <br /> 612[O�Khi f111[SFPMU0.5P[00 WYY[NI YEGNNIILAL <br /> ❑ YES f 7 NO <br /> OccV��xcvlwo in[Nuwn[oo r(cwtUurl�tW �UWiqfUlvUNCNCCN <br /> OINEP <br /> NFAtON <br /> Si�1E0UM104l65URCNARGE <br /> wi,u�er nu�s�rsrcmoor CITYOFEVERE7T rupucvroqrs <br /> LOCALSALES <br /> wrc TA)I COOE IS J105 rout <br />