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� ,,�< E,�rr.�.�.,, S �NSTRUCT14i� � � � . <br />C�i�i (,i <br />cvere�t PERMl�' PERMIT NO. ���j�Q <br />Cii� H4��;:°?�i=5 <br />._c�%Er-. ;r:. .,_u� ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br />...._., v<���,�oN�cs r.�n �r� c.+omr <br />William Olson 5031 Colby <br />-.. ��'�'CCT Oa DLSiGNCR �AAIL RDDRE55 C11Y 21P PHOfi[ <br />�.J:ia4L LONiRACTDR MRILADDfiE55 qTV ZIP PNJNE LiGL+�SE I <br />C':.•'.R1,��,;LWNiPPGTOR A1AllA[I�RESS GfiV 21P 1110NE �ICENGCI <br />Natural Gas :quipment 1611 East Grand 258-2941 <br />.,1P.aiufONinACiGR MAILADDRE55 pTV ZW PHONE IKENSE♦ <br />^n:�Ot <br />❑NEW ❑A�DITION ❑ALTLRATION ❑REPAIR ❑DFldOIITIQN ❑fENCE ❑SIGN ❑GARPuE <br />c+.�,u41i0N OF N <br />❑Fr-]4�BE WOFK <br />�n:' i>� �E� U6E OF PNLDiNG <br />i f��.,c; pE$GPiPi IGN OF MpPEqTY �SH01V BCLOW OR RiTALH POl1R LOPIE51 <br />le' BIOC�_OF <br />5031 Colby <br />PLUMBING <br />N0. TYFE OF FIXTURE OH ITEM <br />1Vn1ER CLOSET �TOIIET) <br />HATHtUB <br />LAVAtORv(WASH �ASIN) <br />SI�OWEN <br />RITCNEN SItJK 6 DISP. <br />DISNWA6HER <br />LhUNDRViRAV <br />Ct.OTHES WASHER <br />URINAL <br />L'PINKWG FOUNTAI <br />FIGOR DNAM <br />VANUTA BREAKER i <br />ROOF DRAINS — HA <br />SINK ISERVICE — 0� <br />SiDC_ YARD EEi9FCK <br />USC ZUNE <br />i rPL OP (:ONST. <br />;¢[ or BLOG. <br />STREET SETUACK <br />L ENVIRONMENTAL CHECK LIST u <br />2. BUILDING PI.ANS <br />3. FIRE HYDRANT <br />4 FIRE PRO7ECTION SYSTEM <br />S G/iAUING <br />5 URAINl.GE <br />i FHVIPONMENTALIMPACTSTATEMENT <br />N HCALTH D�STPICT <br />APPLIC�IION ACC. HY PLl.NS C�i[CKCU BY <br />f HEREBY CERTIFY THAT I HAVE READ AND EXAMI�ED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />7YPE OF WORK WILL BE COMPIIcD WITH V✓HETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTiNG OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY'0 VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STAiE OR LOCAL LAW REGULATING <br />CONSTfiUCTION OR THF PER�-OF�✓IANCE OF CONiTRUCTION. <br />..4vnTu��rU:Gs��rP='�GaC�,:..�:i,Cu„!;:;,6L•n rc�! <br />X �ir���i„ �vt'�li�.�n ; s/3o/�9 <br />FEE NO. TYPE n: EOUIPMENT <br />l.IHCqND UNIT:i—HP.Fn <br />FEFRiGERATiON UIJI75 — H P En <br />WILERS �— H P. EA <br />GAS FlFEO !.0 UNI15 — TONNAGE EA <br />FORCED PIF SYSTEMS — O7 U M EA. <br />WALLHFl+T[NS—BTU. M <br />UNITfi[ATF(i;—HT.U. M <br />EVAPORATIV[ COOLERS <br />CLOTt+ES DArCPS <br />VENTII ATION FAN <br />HnNG[HDOD <br />AIR NADJfJUNU UIJI7 �— C.f IA <br />�TOVE <br />h1[1�l FlFF�I.A(:k'_ 8 GHIMNEY <br />SUBTOTAL <br />rtt <br />REAR VARD SETOACH ['LAN CHECK IJUMCtEfi PLl.N LHiCK �EE <br />„^n.."r„' FCL I RCCEIFTIJO <br />lJYES CNO <br />FIPE SPPINKI[RS <br />nPN�. po� issunruc� [�v <br />-�o��r <br />b <br />UMBM� <br />rec <br />PPIALTY SEC 303(e� <br />TOTAL 5 00 <br />PERMIT VALIDATION � <br />l4NCJ PFOPERLY VALIOATED pN TN15 SPACE� THI515 YOUR MI <br />160� � is:0��j. p "'"�s�. <br />j . N <br />_ 4� <br />YbUR RECEIPi� <br />r►,��t� xo�U - <br />� .r <br />� ; � � <br />�9aus79 <br />s r-i�E <br />