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APPLICATId.� FOR CONSTRUCT.�N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDINGDEPARTMENT HEATINGSYSTEM: ❑GAS �ELECTRIC O — <br /> 259-8810 <br /> � DEMOLITION � COlABINATION BUILDING MECHANICAL � PLUMBING SIGN <br /> OWNER 4I.�A�ORE55 CILY ZiP PMt�E <br /> n,-,�.c �z� �_�,.�ri�,�f.��z �Jr 98zo3 z-z-;�� <br /> iEN�N� YAR�DDflE55 GIiY ZIP PNONE <br /> A1ICMRWIOR�RpNEP Y�M1A�OPE55 CItY IIP PN011E <br /> LENERqCCN1MLtOR �0.dODPC55 CITY ZIP PNONE +1�1ElIGENSE• <br /> MECNANC0.CWIN�CiO9 YA0.AOD11E55 GILY IIP h�YIE St�iElKCt15[• <br /> �,9�iccJ N�`+ �( �Znt C'f/�✓rr�8 CJ,��7r 9Rt�3x'• � ����/o�octi <br /> I'WMBINGCON1MtlON YAM1MORE55 CITV ZIF 'WME S1AIELKEHSC• <br /> cussorwvnK <br /> . NEW '. ADGITION �CALTERATION . REPAIq OEMOUTION WOODSTOV6FRPLINSERT BUILDINGRELOCATION <br /> cav*�ci rcnwn�Ho rrronE no <br /> CWiNAGIFRC[CtN011N � — <br /> pESfPiPE W011KAMDSCU�AEfCOlAGE1NV0.YE0 <br /> raorosmusecveunowo I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> `�L� F „ APPUCATION AND NNC\4 TME$AhIE TO BE TRUE AND CORflECT.ALL <br /> iEeuoeueinmrvorvnorEnn�SraNmBflowOnen�cHiWncariE51 PAOVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTVPEOF <br /> WORK WILL 9E COA7PLETED WITH\YHETHEfl SPECIFI[D HEREIN OR <br /> io* e�ocK a NOL THE GRANTING OF A PEFMIT DOES NOT PRESUME i0 GIVE <br /> AUTHORITY TO VIOLATE OR CANCE�THE PROVISIONS OF ANY <br /> OTHER STATE OR LOLFL LAW REGULATING CONSTRUCTION OR THE <br /> PERFOFMANCE OF CONSTflUCTION.THAT I A!A AUTNORIZED BV THE <br /> OWNER OF THIS PROPERTY TO PERFOHM THE WORN FOR YIHICH <br /> APPLICATI IS MADE AND I COIdPLV WITH THE STAiE <br /> LONTRACT SLAW1827RCWAND296200WAC <br /> PROJEti/.WPESS .••• L"� <br /> z� G�c-.✓,�t/�rcwai ��P. ,.� <br /> PLUMBING MECHANICRL <br /> NO. TYPE OF FlIITUNE OR REM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET�TOILET� A�C—A HNOLG UNITS—H.P <br /> BATHTUB ' FORCEDAIRSYSTEMS—B.TU. M E.A. <br /> LAVATORY(WASM BASIN) � UNIT HEATERS—B.T.U. M _ <br /> SHOWER CLOTHESOFVERS <br /> KITCHEN SINK 6 DISP VENTILATION FAN __�_ <br /> DISHWASHEF RANGE MOOD <br /> IAUNDRY TRAY \YATER HEATER <br /> CLOTMES WASHER \Y00�STOVE <br /> URINAL METAL FIREPLACE 8 CHIhINEV <br /> �RINNING FOUNTAIN FIREPLACE INSERT <br /> FIOOR DRAIN HEAT PUMP <br /> BACNFLOW PREVENTERS .AS PIPING <br /> FDOF OPAINS—RAINIEADERS E%NAUST FAN <br /> SINK�SERVICE—BAR.ETC.� <br /> --� <br /> SUB TOTAL S SUB TOTAL S <br /> PEPMIT S PERMIT 5 <br /> TOTALFEE S TOTALFEE 4 <br /> FOR OFFICE USE ONLY: <br /> FRp1i5Ci0ACN MAPSEIB/�CR SICESEIBLCN FUMb�CN1ILA�BE� fEE R[CEIViIq <br /> � <br /> ���,�� idi�pE� y�,�;µryh FEES VR�URTION FEE <br /> BUIIDING <br /> ttttaroxrsuivnut[ rvRacactanitµ orc+s. nnon�i�w�n <br /> � PLUMOiNG <br /> S�p{9�pp NOOi51OFiE5 B+�SEMENi MECHRNICAL <br /> CLGUWJICYIOAD ��AESPPMlCNSFGOD NE�GNiIWIIAiNYI A��ITIONR�PIANCMEGK <br /> SPRINKIFR <br /> Pf�SdILp�SPPiNMLENS � <br /> STRiE BWLDINO SUPCH�RGE <br /> iN1u�Eer PVrvS�PPAOVEDBY CITYOFEVEIIETT PUBIICWORKS <br /> LOC11L S11LES <br /> LUI COOE IS 3105 TOT�� <br />