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APP�_ICATION FOR ��� <br /> �TME�'°'"" .;LNSTt�UCTION O <br /> ever�tt PERMIT <br /> DEPT.OF COMMUNITY OEVFLOPMENT SERVICES . <br /> CITY HALI 259�8715 <br /> Ev[REit.wnveiot ��OMBINATION � SUILDING ❑MECHANICAL ❑PLUMlING PERMITNO. <br /> OWN�R MMl�D�NI55 C11� ZIP PHONF <br /> �o ,n o j��u.irii 54.2� Clr�,1WCOD u F� �SC9112 �53t1�S0 <br /> AACHI11ClOR0151G!�IN M�II�O011[SS CIIY 21i �NO F <br /> �iutun� �1�5� ��I L�.� I��O>t- ,PI) �=�i��'r' 9KZo3 �t5-8373 <br /> GIHlR�I COu10.�C10� M l A00�65 UtY ZI> PNON[ UC[ S!� <br /> / �u� � (urrCv ��r,i (rY �F� I�I�C IL� i-�s�rr �k1A'� ?�SS�)3 ti-N;-ai-w376uo <br /> MICNANIUL(O4I0.e OF M�II�001115$ CI1Y 1V iN0 I UCINSL� <br /> >Il'NBrvLCONiR�C10F M�ILAD�MI55 ❑IY ZI> PNOH[ UCFNS[1 <br /> CUSS Of N'OMK <br /> ❑NEW �ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑CARAGE ❑BUILDINGRELOCATION <br /> VMU�IIONOI WORF <br /> � 7yF0�JQ� <br /> �6CMIPf NORK <br /> .� <br /> �4� �' /u n sZyZ." Al1UV T16IJ <br /> PROPOS�DUSf OI fl�IrlDI4G �7� 1 HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS AP- <br /> S� YKF /.�INILY KE.S/O�A1CF PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> l[G�l�ISCMIV110401�0.01'lRfYISNOWN BfION'OR Ml�CN10Ut�'ORf51 PROVISIONS OF UWS AND ORUINANCES COVERNING THIS TYPE <br /> OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> l01�BIOCk�Of OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> � GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> I.vE T �I TkAC- ANY OTHER S1ATE OR LOCAL LA REGULA7INC CONSTRUCTION <br /> • OR THE PER MANCE OF CO STRUCTION. n <br /> N � SIGNATURF OF C �CTO OR A MOIl12ED�GFNi OATE -//LS/f(J <br /> — � �U �TT .D"U. <br /> icn soneus � <br /> � X / 'L / <br /> �IUM�IRG MECNAA'iGl <br /> NO. 1Y�f OF flKiUllE FEE NO. Tt/f OF FQUI►MENT FfE <br /> WATER CLOSEi�TOLIfT� 00 �IN CONU UNITS-N P.EA <br /> PATN7Ufl 2 OV REfRIGFRATIONUNITS-NP EA <br /> � LAVATORYIWASHB�SIN� OV BOIL[RS-MPEn <br /> SHO\YfR GAS FIRFO AC UNITS-TONNAGE F� <br /> KITCMfN5�NK6D6P fORCEO��R5Y5iEM5-BiU. MEA <br /> DRIVASM:R K'All HFATERS-8 T U M <br /> UUNDRY TNAY U`11i MEA7FRS-B f U M <br /> CLO7H[5 W�SMER EV�PORAIIVE COOlERS <br /> WA7FR NUTER CIOTHES DRYFRS <br /> UNINAL V(NTIUTION FAN <br /> DRINKING FOUNTAIN R�NLF HOOD <br /> fLOOR�RAIN AIR HANOI NG UNIT- CiM <br /> VANUM BNEAKENS STOVE <br /> NOOF OR�INS-RAINIEADFRS MfiAl FINFPI�CE 6 CHIMNFV <br /> SINK�SERVICE-B�R.[TCI <br /> SU�i07�1 �4 <br /> fU�TOi�I � � <br /> rE�M1T � ►E�MIi � <br /> TOTAI iF[ / ^ iOTAL i[F S <br /> SIDfYAADS[TpACK STR[ET$[TPACK NURYAR�SETBACK PLANCH[CKNUMBER PI�NCHFCKiEE <br /> S ZQ� ZO �� �'337 fEF RFCFIPas S� <br /> USE ZO� ` � LOT ARU y�C�NT�SJ T[ ���y VAWATIOM �!F <br /> �YFS JiRF10 <br /> Typ�no r�+�c} , OC(UPANCV GR.30UP NO OF O�WEILING UNIIS <br /> -v N R— eunou+c + /Co s <br /> $IZ[Of BLOG NO Oi STORIES MA% OCC IOAD <br /> VLUMBING � (,9b <br /> FIRE ZONE 6AS[MFNT NIUNOUMS REQUIREIDKlkNS MFCHANIGL 7 SC.� <br /> �� ❑Y!5 O <br /> �A�OVAl3 �Y D�TF O7MkR <br /> 1 [NVIRONM[NTALOIEGKLI51 pENALTY UBC. <br /> 5[C ]O]IQ <br /> 7. BUIlDINGPUNS I �� /4v <br /> fOTAI v <br /> ) (IRF MYDNANT <br /> 1 HRE PROTECTION$Y5T[M ►[�MIT VALID�TION <br /> WHEN PROPERLY VAilO�iFD(IN TH�S SPACF�TMIS IS VOU0.PERMIT <br /> 5 GP�OING4%CAyA710N8Q[�RINGILMUBBING <br /> 6 DRA�NA�[ <br /> 7 FNVINONMENTAIIMPACTSTATFMENT <br /> p HULTM DISTRICT <br /> APPUUTION ACC.BY PUNS CHFCKED 6Y APP0. FOR ISSUANC[BY <br /> � �. <br /> 9-1 79 <br />