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APPLI��►TIOiV FO�I <br />� COf�STRU1���01. <br />evereK <br />everett P��n��� � <br />�EPL OF COMMUNITY DEVELOPMENT S[RVICES <br />CITY HALt 259�87A5 <br />evtaerr,wneezoi �COMBINATION ❑ BUILDING ❑MECHkNICAL ❑PLUMBING PERMIT NO. <br />O\YNFN I.IAII �Ol]NFSS U'iY ZIP PllOtif <br />-�A-NON 1p�r7�i�eh Co� Sr� �RR ���, Euere.`fit� PIfONC <br />nuauieei oa oe�u ��nii noociss cnr zir <br />G[NIFAI CONLN�CTOR Al�ll AOIlNESS CIIY ZIP PHONE ,1 LICENSE II 7 <br />. _ ...... �_ i+ ...�-�-F Cl`f/��J7 `2���7V2 ���Z` <br />PLUn161nGroNiHAQOR M1IAllIODR[55 Cllv ZIP <br />PHON[ LICENSf N <br />CpU,5'5' Of \YORK <br />{orvEW ❑ADDITION ❑AI.TERl�TION ❑REI'AIR <br />\'AIUATIOu O� \YORA � <br />s � ✓. �,n�b .-- <br />raoros[c us[ of uouowG <br />LEGAL UESCRIPiION OF P0.0PLRLY �51101vN <br />ioT __ oiocr:,_ oF _ <br />�OOA�OR65 <br />PLUMBING <br />NO. TYPE OF FI#TURE <br />WATER CLOSET OOLIET) <br />SN0IYER <br />KI�CHEN <br />UUNDRYiHAY <br />CLGTNE$ WASH[H <br />WAiER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FI.00R DftA1N <br />VACUUM OREAKENS <br />ROOF ORAINS—RAINLEAD <br />SINK �SEH\'ICE—BAR, ETCJ <br />$IDE YARD Shlli/ <br />US[ ZONE <br />TYPE OF CONST. <br />�IZE OF OLDG. <br />FIRE ZONE <br />SUB <br />❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑O�ILDING RELOCATION <br />/ J� N/I7�/� <br />I HEREBY CERTIFY THAT I H�VE READ AND EXAMINED THIS AP- <br />�� I'LICATION AND KNOW THE SAME TO BE TRUE �ND CORRECT ALL <br />OP ATTACH iOUR COPIf51 PROVISIONS OF �AWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILI. 6E COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTfiORITY TO VIOLATE OR CANCEi. THE PROVISIOIJS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING COM1STRUCTION <br />OR THE PERFORMANCF OF CONSTRUCTION. p/� <br /><IGNATURE OF CONTRACTOR OR AUTHOftIZED AGENT DAiE 6/ 3� pl� <br />TOTAIfEE s <br />STkEFT SETISACK HI <br />O7 AREA <br />pCC14YNC <br />NO OF STI <br />OASEhtENT <br />APPROVALS <br />L ENVIRONMENTALCHECK LIST <br />2. OUILOING PLAN$ <br />3. FlNL IIYURANT <br />4 FlRE PROTECTION SYST[n1 <br />5 GRAUING,'L%UVATIONBQEAR�NGIGRU11111NG <br />fi. DRAINAGE <br />7. ENVIHONM1IENTAL IMPACT STATEAIENT <br />B. M[ALTH DISTRICT <br />APPLIUTION ACC. I4Y �-'tACfS C�11EIX� OV <br />q.b7y <br />MFCHANICAL <br />NO. TYPE OF EQUIPMENT <br />AIN COND. UNIT$—H.P. EA <br />FEFRIGEHA110N U�+�TS—H.P. EA <br />eonies—�i e en <br />(:AS F�NED A C. UNRS—TONNAGE EA <br />FORC[D AIN $YSTEMS—�.T.U. M E� <br />N'ALL HEATkRS—U.T.U. M <br />UNIT HEATEHS—RT.U. b7 <br />E\'ni'ORATIVE COOLERS <br />CLOTIIES DRYERS <br />VLNTILATION FAN <br />RANG[HOOD <br />AIN HAKDLING UNR— CF.M. _ <br />STOVE <br />METAL FlHEPLACE 6 CHIMNBY <br />suB TOTAL s <br />SETBACK � PLAN CHECK <br />VACANTSRE <br />❑YCS ❑h0 <br />NO.OF DWELLING 6 <br />MA%. OCC LOAD <br />FlNL SPRINKLF.RS <br />NEQUIR60 <br />❑YFS ❑NO <br />gy DATE <br />�fES <br />IlUILDING <br />PWM131NG <br />MKHANIGL <br />OTHER <br />PENALTY <br />AL FEE f I <br />PLAN CHEIX FEE <br />FEE RECEIPT NO. <br />VALUATION FI <br />3 /i..R1/1 � <br />unc. <br />SEC. 703(al <br />TOiAL I � <br />PE0.MIT VALIDATION <br />\tiHEN PROP[RLY VALI�ATF� (W THIS SPACE) THIS IS YOUR PERMIT <br />� T Y� <br />(o- � �'O cv�. <br />��� �����' <br />