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1116 LOMBARD AVE 2016-01-01 MF Import
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1116 LOMBARD AVE 2016-01-01 MF Import
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Last modified
2/17/2017 3:14:02 PM
Creation date
2/17/2017 3:13:57 PM
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Address Document
Street Name
LOMBARD AVE
Street Number
1116
Imported From Microfiche
Yes
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1 <br /> � ��.1�� <br /> r r}':r-V <br /> a �w��PLICATION FOk� <br /> : ,".E".,°`"° CO N ST�U�lf�O M `�� <br /> ? ceverett PF.RM1�' <br /> 'j BUILDING DEPARTMENT <br /> ,� 259-8810 TO BE COMPLETED IN INK• PLEASE PRINT <br /> y)I O DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICl,L ❑ PLUMBING ❑ SIGN <br /> �; OWN fl MAILADDRE55 QTY ZIP PIIONE <br /> � �,4NQ� /�LN iii� ��.�,o ���T; ��ar�� asa��� 9 <br /> 3 �flCNIfECfON0E5�GNER MAILRDORE55 GIiY ZIP PIIONE <br /> .� GENER�L GONTRRG�OA MAIL/•ODRESS Clrv LiP PI�ONE 4GENSE� <br /> � 5����.c%4ke �i.ws�n��� /-?G. l�x 5��/S Ecc-��r� Q�oY'-� �SZ-//3/ ,5/-LV-Ef�;UA1. <br /> ! MECIIRNIG�L COMMLiOq MRIL A0�1iE55 CITv 21P PIIONL I.iCENSE� <br /> . �� PWMBiNOCONIe�C10R MPILRDDRESS CIT' 2iP PNONE UCENSE• <br /> \�� ' <br /> 1�• LLASSOFWORN <br /> ❑ NEW IL�I AODITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING RELOCATION <br /> k .�MWn1iONOFWORNICO510�MR1EfiIPL5PLl15lABOR1 ' � / <br /> ; —�' ��—� ��� / <br /> '+ �,QESCRiBEWOPK <br /> � �e2GOF <br /> '.� ._y5E or eu�ILOING � n <br /> � f <1� /�+�L /(a3�/�E�� I fiEREBY CERTIFY ThiAT I HAVE READ AND EXAMINED TH�S AP� <br /> ; iNGLE Y C PLICATIONANDKNOWTHESAMETOBETRU[ANDCORRECT.ALL <br /> IEUALDESdRIPt101�OFPROPERiY�SHOWNBELOWORRITACHFOUf1GOPIES� pROVISION50FLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> � OF WORK WILL BE COMPLETED WIT�i WHETHER SPECIFIED HERE• <br /> S �or_eioc�—oF INORNOT.THE�RANTINGOFAPERMITDOESNOTPRESUMETO <br /> � GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> �i ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> f OR THE PERFORMANCE OF CONSTRUCTION. <br /> � SIGNATUREOFCONTR�CiORORAUINORIZEOAGCN� [IATE <br /> E <br /> ��1 X � - �y 7�v�P8 <br /> 'I PROJECT�CDRE55 RPPIIC�IlTSGfVBU5WE55LICEN$ENO ���' <br /> ` ///� L ,��T <br /> ;� <br /> Gmr3,srr.� O/o73 ,�1d S,��x�o,�e����n.� <br /> � PLUMBING MECHANICAL <br /> NO. TYPE OF F�XTUNE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> ,� WIITERCLOSET�TOILET) AiC—A/MNDLGUNITS—H.P. <br /> y BATNTUB REFHIGEPATIONUNITS—H.P.EA. <br /> i UVATOFYIWASHBASIN� BOILERS—B.T.U./HP. <br /> SHOWER GAS FIPED A.C.UNITS—B.T.U. <br /> y KITCHEN SINK 6 DISP. FORCED A�P SYSTEMS—B.T.U. M EA. <br /> �� DISHWASHER WALLHEATERS—B.T.U. M <br /> � LAUNDRV TflAV UNIT HEATERS—O.T.U. M — <br /> CLOTHES WASHER EVAPORATIVF.COOLERS <br /> i URINAL CLOTHES�RYERS <br /> DHINKING FOUNTAIN VENTIIATION FAN <br /> il <br /> FLOOR DRAIN RANGE HOOD <br /> f BACNFLOW PREVENTERS WATER HEATER, <br /> / FOOF ORAINS—RA�NLEA�ERS �MOOD STOVE <br /> � SINN�SERVICE—BAR.ETC.) A7EfAL FIREPUICE 8 CHIMNEV <br /> 7 FIREPIACE IN'aEFT <br /> � HEAT PUMP <br /> � GAS PIPING <br /> � _ E%HAUSTFAN <br /> SUBTOTAL f SUOTOTAL <br /> .' <br /> PERMIT f PERNI7 <br /> � TOTAL FEE S TO fAL FEE <br /> r — <br /> �i iNONi SEiBeGK nE�R SETeeCR SIDE SEI��CN � PLAN CHECN NUMBER FEE HECEIPT NO. <br /> D <br /> usezoNe LOTqqE� VACANi51iL FEES VALUATION FEE <br /> ' ❑YES ONO I, 11 � <br /> �•� BUILDING 5 ���V <br /> ,' <br /> n'PEOFLONS* OCCUPANGYGROUP NO.OFDWEILINOUNIiS <br /> PLUMBING <br /> t 512E Oi BLOU. NO OF SLORIE$ MR%.OCC LOAD <br /> MECHANICAL <br /> 1 <br /> y OTHER <br /> FIRE SPRINKLERS PEOUIRED ❑ YES ❑ NO S7ATE BUILOING SURCHARGE <br /> STATEENERGVSUFCHARGE <br /> i <br /> � APPLiC4ilOI1RCC OY PLANSCHECKEOBY RPPR GORISSWNCEOV <br /> PUBUC WOfiKS <br /> 1 ��I � <br /> 1 YA� TOTAI <br /> �..N� <br /> iPROPERTV OWNERS ARE RESPONSIBLE FOR DETERMINING ALL <br /> � PROPERTY LINE LOCATIONS AND RELATED EASEMENTS. <br />
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