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r,PPLIC/-�,TION FO1. ��� <br /> ��s trar9�e^^ C O N S�T R U C T I O hJ <br /> cirv or <br /> ev�rett PERMIT <br /> TO BE GOMPLETED IN BLACK INK- PLEASE PRINT <br /> BUILDING GEPT. <br /> 259•8745 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBIMG SIGN <br /> �ntdt A�D�E55 p <br /> Grtv T.ir cnOUE <br /> OWI1FIRr7 �/ �rI 7 , I`/ / L �GLWSC. �L�:�(.11i .i.l(.�' �- v��' 3 )� 1-- _ <br /> ' �",tC'�264- I ,:i,c .. �S- <br /> - I.VdI �L`[JqE55 CIlY ].I[• PIIOIIE <br /> qfiCNl EClOA0E51G��ER �J�.M� (L r <br /> �iCEnoc. <br /> MnR A�ORE55 G�Iv 1�1• ����)�J� � � <br /> Ger�t ini.cor+rnnctoa -7 � C ')� � '.f:1C.� ��37'�/111 a�•`/ � <br /> �.. . {/�Gl/�r UJ C-�-.LP `i '_ <br /> ��'� L L�F_p� i��l�t-.�?e 4.1siL- " crtr za, iwor�t �.icn�si. <br /> MELH�NIGFLLONT� lUA C./ <br /> e�Fi�aounEss <br /> M,�iIApOPE55 Citv LP PnO��E <br /> LICCNS[� <br /> PLUId"uINO CONIRRCiO� <br /> CLASS Of'NORK <br /> ❑ NEW ❑ P.DDITION ❑ AL1ERAilON � FEPAIR ❑ D[MOLITION ❑ �4'OODSTOVE/FRPLINSERT BUILDIN3 RELOCF710�� <br /> VAl W 11JN 0�M'OAN IGOST�FrMATERIRL i V W 5 LACORI <br /> Y' y- <br /> C J�G C- l }. j�E�.l� 4 L i_�t t t-1.i �l.�t� C t q� '�L�Cl�zJ <br /> �E;C{VII•[WOFiK � � �/..F''t...[ cl � � �7/� �•. . <br /> � . , i �.�Q rr�i � � �! Lc./-.r},�=w.- -_, <br /> ite.o-z u. �e�Lc G(. �t.s-,.2_.> e� ,, i L - <br /> usEovnuno¢ic �. <br /> �� � I FIEREBY CC-RTIFY TNAT I HAVE RF.�D AND GXAMINFD ?HIS AP� <br /> �� � PLICATIONANDKNOWTHESAh1ETO0ETRUEANDCORREGT.ALL <br /> l'.Q-�2t-G�<.Zc C'C� <br /> �eenioescr+irnoaoFvaovennrs�wwHeeiowo��nrucNrow,coaies OFWQ��W����ECOM L�ET�EDVJITHWHEGRERSPECFIEU 1ERE <br /> io*—eioc�-�F IN OR NOT.TFIEGRANTING OF A PER�dIT DOES NOT PF�FSUME TO <br /> GIVE AUTHORiTY TO VIOLATE OR CANCEL THE P�OVISIONS CJF <br /> ANY OI HE�SiATF OR LOCAI LAW FlEGULATING CONS�RUCTION <br /> OR THE PERFORMANCE OF CODiS1RUCIlON. <br /> sicriniwreorcoriinauo�onavu�onit�onc�nr nnm <br /> �i�,r%,�f-� <br /> XC�i.�,c. ��,LL.L' 't�_d_�_L ._ <br /> arrucni�rs crtr u��ie ss u�E�+�E�+�% <br /> PROJECtA0�RE55 � /7� -�}{� � <br /> /�� N ' ��: _ L.b�{-^ii i.l. -__ -__-__"_ _ ___-____ <br /> 7t <br /> MECHANICAL � <br /> PLUMBING -- - <br /> _ -- T TYPE OF EOUIPMENT _FEE <br /> T/PE OF FIXiURE ` FE` NO._ ___—'.___ - --.--'_'-'-'--- " _'-- <br /> ���� - '-' I � nIRCONU UNIfS-MP_EA ___ __----- -� <br /> _ IYATfF CIOStt ItOILETI__'_'___ _ 1 -' -- q[FflIGCRAiIO�J UNITS-H P__EA_____ _'-- -- <br /> B�THTUB 1I BOIIE(75-H.P.[A. __ - - --�- <br /> _ LAVATORYIWASHOASIN� `— — _. _ <br /> I GPS FlR[D AC_UNI15__TUIJNAGE E� <br /> SHOWER - � FORCED AIR SYS1E�15-�.T_U. IA EA_ ___- -- � <br /> KI7CHEN S�NN 8 UISP. , --- __ __._ � <br /> 1YALL HEATERS-B T.U. M .— <br /> DISHWASHER UNIT HEnTERS_�T.LL M1� ._-- ---- - -- - ~' <br /> LAUNDFYTRAV — _ __.. F.: <br /> EVAPORAiIVE COOLEfiS____..— - r" <br /> L: <br /> CLOTHES YlASHER ClU1HE5 UPVERS _--- - �- -' � <br /> WA1ER HEATER . � -" ---- <br /> VENTILA710N F�N _ - <br /> URINAL qq��G[HOOD — ----- ---- <br /> DRINKINGFOUN?AIN . --- ____ <br /> AIRHAN�LING�NIT- QF.1_7. __ <br /> FIOOR ORAIN SiOVE - <br /> VACUUM BREAKERS -- __ —_ ~ ~ <br /> ROOF DRAINS-PAINLE�DE85 _ __ ��ETAL rIREPLACE 8 CHIMtJEY ._ _ - - y ~ <br /> VlOODSTOVF/FIHEPLACE�NSERT_.__ -- - ~ ' <br /> U. ' <br /> S�NK�SERVICE-I3AF7.ETC.1 _ — -- _ [� <br /> --" -- p <br /> — _ _ _—_-. - � (. <br /> ___ _. ___ — �j r <br /> SUBTOTAL 5 -- - ' <br /> SUBTOTAL PERMIT 5 -'--- — � � <br /> S <br /> PERMIT t 70TALFEE___ 5 -- r <br /> TOTFL FEE _ 5 I _'_ _-'--_--- -'_ __-- � : <br /> THIS POF�TION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL �, , <br /> �•�<�,�����. ,F� --- � � <br /> r�nru cNecrc Nur.+n[n '� <br /> REAfl5El0�:H S�UtSETBACK qECCi[�fll0 <br /> FROMLSEIO�CN F[E O � <br /> _ �Y � : <br /> �OL�REa VALUATION FEE - <br /> USE ZONE VA�.�riT SiIE FFFS - __,_ -- -a '. <br /> f'rt": ONO �:� � <br /> iYPF.Of CONSt OCCUPPNLr GROU�' NU ��f DWELLING UNIiS —�_�___ ----"'�" -� <br /> BUILDIhO `� ��'��� ��� � � ' ' <br /> _— C: ' <br /> MdA OCQ LOA� � . <br /> Si'.LOl�LOG. NOAiSiOHiES PLUMBING _—-- � , <br /> F- ' <br /> I.IECMANICAL _ ' <br /> FIRE SPRINKLERS RE�UIRED ❑ YES ❑ ��O ot��ER <br /> PEIlALTY - <br /> APPLIC�iNrvACC BY FLRNSCBFCRE001 A19��I GORISSIIANCE�Y -- - �q I� <br /> TOTAI �� <br /> � � � L , � -- -- <br />