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�-- <br />flre EwrDm� A P� L I C A T I O N F Q I� e��,�,, <br />°�ry�F CONSTRUCTION <br />---Pv�rP�t ____ _____ --._-_ _._�G �g�;i►n ��—.__ --- -�-- __- - -----�---- --.. <br />DEPT OF COMMUNITY DEVELOPMENT SERVICE$ <br />CITY HALL 259�8745 <br />eveReTr,wn9aioi [��aMBINATION ❑ BUILDING ❑MECHAN:CAL ❑PLUMBING PERMIT NO. <br />OW4[R MAII �UDNISS �fI1Y ZIP FHONF <br />� /tI Cu i'+1 r` P C�� �' i9j� �� �� � c 1�1�1rt �: L(/P ��F <br />ARCHIIlCiONDI51GvlR MAll1OONID CItY lIP FIIONF <br />�-T�/-a� :i3 <br />f,(N[XAl CONidMIOR AIIII App0.fA OfY ZIP PHOH[ IICENSf 1 <br />S�,e/, o,,�,�✓��ro� r�.,�. 1-w/fe S{e� eris 123-�/-sN-of/�C-fL�o9D? <br />♦IIfHANIC/d COMNA }p0. � hl�lt AOORISS ❑lY (IP PHONL IICEN$E I <br />PI 1��111i\Y. CpvIR1C1UP <br />n1Ul �ODRI <br />l I U� UI \iORR <br />❑NF�V ❑ADDITION ❑ALTERhT10N <br />� urnnm or wox�. O U <br />� �.5�0 D � <br />UISCHII WOPA <br />% e- S��e ��..5 { ✓�'�i <br />ruOVOtlD u9 OI IRntD�FG <br />1 f L1l OI SCRI I'il0'� OI� fP�RjO"P! 0.iT �SIIO W N df lON' OR �l UC II <br />ioi s'F wiocK/Fp oi 1IL'(,�C,GLf <br />1011 el)DRI SS / <br />_�/.?%- �O�n/�aoi <br />PLUMBING <br />NO. TYPE OF ill <br />N'ATER ClOSET (TOLIFiI <br />6ATHTUB <br />LAVATORY (\h'ASN BASIN� <br />KITCHf�� SINK 6 DISP <br />DIS\VASHEP, <br />IAUNDRi7NA1' <br />CL07HE5 WASHER <br />\VniEk NEATER <br />URINAL <br />ORINKING FOUN7�11N <br />fLOON ORAIN <br />VACUUM 9REAKFRS <br />ROOF DRAINS-RAINLEADERS <br />SINK 6E RVIC[ -BAR [ iC I <br />SUB T6TAL <br />PERMIT 3 <br />IOTAI iEE 3 <br />SiH:fTSRflACN R[ <br />USF 20NE I LOT nRfA <br />TYPF OF CON)f I OCNPAN�Y LROUP <br />NO <br />FlRE ZONE I BASEMkNT � Ilf l)NUOMS <br />ARROVALS <br />1 [NVIRONMENTAL CHFCr. LIST <br />2 9UIlDING PtnNS <br />) iIN[ HYORANi�— <br />< FlRE PRO7ECTION SYF[M <br />5 GNADINGIIXCAWiIONbCLlARINGIGRUHNINC <br />h DRAINAC[ <br />7 [tNINpNMfNUL IMPACT $7ATFMENT <br />E MFAITH DISTRICT <br />A7PLICATIONACC BY PUNSCHECKfDlIY <br />9.bi9 <br />LP <br />LICFNSF / <br />❑DEMOLITION ❑FENCE ❑$IGN ❑GARAGE ❑BUILDING RELOCATION <br />5r ci, � k <br />I HERE�Y CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO DE TRUE AND CORRECT ALL <br />covnsi PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORY, WILL !3E COh1PLiED VVITH WhIETHER SPECIFIED HEREIN <br />OR NOT THF GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE ;1UTHORITY TO VIOLATE OR CANC[L THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION <br />SICNITURL OF CONiRApi H OR AU7HORIZFD AGENT DA7E <br />/!T� � � /�l i� <br />MECMANIUI <br />FFE NO. <br />VAUNI SIII <br />❑YFS I �NO <br />NO Of OWlll'NI <br />MA% OU LOAD <br />FIRf SPRINKLfNS <br />Rf-0UIRID <br />PMENT <br />niu coNo ur+ns—�� r tn <br />RE(RIGIRMIONUM1RS-HP EA <br />IlO1lEN5-NP EA <br />GAS f IRIO A C UNITS-TONNAGE EA <br />fORCID AIR $YST[M$-0 i U M EA <br />l\'All MlAiENS-Ii 7 U M <br />U"�THfAiLRi-11TU M <br />I\'APONAiIVE COOLERS <br />CIOiHfS DRYERS <br />V(NiILAiION FAN <br />NAr+Gf HOOD <br />AIR MANOLING UNIT- C f M <br />MFTAL �10.EPUC[ b CHIMNEY <br />PIAN CHlCA NUMfIER <br />FFES <br />IIUILDINC <br />PWMIIING <br />M1IECHANIUL <br />BY I DATE I Oi11ER <br />APPR fOR ISSUANCE eY <br />PfNALTY <br />TOTAL <br />SUB TOTAL S <br />PFNMIT 3 <br />707A1 FEE f <br />PLAN CHECK FEE <br />ffE RKFIPTNO. <br />VAiUA71CN FFE <br />S <br />U.P C <br />SEC J03(al <br />PFRMIT VAIIO�il01: <br />WHEN PROPENIV VAIIDATFD fIN THI$ SPACEI THIS 15 YOUR PERMIT <br />� <br />