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��", F °„�r°��„ CONSTR i1CTi0N <br />"TV �F PERMIT <br />eVE� ett <br />cin- i�a�� z,�� �a>a; <br />�veaerT,wn s,x�oi COMBINAT!ON • BUILDING • MECHANICAL • PLUMBING <br />�wrvtn nnni� nuoF��ss ziN vi�uNt <br />Roy Cleveland 130 Madison 98203 <br />iynes Const. Co. 5317 South 2nd <br />ICl�L CONTRACTOF A1l1IL A❑ <br />IL <br />252_5212 <br />ONE <br />❑ COMBIKqTION <br />�.]OUILOING �PLUM�ING �M[CHANICAL <br />❑NEW ❑AODITION ❑/1LTERATION �iLPlUR <br />VALUATION OF WORK <br />5 �SOO.00 ❑DEMOLISH ❑FENGE ❑SIGN ❑SWIMMW(i POOL <br />DESCFI�E WOqK � <br />new roof overhang, windows <br />PROPOSED VSE <br />single family residence <br />IEGAL DESCflIPTION OF PROPERTV 6HOW f3ELOW OH ATTA( <br />FOUR COPIESI <br />�or 32 BLOCK _ OF Beverly Acre tracts <br />JOC ADDflE55 <br />130 Pfadison <br />PLUMBING <br />7ER SERVICE SIZE �LDG. SUPPLY SIZE <br />�G YARD SET6ACK STREET SET[3ACK R[AR YARUS[TI3ACt <br />2ZONE LOTAREA VACANTSIT[ <br />❑VES ❑NO <br />GS ❑NO <br />SPECII�L CONUITI/1N5: <br />,, �, -�,��,.�,.,�„E,:K�,,,,, A�.,,,,�„�,,,�,��. ,,,.�,,, ��. <br />eb <br />evereil <br />v <br />m <br />� <br />MECHFINICAL <br />TVPE Of GNERGY <br />❑GAS ❑EI.rC. <br />NO. TYPE OF EQUIPMENT FE <br />AIH COND. UNITS-H.P. EA. 5 <br />REFFIGERATION UNITS-H.P. EA. , <br />SPA/'E & WALL HEATER3 - B.T.U. � <br />UNIT HEnTEFS -B.T.U. � <br />EVnPORATIVECOOLERS T <br />CLOTH[SDRVERS � <br />1 <br />VENTI�ATION i=AN —T <br />I <br />fll�NGE HOOD � <br />NH IIANDLING UNIT- QF.M. �— <br />— ____—_ _ � <br />— I <br />WAT=R HEATER —�— <br />FI�C. RUILT FIREPLACE & CHIMNEY � <br />� r45. SVSTEM: NO OP OUTLETS —�— <br />SU� TOTl�L 5 � <br />PEflMIT 5 �— <br />TOTAL FEE 5 � <br />TH;S PERMIT �ECOMES NULL 11N� VOID IF WOPK OR CUNSTRUG <br />TION /�UTIlOftl2[D IS NOT COMM[NCED WITHIN 120 D11Y5, OR IF <br />CONSTRUCI'ION OR WORK IS SUSPENOED Ofl A�ANpONED FOR A <br />PERIO� OP 12� OAYS AT ANY TIME AFTE(i WORK IS COMMENCED. <br />I IIEREf1V CERTIFY THAT I Hf�VE R[l�D AND EXAMINE� THIS AP <br />PLICAYION �1ND KNOW TH[ SAM@ TO �E TRUG AND COFiRECT. ALI. <br />PROVISIONS OF LI�WS AND OFiDINANC[5 GOVERNING TNIS TYPE <br />OF WORK bY�LL �E C01.1PLIE� WITH WH[THER SPECIf-I[� HEftEIN <br />Oft NOT, TI1E GRANTING OF !1 PERMIT OGES NOT PftESUME TO <br />GNE AUTHORITY TU VIOIATE OH Cl�NC[L 'fHE PROVISIONS OF <br />i1NY OTHER 3TATF OR IACAL LAW REG4LATING CONSTRUCTION <br />Ofi THE PEIiPORMANCG UF CONSTRI.CT�UN. <br />l\ . <br />S/24/78 <br />iGOFC NTRI�CTOfiORAUTH.l1GENT� D/�iE <br />CK NUA HLH PLAN CNECK FEE <br />�EE IRECEIFTNO. <br />FEES I VALUATION I FEE <br />6UILDING $ � <br />9500.00 52 �00 <br />PLUMDING � <br />_ I <br />I <br />MECHANICAL � <br />OTHEli � <br />I <br />PENALTV SEC.3031:J I <br />TOTAL SZ IOO <br />PERMITVALIDATION C/��t�-:1 �*�-R�C:�.:��R�� �.� '� q. <br />WHENVfiOP[PLV Vl1UDATEDIIN7�7116dPhCElrAi�t,d Y Eannn <br />. <br />` ; t <br />f �' � •� ' <br />���� A�� � <br />,: : �, <br />. <br />; . 4�� ���..;t�(`t'� .f�� '..t .� <br />