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_ , <br /> ,"``,����oF C�NST�iUCTION r � <br /> ev�re� PERMIT PERMIT NO. OH3�3 <br /> QTy HALL 259�8755 <br /> eveaerr,w� eazo� ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br /> OWNE(i M1IAILFDOPE55 [ITY 21P PMONE <br /> Marc L. Bordelon 1519 Hoyt 98201 252-8833 <br /> ARCHIiELT OR DESIGNER I.IAiLADOR[55 CITY ZA PHONE <br /> GENEPALCANTRhLTOR MAiLApORE55 CITY bP PHONE LICENSE• <br /> MECnAWC4LCAHiRACTOP IAnIIADDRE55 CIiY 2iP PMONE LICEtISE� <br /> Same <br /> PIUMtlINGC01QPnCtOq kAitA0DRE55 CItY ZIP PMONE LICENSEs <br /> CLR55 OF VIOPK <br /> ❑NEW ❑ADDITIDN ❑ALTE(iAT10A' ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VAWAiION OF WORK <br /> �ESCRIBE WORK <br /> PR04'OSEO USE OF Bl➢L�ING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> �e:aioescainner+oFPaoaeattisNowee�owoaarracHFouaeoaiesi PLICATION AND KNOW THE SAME TO BE TP.UE AND CORRECT. <br /> ALI_ FROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or oice�oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HFREIN Ofi NOT. THE GRANTING UF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS C7F ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTIGN OR THE PERFORMANCE OF CONSTRUCTION. <br /> �oenooaess �icr+n aEorconrnn rcn aui��oaizc peNr 9�ZS"�SO <br /> 1514 Hoyt Avenue X � \ <br /> � � <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE UR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLGS[T(TOILET) „IR COND.UNITS—H.P.EA. <br /> BATHTU� REFRIGERATION UNITS—N.P.EA <br /> LAVATORV�WFSH BASIN) BOIlERS—HP.EA. <br /> SHOWER GAS FIRED A.C.i1NITS—TONNAGE EA. <br /> k:ITCHEN SINK&DISP. FORCED AIR SVSTEMS—B T.U. M EA. <br /> �ISHWASHER WALLHEATERS—BT.U. M <br /> LAUNDFY TRAV UNIT HEATLRS—B.T.U. M <br /> CLOTHES WASHER EVAPoRATNECOOLERS <br /> WATER HEATER CLOTHES URYFRS <br /> URINAL VENTIIAI'ION FAN <br /> OFINNING fOUNTAIN RANGE H00� <br /> FLOOfl DRPIN AIR HANDLMG UNIT— C F.M. <br /> VACUUM BHEAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS METpL fIREPLACE 8 CHIAINEY <br /> SINK(SERVICE—BAR.ETC.) <br /> SUB TOTAL SUB TOTAL S 9 O O <br /> PERMIT S pERM1T S 3 OO <br /> TOTALFEE 5 TOTALFEE S <br /> SIDE VARD SETAFCK STREET SEiBACK R[AR YARD SETBACK PLAN CHECK NUMOER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑YE5 ❑NO FEES VALUA710N FEE <br /> TYPE OF CONST. OG^.UPANCV GROUP N0.OF DWELLING UNITS <br /> BUILUING 5 <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASE�IENT FIRE SPFIMKLERS ' <br /> REOUIRED MECHANICAL ] OO <br /> f.]YES i-]NO <br /> APPHOVALS BY DATE OTHER <br /> 1. ENVIfiONM[NTALCHECKLIST U.BG. <br /> PENALTV <br /> 2. BUILDWGP�ANS SEC.303�a) <br /> 3. FlREHYDRANT TOTAL 'I OO � <br /> a. FiRE PROT[CTION SYSTEM PEflMIT VALIUATION <br /> WHEN PFOPERLY VALIDATED�M THIS SPACE)THIS IS YO�RpF�iW�T o a _M� <br /> 5. GRADING p q p �!' � U � <br /> O L L <br /> G. DRAINAGE <br /> � <br /> L EN4IRONMENTALIMPACTSTATGMENT {�T M <br /> 0. HEALTH UISiRICT � �' �J 1\ IICC��1 1� <br /> APPLICATION ACC.BV PLAIJS CHECKED UY APPR.FOR i55UANCE BY . � � �� ^�V V�'� � <br /> •\i !, u \ I l.: U <br /> V.C. <br /> ? �; s�P a o <br /> AUDRESS FILE <br />