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APPLICAT�fC, ; FOR rONSTRIJCT" �N PERMIT ::�'� <br /> 7p BE COMPLETED IN BLACK INK—PLEASE PRIN7 �� <br /> BUILDING DEPARRdENT HEATIWG SvSTEId: J GAS J ELECTRIC J__ l <br /> 259-BB10 <br /> � DEMOLI iON . COMBINATION '. I BUILDING � MECHANICAL � �PLUMBING � . SIGN <br /> �,f��,l�� u�+t� u,��i1LZ_l�y_�`�uk�te.l1�_4_$toi .�S�L )o� <br /> � <br /> Itu�M1l � 44r` GP(55 <br /> ���r: �.S.e.. .� . . ._ <br /> �+l_�_ . <br /> <;U16:4iCo'.'�nRCn YIRIDOPE55 CIiY ZiP VHONF 9tlELCENSE• <br /> NI-R:- <br /> vtCn4lv.n�G�'� ;.�oB 4�YADDaE55 QiY 21V PIqNk Si�iElFENSE� <br /> NL <br /> �Ii1Mn!��ilV�IfwLIJ�� V�iLAppl�[�5 CI1Y IiG NqME 6L�LELICEN_E� <br /> N/ R <br /> « , � �: <br /> �f"f 'CaC� /S�Ov- - - - <br /> �,�>�, ..Co osL -J`�'�il, �„� <br /> ":J��e�.t.c.��f +.� r4 `'�"�u�y-�r_c-�o?.$_ - <br /> 1 MEREBV CERTIFV THAT I HAVE fiEAO AND E%AMINED THIS <br /> vaov�usc u nm�owc APPLICATION A1JG NNOY!THE SFMF TO BE TRUE A�l�GORqECT.ALL <br /> VH � PROVISIUNSOFLAWSFN�ORCINANCESGOVERNINGTHISTYPEOF <br /> ii.:;.�,c[=cni>tpvar�+o>cnrvSHOvme[iarvone*tecu*wocoarca WORK WILL BE COlAPLETED WITN WI�THER SPECIFlED HEREIN OR <br /> NOT. THE GRAN5ING UF A PERIAR f �NOT PRESUTAE i0 GNE <br /> "� a��K � AUTNORITY TO VIp�ATE OR CAtICEL THF PROVISIOp:S OF ANV <br /> OTMEP SiATE OR IOCAI Lfi14 REGULATMG CONSTRUCTION 0li THE <br /> - -- PERPJRMANCE OF GONSTRUfTl04 THAT I AM AUTHORIZEO BV TME <br /> OWN[R OF THIS PROPERT\'TO PERFORIA THE\YOPN FOR WMICH <br /> APPL�C4TIOt1 IS 1dA0E AND I CO/APLV WITN THE StATE <br /> i.. ii��vipx�uBcn CONTF)^iORSLNVlp2]RCWM1Np296200WAC <br /> t-•,��'nVL�:iiLO�NICN�CN.1➢Of1Ei5.iELEWIp1EIpIMO[fi ���� <br /> -- —— ��%�"�s,�� - 3�q,9� <br /> PpOJ� T(�DSPES ___ _ _'" __" <br /> Ly <br /> PL'JMBING MECryANICAI <br /> N0. TVPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WFTERCLOSET�TOILET� AC 4HNpLGUNITS-MP. � <br /> BATHiU� ��n�C[DNRSYST[MS-BS.0 M EA. <br /> LAVATOflViWA5HBA51N� UNRHHATEHS-�H7U �d ' <br /> SHO�YEN CLOTNES OFVCRS <br /> HRCHEq SINH 3 DISP VENTILAiION FAN <br /> !]ISH\YASHER RANGE HOOD <br /> .. .- -LAUNGFYiRqV WATEFHEATER . - <br /> CIOTHr;�ye,5q[p WOO�STOVE � <br /> URINAL METAL FIREPLACE(WOOD BURNING) <br /> DRINKING FOtINTAIN FIRE�LAf.EINSERT <br /> FLOOR�FAIN MEAT PUMP <br /> �ACKFLOW PREYENTEqS GAS PIuiNG <br /> ROOF DRA1115-RA W LEAOERS EXHAUST 7AN <br /> SINK�fiERVICE-DAR.ETCJ <br /> SUBTOTAL 5 SUBTQTAL 5 <br /> PERMIT b PERMIT S <br /> _ -__ — _.__--__—_ '—_. <br /> TGTALFFE E TOTAL FEE S <br /> FOR OFFICE USE UNLY: <br /> �.� ��i,t��uc. asens[re�a sioes[iB�tx vu��o .:�unv� rre n[rt.•n:�.� <br /> i�.,:��nt mru+c� v�cer.rsrte FEE VALUATION fEE <br /> i'� VES I� NO eunowc <br /> -i,���,ucoisi xoasra+rts ur ,ouvnwwW•e --__- —_ -- <br /> �� PWMPING ' <br /> ..9(a6CO fIPES�IRMLEN5FE00 B�YMENi IAECHANICAL � <br /> i7 YES [, NO --- <br /> .�i.ccrN�c��O�N �iNE4�AupFoo NEp�rtiNR�ipN A�DIiIONLLPLANCHEGK <br /> OD�FR <br /> �nl,:...� _ ._ _ _- - __ ___ — —_ <br /> GiAiE OWIDMG SURCHnRGE <br /> i.nn.�n. r:ens�nvnocmav � CITVOFEVEFETT vueuewuRxB �� <br /> I LOCF�SRLES <br /> -----_'_.- TAX COf1E IS 3105 rorni —1 — <br />