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t�sErerprron ApPLtCAi'IOhd F�R <br /> anoc �,p ����R�CTI�)N everetl <br /> ever�tt PE R l� I T e <br /> DEPT OF COMr,�UNITY DEVELOPMENT SERVICES <br /> CI7Y HA�L 259�8i15 <br /> evea[ri, wqae:o7 �COMBINATION ❑ BUILDING ❑MECHANICAL <br /> �„ ❑PLUMBING PERMIT NO. <br /> m�n.�oe�ss an <br /> Y `Y /f�sr� � ��f;� ��,o,� <br /> ,r Lr <br /> � �ri 37 �G��a- . <br /> KY�q11Ci �C.iG / M1uq'eUURfSg�� — - <br /> �✓1G //_jy urv <br /> P�) � ( W ZiP PHON[ <br /> � '� q� <br /> G! O\ s.TOF� h1All AU�Nl55 � 2!/J� G/ `c��/Cfj1F <br /> C /' �� { ��/�j�P �J vN0!�E �" <br /> ♦il�nnviCn���t`� �� ��I /L�c /vi.��J'��i �)�C'0�— / �l��� ✓�J 3 .-�33:/ln5f� <br /> �AR�OORFSS �Ih 21P <br /> PIIONf IICINS[I <br /> flCNlll\tlCOtilq�UOR �'.AIInUUR[55 <br /> an nv rio+t uc[NS[� <br /> l l b�OI N'OqN �� . <br /> ❑NE\l' ❑ADDITION ❑ALTERA7ION ❑REPAIR ❑DEn�OLITION ❑f[n�CE ❑ �IGN <br /> � �GARAGE ❑tlUILDING RfLOCA710N <br /> V�IUAI l0A/p�l/ti�OHF <br /> 1 �`///�� <br /> ntaxmf �� � - � <br /> /�.� T✓r.f < ,'l-.�'�Q� qr��v ����.v.V <br /> rxor u�ti�. ni � �iioi+�r. <br /> I HERERY CERTIFY THAT I HAVE READ AND EXAMINED THIS qP� <br /> ��'{� ` PLICATION AND Y,NOW THE SAME TO UE TRUE AND CORRECT ALL <br /> iEcu mscuiv�v or vyortan is��own ix nu nneou x i�++�si PROVISION$ Q� lqWS ANU ORUINqNCES GOVERNING THIS TYPE <br /> ��+'��-��inore,��ni _ �//@�L, � IJjL/ _ �F WOHK N'ILL 6E COMPLIED WITH WHETHER SPECIFlED HFREIN <br /> �e�j F� u'�`- � �R NOT THE GRANTING QF A PERMIT DOES f:0? PRESUME TO <br /> GIVf. AUTHORITY TO VIOIATE OR CANCEL THE PROVUiONS OF <br /> -- ANY'OTHER STATE OR IOCAL LAW REGULATING CONSTRUCTIUtJ <br /> OR THE P�R,�1ANCE OF CONSTR CTION. <br /> GI(;;.A1 Of )r H�( OR OR AUiHO � . D AG[NT DAiC /' <br /> Ii�Oeunulty / - <br /> _1 rl'�.�7i ��� �, / /, /, /_%S•-�Sa'L, <br /> C�IJ� <br /> PLUMUING <br /> MECHANICAL <br /> NO. 7YPE OF FI%TURE FEE NO. TYPE Oi EQUIPMEN� <br /> FEE <br /> VA'qi1H(LOSIii:011[71 AINCONp Un111-IIP F,A ��- <br /> H�IMIUN <br /> Nf{PJG�HA�IONUNIiS-HP [A <br /> I AVAipN1 �\VASH NASIM1� �{pIL!HS-11 P f A <br /> SMOW7H (;ASfIHfUAC LINIiS-1CNNAf.f EA <br /> Ali(MI rv LNA d f)K1' IOH(.f D AIR 5YS7[MS-B i U M EA <br /> I]ISWASMIH <br /> N'AILHfAILRS-I{IU M <br /> UUf.pHY 1NAY <br /> un�rMtnitRs-IItU m <br /> C101il!SL5'ASMFk IA'AVUR�IIVE COOLERS <br /> N'AIIN HfAi[H <br /> CI OiH!5 ONYI HS <br /> UHINAL -� <br /> VlYIII.AiIOti I�N <br /> DRIhY;W G f OUNU W � <br /> H�NGI MCUU <br /> FIOOF DHAIN — <br /> Y�CVVMIik1AKEN5 nIdNANI>INGUNI7- CtM <br /> SIUA'I <br /> KOOf OHAIkS-BAIhILA�I BS VFLAI.(INF1'UC[&011AINFY <br /> SIhK f5lHVI(f-IlAN,1 IC� <br /> SUtl TOUL SUB TOTAL 3 <br /> PLRMIT 3 PFY.iAI� <br /> TOT�IFFF 3 TOTALlFF 3 <br /> SI[)f1xN051111ACA STR[f75!innr�: RUN1'�RDSIlOAtA PlANU11CA.\lin�ItfN <br /> c PIAN UILIX ff! <br /> USfZONr. ��/ D �I �E�a '� kECEIPTM1'pS�� <br /> IOiANkA p'µqNfSlif �� <br /> �:`7S fA0 ffFS VALWTION IFF <br /> TYPk Of CUNS� OCCUI`ANCY GROUP !:O OV U»'I I I In[ UM1IIS <br /> -Y- >.: aI�UIT��N l,�'� — <br /> SIZE OF I1lDG NO CF STOPI[5 ,t��� ���� �n��� I1WlDIN(; y !/ �-'O Q �d sv <br /> T <br /> �C'YD •:.f � �- - viuntiunc <br /> HR(70N[ NASFMEN7 IIfUNUUVt flHi SVHINALfNS <br /> �—. _._.._. PEQUIRI�_- b�ICHANiUL <br /> ��. � '.1115 "'NO <br /> AYPpOVAlS BY OATE 07H10. � <br /> 1 lNVINO�W1LNiALCHCCKL151 �-, <br /> z uvaoin�cvur�z �1h°��� srcimiai <br /> � riai ��roanr�r IOTAL f— ✓� <br /> b� <br /> a IINF PNOI[C71pk5Y5TfM P[RAUTYAIIDATION <br /> 5 GNAOIf:GIXU\'AiION 6 CLl�RINUGRUtl111NG \tillf N PHOPENIY VAl10AiFU pN iH15 SPnCtI TMIS IS YOUR YkRMIi <br /> G ONAINACC <br /> ] lNVINONM(NiAI IMPACT SIATLM[NT <br /> 8 4V,1T11 pISTRICI <br /> APPLIUTION ACC BY PLANS CMECKED HY APPR IOH ISSUANCF NY <br /> /� �I <br /> i ) ; <br /> 9-0 77 <br />