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Ns Evaryrsa^ A P r L I C A T I la N F O R <br />=:r�F CONSTRUCTION <br />ev�r�tt PERMIT <br />DEPT OF COMMUNRY DEVEIOPMENT SERVICE$ <br />❑TY HAIL 259-87d5 <br />Evea6ii,w�valot ��OMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMI7 NO. <br />ny�4�q � MAllApl)NIlS CI1Y LIP FMON[ <br />..Tr.csn%1.�<:a /,)a[ff'� ��/4� %�ov%, GvC,Er7 �J�'. 9�,�4/ �Sa_ <br />everen <br />� <br />A0.CMRIC10XOf51,M0. �NitnODR115 CILV ' ZIP PNONF <br />GIVIN�ICONIq�(IOR M�IL�000.(SS UtY LIP PIIOM1I lIClHSIt <br />vlf�NtiiC�l CO!:1qnC10X �411 �DDRISS C�it /�F PIION[ IICIN$[ I <br />�'I� ��PitiG NNiR�C10R M�R �D�RI55 f IiY ZIP PNOtif LICENSF 1 <br />t I ��� UI NONS <br />❑NEN' ❑ADDITION <br />\ �LL �11 Oji N9NR <br />1 �/ I �Jli�✓ �il. <br />uniam�Hna� . <br />runvo�ior�i o� xw�oitic <br />/ <br />{dALTERATION ❑REPAIN ❑DEMOLITION ❑FENCE ❑$IGN ❑GARAGE ❑BUILDING REIOUTION <br />I 111�M� U`�ISC 0.�1P110Y OI Y901'I N t1 ISNON 4 (P�I LoOu� O�R Gsi iAf N 1 OUN COPII51 <br />t�1f���N10(A�(>{ :�J / JL1 � %�% <br /><U�.P�7T �l�}T' G� Llc�f'. ��/ �� -� <br />PIUMBING <br />NO. TY�f OF FI%TURE <br />KAIf R C105[i (fOLIRI <br />I�VATOAY INASH AASIN� <br />RRUIf M1 51':A A OISP <br />DIS\V �SMt R <br />I AUM1DNI IRAV <br />Q O���I S ��'nSHI: F <br />K�IlR Mf�lEfl <br />URI41l <br />ouir+lrvc rouNrnin <br />f 1 OOR �R�Iv <br />\'ACUUM flPl Acf ii5 <br />ItOOF DR�Ir+S�-Rnlrvlf AOI <br />SI�+A�SIFV9Cl -N�R (iCl <br />SI:E tOUL <br />�[RMIT <br />TOTAI IEE <br />SIIfiACK STRF�75(10Ai <br />I Ot �RI � <br />rvr� o�o�si <br />�— <br />S�Zf Of NIDG <br />flPl ZOkE / <br />1 <br />)PANCY GFOUP <br />M—f <br />�� S,�R�FS <br />FEF <br />�f <br />qUH <br />tlAl Avi SIIF <br />Yf 5 �(NO <br />�O OI Ow11UNf. UNI15 <br />�,�x a« «��:� <br />1 NASEM! N7 I Iq D=UUMI I 1 int �r n�nnu no <br />�— I ui�1uiR�u <br />I;\IS ,�+c[� <br />.......,.�� er D�TE <br />1 (NVINONM[NUICHECKl15T <br />l 9UIlAIrvG PlANS <br />1 fiHl ���UNnNI <br />� HNI PRO11C110NSYSiIM <br />5 CNAOIN!?!x(.AVAlION6(l1�NINGIGRUflNING <br />4 DR�INAG[ —. <br />] INVIRONMfN1�L IMPACi 57A7EMENT <br />!1 III,��iH n�}fNlCl <br />—� <br />� . . . . � . � i � i , � � . . ♦ . i. . <br />10E/-'•c ni av r �„I <br />p nl .� •V '� �DU/� y-L'v-' fi}�/ X/JO. ' r! � G <br />I HEREBY CERTIFY TRAT I HAVE READ AND EXAMINED THIS AP- <br />PUCATIQN AND KNOW THE $AME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAN'S AND ORDINANCES GOVERNING THIS TYPE <br />OF'.VORK WILL BE COMPLIED WITH WHETHER $PECIFIED HEREIN <br />OR NOT TI1E CRANTING OF A PERM�T DOES NOT PRESUME TO <br />GIVE AUTfiORITY TO VIOLATE OR CANCEL THE PROVISION$ OF <br />ANY OTHER STAT[ OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />LGf.�tURI Of (OtiiRAC10N OR AUTIIOFI7.ED AGENT DATE <br />X�_ a<�,.1�,,,�. �//lL���� <br />4ECMANIQ�AL <br />NO. TYPE OF F(?UIPMENT <br />AIH COtiU UhI15-11 P kA <br />HI141GfRAlIOVUh�175-MP EA <br />ItUIUHS-HP U <br />GASIINEU�C UVIiS-IONNAGEEA <br />IONClDAiRSY51EM5-I17U M <br />\VMIHfniFNS-[11U �N <br />UNIIHlAi1NS-i1iU M <br />IA'nPURAIIA'1 COOlINS <br />CI011115 ONYINS <br />�'�N11U710N M4 <br />Nnn'Gf1100D <br />11N IUNp11NG UM7- C F M <br />SIOI'I <br />X m1UllINIPUQ8U11MNf� <br />PIAN CIU[A I: <br />fF6 <br />S�B fOTAI 3 <br />�f0.MIT S <br />TOTAL ilf 3 <br />PIAN ���ECK FfE <br />FFE RFCIIPT NO <br />V�W�TION f[F <br />������>���: + <br />PI Un1NInG <br />MF111A411 �I <br />UI1/1H <br />UflC <br />r��+nirr stc muai <br />70TAI <br />RRMII V�IIDAIION <br />N 111 �: 1'NUI'1 RI A`: AI IDAI [ U IIN iIUS SPA(1 I 11GI5 IS 10UF PF FMI � <br />