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rl.�r�Ercrgrcen � ����������� � <br />riT'! OF <br />ever�t� PE�MIT PERMIT NO. 0�157 <br />CIT'I HALL ?59-8745 <br />eveaerr, w.� eezo, ❑ COMBINATIQN ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OV:NER MAIIADORESo UiY LF PIIONL <br />Everett A7iller 601 Laurel Drive <br />�ACHILECTORDcSGNER AIAiLAppqE55 QTY p;V <br />VMONE <br />G[NERAL GONTRpCTOR MAIL ACpFE55 CiTY ZIP PHONE �IGENSC r <br />1AKNRNICAICONiRACiOR MAI�AD�RESS CRY '.IP PHONE IICENSE� <br />Natural Gas Eqi�ipment 1611 E. Grand 258- 2441 <br />PWMBINGCONiRPLiOR 1.!FIIFD�PE55 CITY ZIP PHUNE LI�EkSE• <br />GLA55 OF Y:ORK <br />❑NEW ❑ADDIiION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />S <br />DESCqiBE WORK <br />PROPOSE� USE OF BUILDiNG <br />LEG4� DFSCRiPIION OF PROPERiv SHOYI �GLOW OR AiTACN FGUF f.GPiF51 <br />lOT pLOCK,__OF _ <br />_: B :.!JlIF{ SS <br />GO1 Laurel Drive <br />PLUMBiNG <br />N�. TYPE OF FIXTURE OR ITEM <br />V+tJER CLOSET ITOILE7) <br />BATHiUB <br />LAVATORYIWHSH BASIN) <br />SHOWER <br />I(ITCHEN SINK 8 DISP. <br />DISHVJASHER <br />LAUND(iY TR4Y <br />CLOIHES WASHER <br />WATER HEATER <br />URINAL <br />�RINKI�IG FOUNTHIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />HOOF DRAINS — RAINLEADERS <br />SINK ISERVICE — BAR. E�C 1 <br />SIDE vFRD SETBACK <br />PEFMIT <br />TOTAL FEE <br />57NELT Sf.li34CK <br />LOT FREA <br />bil.F OF tlLUG NO. OF STORIES <br />fIHE ZONE BASEMFNT <br />APPROV.4LS <br />i ENVIRONh1ENTAL CHECK LIST <br />.' BUILD�NG PLANS <br />�; FIRE HY�RANT <br />,:. FIFE PROTECTION SYSTEAI <br />b GRADING <br />r; DRAINP.7E <br />1 ENVIRONMENTALIM?ACTSTATEMENT <br />L HEALTH DISTRICi <br />nPPLICAT10N ACC. BV PLAN3 CHECKED BY <br />I HEHEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PPOVISIO�' � OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WGRK WILL BE COMPLIED WITH WHETHER SPECIRED <br />HFREIN OR NUT. THE GRANTWG OF A PERMIT DOFS NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TH[ PRO� <br />VISICNS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SGI:%.�JJFL�� CObiR.1CTORO:�cU1110PIZF.UPGENi p,:;E <br />xt� � L � � 4L� i-2i-so <br />MEC ANIC _ <br />N0. Ti'PE OF E�UIPMENT FEE <br />AIRGONf) UN:75—HP_EA �— <br />REFRI6CHATION LIk1T5 — H P Fa <br />GAS ! AED A.0 UMTS — TONNAGE EA <br />FpRCED AIR SYSTFMS — B TL. M <br />N'ALL HFHTERS — B. i.U. M <br />UNIT HEAT'eP5 — f3.T.0 M <br />vENTIIATION FAN <br />FHIv3E HO00 <br />aIR HANDLI4G UNIT — C F Id. <br />SiOJL <br />1dETAL PIR6i^_ACE S CHIIdNLV <br />RF.AR VAPr� 5[L�ACK PLAN CHECK <br />VACANi SITL <br />YES I:NO <br />NO OF DV![LLING UNIiS <br />�WLDING <br />UAX.00C.LOAD <br />PLUMBING <br />°IRE SPRIIJKL[f�5 <br />9EGUIRED MECHANICAL <br />OATE <br />APPR.FORISSUANCE DY <br />SUBTOTAL S <br />PERMIT E � <br />TOTAL FEE 5 <br />PLAN CHECK P[L <br />FEE H6CEIPT NO <br />VALUAT�ON FEE <br />5 <br />U.B.C. <br />SEC.303(a� <br />PEflMIT VALIDATION <br />WHEN �'ROPERLV VALIDAiED �IN THIS SPACF) THIS IS YOUR PERAIIT <br />l.if,3 �U�B.�� --- � <br />C �I <br />��'�:-UR I�ECcIiT o <br />�' r A �� ,l' �' _ ;! <br />' J ��.i i;u <br />