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ppPLICATIOK FOR CONSTRUCTIf N PERMIT evr`P" <br /> Tn BE COMPLETED IN INK—PLEASE PR�NT � <br /> tly Ew�p/MI <br /> Lltt OF <br /> eVQI�e�� � HEATING SVSTE GAS �J EIECTRIC O_----� <br /> BUILDINO DEPARTMENT <br /> 259-88�4 - ECMANICAL ��PLUMBM(i '- SION <br /> �-i DEMOLITION -� COMBINATION : BUITLDING p�E <br /> w.,�E� �-I�hfr , 0 59-yfrU <br /> vWxE <br /> � Cli�' SW <br /> RWJIf WLMWIEN � <br /> GIiY lIV <br /> YNONE � <br /> ARCMrtfLiWOE WJIMqlE88 <br /> jip v�E IiCEN3E� l <br /> CILY <br /> OENEMLfANfM1�GTIM WLM.qIE55 j <br /> • Crtv vrqwE UGENSE� <br /> n w�i�t�� �4rG+ef '��\o +���� ��e. �ur �i8ao� �"f�s 1 I�n r-11-x�`k�l 03 Rd <br /> z �pryE Gt SE <br /> C <br /> nuw�aca,riucroa wawonENC'^l 111 Cn <br /> rµ <br /> c o�wwu <br /> NEW �= AODITION �- ALTERATION '. i REPAIR OEMOC�'OR vF • µ��E����RPL INSERT .�. B;�LDI�NG REL i <br /> ow�ucrnicaav.�a.� �` .i7O . G � YI <br /> p� uroeow oorwemvav[o + —✓ '�� . ' <br /> . ���� H I HEREBY CERTIFY TM�T I HAVE READ AND EXAMINED THIS <br /> � pppl.ICqTION AND KNOW THE SAME TO BE TRUE ANO CORRECT.�LL <br /> PRO��SIONS OF LAWS AND OPDINPNCES GOVERNING THIS n'PE OF <br /> iEa+`��pior� P�Eqn,15h�BE�prypq/,IIe N�WMCOP�E51 N,ppK WILL BE COMPLETED W�TM V7NETMER SPEqFIED HEREIN OR <br /> si�K � NOT.THE GHANTING OF A PERMIT�OES NOT PRESUME TO GIVE <br /> �o* pUTHORITV TO�IOL�TE OR CANCEL TME PNOVISIONS OF ANV <br /> � _ U_O _ � OTHER STATE OP'LOC�L U`N REOUTATINO CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTHUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF TMIS PROPERTY TO PEPFOflM THE WORK FOR WHICH <br /> CONTR�CTORSLAW'1827EHCWAND296�OOWAC 'TH TME, g7�TE <br /> Sd�NPEOiCOXiMCtpROF�UiWNIZE0A0EM1 O��E q/�{/ �a . <br /> _— <br /> X /, 1 �L-�v /-�_ <br /> � ��� � ,{ �>nicu+*ec�eus essiwe�sE�ou�osw E69NM� �� <br /> L�C1. MECX�NIC�L <br /> PLUMlINO TVPE OF EOUIPMEIR FEE <br /> TYPE OF iI7RURE OR REM FEE N0. <br /> N0. NC—A�HN�LGUNITS—H.P __'--- <br /> WATERLLOSET;lO1LET1 FORCEDpIRS:'STEMS—BT.U. M E.A. _ <br /> BATHTUB UNITHEATERS—BT.U. M � <br /> UVATORY�WASM BASIN� CLOTHES�RYEFS � <br /> SHOWER yENTIUTION FAN <br /> KITCNEN SINK 8 U�SP RANGE HOOD <br /> QISHWASHER WATER NEATER <br /> LAUNDRV TMY y,/ppD STOVE <br /> CLOTMES WASHEF7 METAL FIREPUCE 6 CHINNEY <br /> URINAI, FIREPLACE INSEFT <br /> DRINNING FOUNTRIN _�. HEAT PUMP <br /> FLOOR DFfAIN GAS PIPING <br /> BpCKFLOW AREVENTEPS EXHAUST FAN <br /> pppf DRAIN$—RAINLEADERS <br /> SINK�SEHVICE—BAR.ETC.) <br /> SUB TOTAL 5 �Q+_ <br /> fiUBTOTAL S pERM1T S / <br /> PERMIT f TOTA�FEE S � <br /> TpTALFEE S <br /> FOR OFFICE USE ONLY: nece�o*r:o � <br /> v"�3s oMa rEF <br /> NF�ASEIB�C� 9DEiEiMGK <br /> tnWT6EiMCs FEE � <br /> FEES VALUATION <br /> uSEZWE 101�PE� vAC.WiSiiE i <br /> BWLDINt3 i <br /> MFdCOMS�.ICNu owtiK. �omwnuucN��s <br /> �ly[pWNtf4l0'A'4lF Maf P�UMB�NO . <br /> S�SE Oi MDO <br /> Hp0i5ip1�E5 B/SE4ENi MEOM�NIGL � � <br /> OCCVPW�YLOW RPESMMNKlEM6PFOD <br /> eEqMTWiLiroH AODITIONMPUNGHECK <br /> OTHER <br /> pypnFonBPnmiuEM! . STREBUILDINOSVRGHARGE <br /> �ni�E�r rv,�s�v.awEoar ��LOCILLESIILESrt OUBLICWOPNS <br /> TIUf CODE IS 9105 Tou� <br />