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APPLICATIQ 1 FOR CONSTRUC� �N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPARTNENT HEATING SYSTEM: O GAS � LECTflIC ❑ <br /> 259-8810 <br /> DEMOLITION COMBINATIJN xBUILDING MECHANICAL PLUMBING SIGN <br /> owncn uuinoo�icss un z�P v�ror�e <br /> T__ ►en s_e�s,..�s � • P. C . _Sti�L4�w,ux1' tJ'.1, �Ys.fo <br /> Ifh>N1 MRILAOOPE55 CIiY $iP p1qNE <br /> NinullLiORpLS�GN[B WIIAOONE55 iliY $�P V�qNE <br /> Ufh1�4lC/O�N�iRI,CIOB 4�ilADONES•v ��N Z�P FNONE SiqEIILEHSE• <br /> ia—ci���iG��� 4eKMORE55 CrtV ZiP flroxE StATEIICENSE• <br /> nWMP'�FCIX111UC10P N.1iAppOE55 CItY ZiP FNCNE Si�i[IICENSE� <br /> CI ASS OF 1YLY11( <br /> NEW ADOITION ALTERATION REPAIR DEMOLILION WOODSTOVEFRPLINSERT BUILOINGHELOCATION <br /> Q(�$P ON 10� CONieLiPEP50Nµ0P,qNEHO <br /> cr.r.rorctanccorwoa. '� � ZJ060 ��'��d� <br /> ucsr.n•eE wonw r,xo sou+nE rooucc wvoivcn <br /> `/.e�� �/JPi/6e /��C-/'FqC �ClOI� <br /> rnoroscous¢oreoaomc , i HEREBY CERTIfY THAT I HAVE READ AND E%AMINED THIS <br /> S� � �y�� APPLIGATION AND NN01V THE 54ME TO BE TRUE AND COflRECT.ALL <br /> ucn�o[ ..wmronoranw�e� vis�awnettowoa�rrec�rwncoriesi PFOVISIONSOPLAWSANDORDINANCESGOVERNINGTHISTVPEOF <br /> 1YOHN WILL BE COMPLETED W�TH WHETHEfl SPECIFIEO HEREIN OR <br /> ior_ otocn ar _ NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GNE <br /> AUTMORITV TO VIOLATE OF CANCEL THE PROVISIONS OF ANv <br /> `�6� - (nZS,, -02� 'eo OTNER STATE OR LOCAL LAW F7EGULATING CONSTRUCTION OF THE <br /> PEFFORMANCE OF CONSTRUCTION.TNAT 1 qM AUTHORREO BY TME <br /> O\WER OF TNIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MAOE AND 1 COA1PlV WITH THE STATE <br /> ONT SLA 1827RCWAN�296200WAC. <br /> % �Z.�Z.�7Z� <br /> m�aici nooucss ��< <'"'t <br /> ��l l�. Pi�.,a 5� <br /> PLUMBINC MECHRNICRL � <br /> NO. TYFE OF FIXTUNE OR ITEM FEE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) AL—A HNPLG UNIiS—N.F <br /> BATHTUB FURCEOAIRSYSTEMS—B.T.LL M E.A. <br /> LAVATOflV�WASHBASIN) UNITNEAiERS—B.TU. M <br /> SHOWER CLOTY.ES ORVERS <br /> KITCHEN SINK 8 DISP VENTILATION FAN <br /> DISNWASHER � / RANGEHOO� ' <br /> LAUNDRVTRAV WATERHEATFR - <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL META�FIREPLACE 8 CHIMNEY <br /> DRINKINGFOUNTAIN' � FIREPIACEINSERT <br /> FLOOR�RAIN HEAT PUhIP <br /> BnCNFLOW PREVENTERS GAS PIPING <br /> flOOF DRAINS—RAINLEAOERS E%MAUST FAN <br /> SINK�SERVICE—BAR.ETG) <br /> SUBTOTAL S SU�IDTAL S <br /> PERMIT S PERMIT S <br /> TOTALFEE S TOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> 111pI15C1UI.CM PCI.BSEIMG: SiDE5E191�CN Pl.WC11ELNNONOEP 1[E flECEiViNO <br /> ny � <br /> us�r;x,[ iorenEe v�ceNtsne FEES YRLURTION FEE <br /> B�IIIDMG �pV6 � DO <br /> irilV7l7nrl'S�IIVNA&! �YV[pLONSfA;lp4 tty.V{�acr u. .un�� <br /> --f= J '� K"� ' VWMBING <br /> `,VItNOtRI NOOfSIM1i[5 BAS[MENi 61ECNGNICRL <br /> E.c�S'7�AIG Z N�a <br /> w �w1aq�cnw� iraFsvurveLLnsntao M[ieN�uuiuno�i ADDITIONALPt�NCMELK <br /> N(/i NO SPRINNIER <br /> 1.1�'�.�I�1 Ofl 5�11iNR�EPS — —� <br /> SiATE BUIL�ING SIIPGN�PGE �/ ;S'g <br /> ���un�uv i�ensnronnvtom CITYOFfVEHETT PUUUCwORKS <br /> LOCIIL SRLES <br /> J� 12 3 92 TAl(CODE IS 3105 *oT�� /,�� � S� <br />