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�,��� L�.���"���,� � CONSTRUCTION � � ` <br /> ��„ <,F <br /> O�Ve�'�t� PERNIIT PERMIT N0. Gb64 / <br /> CITY HAIL'd59-t37A5 <br /> t w-�E-rt.�vn eozoi ❑ COMBINATION �� BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> �:��,v��� r.�ni�nuoeess o�r 98201 �.� 25����J�28 <br /> Maury W. MCNeil 3708 Oakes <br /> �..�:C�UtLCi OR DCSGINEH 61NL AODRFSS CRY Z�� PHONE <br /> f;FNCRALC04iHACiOR A�/ILAD�RESS GiY 21P FNONE LICENSt � <br /> Same <br /> MG:�wNiCaL CONTRAGIOR MAIL AO�RE55 CiiY ZiP PNONE IICENSL e <br /> v,.U1.�pINGCONTRAC70R �lAtLADDPESS QiY 21P FMONE UCENSf � <br /> :1.�.55 0�\:OPK <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR �EMOUTION ❑FENCE ❑SIGN ❑GARAGE <br /> vhW/+TiON OF WORK <br /> S <br /> DFSGRI[1E\VORN <br /> Move Residence from 2819 Pine Street to outside city limits <br /> rnoroseo use oF uu��n�n:; <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> �cc:.�oesa+inneNo�rr�or�ntr�s��onuuoe�cnnrrtia�rou��conres PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 11 655 Swal�vell's 2nd Add ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �u� eu�cK_o� TYPE OF WOFK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br /> VISIONS OF ANY OTNER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> _o'::40�_p1 C.4P::(t:�.�C'i:.Jt��CltiLiD,:i�CM ❑.A16 <br /> �oi�nooN�ss L 9�5/79 <br /> 2919 Pine Street X <br /> PLUMBING . MECHANICAL �� <br /> NO. TYPE OF FIXTURE OR ITEM PEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) AIR COND.UNRS—HP EA. <br /> BATNTUB REFRIG[RAiION UNITS—N P.EA <br /> LAVATORY IWASH BASIN) Ei0RER5—HP.EA. _ <br /> SHCWER GAS FlRED A.0 UNITS—TONNAGE EA. _ <br /> KIiCHEN SINK 8�ISP. FORCE�AIR SYSTEMS—B T.U. M EA . <br /> DISH\NASHER WALL HEATERS—�T.U. h� <br /> LAUNORY TRAV UNIT HE�T[RS—d T.U. �� —_ <br /> CLOTHES WASHER EVAPORATN[COOL[RS <br /> WATER HEAT[R CLOTHCS DRY[FS _ <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR ORAIN AIR HANDLMG UNIi— C.F1d. <br /> VAGUUM BREAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS METAL RREPLACE 8 CHIhWEV <br /> SINK�SERV!CE—BAR,ETCJ <br /> SUB TOTAI SUBTOTAL S <br /> PEfiMIT S vERM1T 5 _ <br /> TOTAL FEE 5 TOTAL FEE S <br /> SIDE YARD SETE34CK STHE[T SETf7ACK REAR YARD SEi�ACK �'LAN SHLCK NUM�ER PIAN CHLCK FEE <br /> FEE RECEIPT NO <br /> USE 20NE LOT AREA VACANT SITE FEES VALUATION FEE <br /> iIYES L.iNO <br /> TYPE OF CONST. OCCUPANCY GRGUP NO.OF DWE�LING UNITS <br /> �UILUING b 00 00 <br /> SI2E OF OLDG NO.OF SiORIES MN(.OCC.LOAD <br /> PLUMBING <br /> I°II?C ZONE �ASEh!HNT FWl IREU KlERS �,�ECHANICAL <br /> !IYES ! !NO — <br /> APPpOVALS BY DATE OiHER <br /> 1 [NVIPONI."ENTAL CHECK LIST PENALiV U B C. <br /> SEC.303(al <br /> : BUILUING PLANS OO OO <br /> TOTAL <br /> 3. FIP[HYDRANT <br /> a. FIRE PqOTECTION SYSiEM PERMIT VALIDATION <br /> \YHEN PROPERLY VALIDATED QN THIS SPACEI TH1515 YOUR PLRMIT <br /> 5 GRADING �� <br /> b DRAINAGE ' �7 � s O O O.O O {� � <br /> Z ENVIRONMENTAI IMPACT STATEMENT <br /> � <br /> 8 HEALTH DISTRICT p � <br /> :J':'LiCATION ACC PY PLANS CHECKLD l)v APPR FOR ISSUANCE�Y YO U R REC��r�T <br /> THANK YOU <br />