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APPLICATId. FOR C�ONSTRUCT�.lN PEpMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPARTMENT HEATING SVSTEM: � GAS ❑ELECTRIC O --1 <br /> 259 8810 <br /> DEMOLITION COMBINATION BUILDING J(MECHANICAL PLUMBING SIGN <br /> ONMEN 4A4AODAE55 CIIY IIP PIqNE <br /> n� k�I�,�,v.✓�iJ6�ii,gn �oa,�s .vu� tuf,x� yrzoi �z-�3/ <br /> IEN�Ni MA0.ADOP[55 CIiV IIp pNCNE <br /> •RCNIiEQOROE51GrvER YMI�DOPE55 CIiY ZIP PNp�E <br /> GENER0.CCNIflALiOfl �UiLA0DRC55 � CItY IIV pIbNE Si�1ELICENSE• <br /> TNtDnH��y�qJ6 /u��•s � DnsdJ��cs wY cU�,Ju���..�9 48�d-dfr3 7HanrrJN�Io88�� <br /> MFfH�NiCALCq11qALI011 M11L�OONC55 CIiY Z�V plqry[ Si�ffllC[NSE• <br /> 1'WMB�NOCplIMC10N MAM1A0�11E55 CIIV IiC P1qry[ Si�LEIKENSC• <br /> CUSS OF wOBn <br /> NEW ADDITION �A�TERATION REPAIR � UEMOLITION WOODSTOVEiFRPLINSERT BUILDINGRELOCATION <br /> CON1AC�iJPCq50Y AND PIqNE NO <br /> C0111RALiGfICEOF WOqv, /•�1�/ <br /> • l+�laL <br /> OESLRiP[\YOqK�Np$IX11PE(COUGE INVCIYCO <br /> �-��QS—El�ri i'n i ' <br /> �rajoros[ousFUFemm�rvc i HEREDV CERTIFY THAT I NAVE READ AND E%AMINED THIS <br /> c{.EGJY�IS ILW7F��le CQ�✓• APPLICATION AND kN0�7 THE SAME TO BE TRUE ANU CORflECT.ALL <br /> �muo[sccirrqHcrvaor[ervisNrn�meeiowonenecn�aineoncsi PROVISIONSOFLAWSANDORDINANCESGOVERNINGTN�STVPEOF <br /> WORK WILL BE COMPLETE�1N:iH WHETHER SPEqFIED HEREIN OR <br /> im Biace a NOT THE GhFNTING OF A PERh11T DOES NOT P(7ESUME TO GIVE <br /> AUTHOHITV TO VIOLATE OR CANCEL TME .•'ROVISIONS OF ANV <br /> OTHER S7AiE OR LOCAL LAW R[GULATING CONSTflUCTION OR THE <br /> PERFOHMANCE OF CONSTRULTION.TNAT I AM AUTMORIZED BV TME <br /> OWtJER OF THIS PPOPCRTV TO PEflFOPM THE WORK FGR WHICN <br /> — APPLICATIOK IS IAADE AND 1 COMPLV WITH THE SfATE <br /> CONTPACTORS LAW 1827 RC\Y AND 29fi..^00\YAC <br /> �"' `�t_9-�� <br /> Pnaiec*enoncss — <br /> /(n�� f��oS - <br /> a,.,�....,�,<,�., <br /> PLUMBING MECH�NICAL <br /> NO. TYPEOFFI%TUREORITEM FEE NO. TYPEOFEOUIPMENT FEE <br /> WATER CLOSEi�TOILET) A�C—A MNDLG UNITS—H.P <br /> BATHTl10 FORCEDAIRSVSTEMS--B.T.0 M E.A. <br /> LAVATORV�WASHBASIN) UNITHEATERS—l3S.U. M <br /> SHOWEP CLO?NESCPYERS <br /> KITCHEN SINK 8 DISP VENTILATION FAN <br /> OISMW4SHER RANGE NOOD <br /> LAUNDR\'TfiAV IVATER 11EATER <br /> CLO7HES WqS:iER WOOD STOVE <br /> URINAL MEIAL PIREPLACE 8 CHIMNEV <br /> DRINKING FOUNTAIN FIREPL�CE INSEflT <br /> FLOOR DRAIN MEAT PUMP <br /> BACNFLOW PPEVENTERS �� GAS PIPING <br /> ROOF ORAINS—RAINLEADEFS E%HAUST FAN <br /> _ SINK�SERVICE—BAR,FTC.� <br /> i_ <br /> —r <br /> SUB TOiAL 5 SUB TOTAL $ <br /> PERAIIT S PERMIT 5 <br /> TOTALFEE S TO�ALFEE � —T— <br /> FOR OFFICE USE ONLY: <br /> i�.Oxi5E1GCK PEAPSETB�LK SiDESEtBALN R�xGN[Cx U4BEP i[E R[LCiPtNO <br /> _ �i�3� <br /> �scror.e ior�nc� wwu.is�rt FEES VALURTION FEE <br /> BWl01NG <br /> 11�t0�[OM154LOWMlE i�PFWCON51/LN.LL aavw[r wwwt��iA.w�rs <br /> 4Rj° PIUMBING <br /> aiZEOiBlUO NO.GFSTOqKS BASENENi MECMRNICRI <br /> OLCIIMNCVlOAO IIPESPflMlER5NE0D HE\:NTIIMILiIQ4 AODITIONALPUNGNECK <br /> SPRINKIER <br /> PGSON i0I15Cp Wx�ENS <br /> �— <br /> SiRiC DUR�iNG SUPCHRRGE <br /> �Huneev �s.rrnovcoer CITYOFEYENETT ruoucwonKs <br /> LOCRL SRLES <br /> TAX COOE IS 3105 Tou� <br />