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,�.E,.ro�,� APPLICATION FOR <br />CITYOF C �NSTRUCTIO�R�! <br />ever�et� PERMIT <br />DEPT OF COMMUNITV DEVELOPMFNT SERVICES <br />CITY HALL 259�8745 <br />EVEaeii.��n9a20t j]�OJNBINATION ❑BUlLDING <br />ON'NER . . M�II npU6IS5 _ <br />� <br />❑MECHANICAL ❑PLUMBING PERMIT NO. <br />A{K�Ilrtl(lO0.U[SILNINV— � � M1I�IL�ODRISS � ❑fV ZIV PMONk <br />GN(RAt CO�N/INnC10N MAII A�ON65 CIIV LI� PMONf UCENS[ � <br />t ✓ '� !iv/'l/�� <br />MICIIANI(AICONiNAC�ON N�ILhOORf55 CII1 IIP FNONE llC[NTFI <br />19U�1111�IIlONINeCIOR MeIL�ODR155 ❑�Y iIP PHO�[ lKEHS[I <br />CUSS OI NORK <br />❑NEN' ❑AUDITION <br />\'1W e�l0ti UI 1\UXK <br />f <br />A I)ISlNlllll\O 1. • / �. <br />( <br />❑AITERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />l(G�I �ISCRIPiIOb Of PROPIMf1 6HONN NlION' ON A��A1111UUA (OP��SI <br />101 �NtUCR�UI <br />PJN �O <br />� � . i1.�.K <br />PLUMBING <br />NO. iYPE OF F <br />R'Mf Y Q.OSI T IIOIIEII <br />U\'A70H1' IWASN 11ASIN� <br />SHOWfR <br />KI701f N SINK b DISP <br />DISWASHkR <br />LAUM1�N1'iRAY <br />❑011115 \vASHEH <br />1\'AILH HU�LN <br />UNIM1AI <br />pHIrvKIhG IOUN7AIN <br />fIOON IlRA1N <br />\'�CUUM IiNf AKI NS <br />RODf UNAINS—RAINIIAUkNS <br />SINA IYI R\9CL—H�N. L IC 1 <br />sirn r�an v rn. <br />USE ZONk <br />IY19 O� CON51 <br />sin or moc <br />IIR! 20M1[ <br />SUE TOiAI <br />PFMMIT <br />TOTAIfEF <br />STRIfTS[TOACN <br />LO7 AHU <br />OCCUPANCYGROUP <br />NO Oh STONIIS <br />�s <br />RI �M 1 ABU 5 <br />\'AUNi Slll <br />❑YCS GYO <br />NO OI DWEI <br />n1A% OCC IC <br />IfIUNUUMl flRl <br />XIc; <br />IIYI <br />A►�ROVALS �Y <br />1 I NVIRONA1lfM1iAl CH(CK L15T <br />7 f7UIlUINGPUNS <br />7 flNi HYUNAN7 -- <br />1 fIRfPNOIfC710N5Y5TEM <br />� GRAUINC.I%U\'ATIONBCLIAHINGILRUBHINL <br />6 UNAINAGI <br />7 (NVIRONMCNUL IAIPAQ STATkMENT <br />0 HMLTH DISIRICT <br />E <br />I HEREBY CLRTIFY THAT 1 HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNO\Y THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS Of LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF N'ORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THF GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR C�NCEL THE PROVISIONS OF <br />ANY (�THER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIC:nn1UN[ O✓CON7HACTOft OR AUTMOq1Z�qG6FNi--BdTE � / <br />FEE NO. TYPF OF �QUIPMENT <br />AIRCOND l�N1T$—N" FA <br />NEFRIG[RATIONUNITS—HP FA <br />I40111R5—HP EA <br />CAS �INLIJ AC UNITS—TONNALf EA <br />IORCI[7AIHSYSiEM:—BTU MEA <br />R'ALI HIAilRS—f1 i U M <br />U^:1711fA7LH5—HTU �� <br />1 VAPOHATIV[ COOlFRS <br />DATE <br />AVPLICAiION ACC PY PLANS CHECKLD HY I APPR fOR ISSUANCk NV <br />91 �9 <br />CLOTIII S DR� f NS <br />VENIILATION (AN <br />HANGf HOOD <br />AIH HANDLINC U� <br />S70Vf <br />.wini naerucr <br />PIAu QIICF �UNIILN <br />FEFS <br />fEE <br />IT— CfM <br />8 CHIMNCV <br />Sl OTAL 3 <br />PI IT f <br />�� ,' iFE s <br />PLAN CMFC1: FEE <br />( NfC[IP7 NO. <br />OUIIUING <br />rwn+mNc <br />AII [HANIUL <br />07NlR <br />UPC <br />PINAITY SK.IOHa) <br />TOTAI <br />�E�MIT VALIDAiION <br />WHfN PROPERIY VALIDATE� IIN TMIS SP�Cf� TMI515 YOUR PCRMIi <br />