Laserfiche WebLink
I <br /> _ �PPLICATION FO.�� ���,�„ <br /> "rya'"" COIdS�'RUCTION � <br /> eve�'ett PERMIT <br /> BUILDING DEPARTMENT <br /> 259•8�45 TO BE COMPLETED IN INK• PLEASE PRINT <br /> ❑ OEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING � SIGN <br /> OWNER MML1100RE99 �itY 21P 1'110NE <br /> �tant�tco �� l9M � Ay+� ,St�ik �o7 �eNt� f6�e� SY7 •F�'t3 <br /> •lICIII�EGIO�DESIONEII HMLADDNE99 ��Y iP � Oi�C <br /> 1� �J►Ak � N• �lT 4 5��H!� 9 ii33 5`/l -G a f <br /> �IWAI�s �Cs� n s 4G 2 �f� A��( <br /> OENEMI GONIRIICTOR M�LL�D011E49 CitY 2�P ���ONE I ICENSE• <br /> � E7Ea/�G�� ��)IZL <br /> I �'nC��IFfN IQN� J141�'�. <br /> MECIII1NtC�LCONtRAClO� M�Il�U0PE59 COY 2� PIIO��E IICENSF.� <br /> PLUMeM�CONIIUCIOR M�IL�ODRES9 Cliv DP PIION[ LiCENSE• <br /> Qafyf �'o�N�( GW,r4;,�j - <br /> Cl��WORN <br /> � � NEW ❑ �DDITION ❑ ALTERATION ❑ REPAIR ❑ DEh10LIilON ❑ WOODSiOVE/FRPL.INSERT ❑ BUILDINO RELOC�710N <br /> wtua�oNorwonK�cos�o������mntsr�usueonl �i <br /> d <br /> ` �r��� '�,cwEtE+- �,�c4v s�',sYv <br /> DE]CRIBE WORN <br /> 1.� �lfE CO>l5fluf�i(Il <br /> oseorawiou+o I HERE9Y CERIIFY'i r1AT I HAVE READ AND EXAMINED THIS AP� <br /> �{�.y��(u pLICATIONAND KNOW THE SAME TO BE TRUEANDCORRECT.�Ll <br /> lE0�L0E5GR1Pf10�OPERiY15NOWNBELOWO��IT11CNi0URCOP�E51 PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISiVPE <br /> �n Iti[�� OF WORK WILL BE COMPLETED WItH WI�ETHER SPECIFIED HERE• <br /> io�B e�oc a� ��� � � INORNOT.THEGRANTINOOFAPERMITDOESNO7PRESUMETO <br /> GIVE AUTFIORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANYOTHER STATE OR LOCAI LAW REGULAiING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIONq7UREOFCON'RIICTORORAVTHOR12EDAGENf OAIE <br /> X �)�—'� �l �!a � C G �P- . <br /> PROJEGf�OORE97 MPIICAN�9 GiY BUSINE59 UCENSE NO. <br /> F Nl e b��( /4��- <br /> VLUMBINO MECNANICAL <br /> NO. TYPE OF FIIITURE FEE NO. TYPE OF EOUIPMENT FEE <br /> 2 WATE�CLOSET TOILEA � — ���COND.UNIIS—H.P.EA. __ <br /> ' B�THTUB ��� � REFPIGERATION UNI75—N.P.EA __ <br /> � 2 LIIVATOAY(WASH OAS�NI — BOIlERS—H.P.EA __ <br /> . SHOWER — O�5 fIRED AC.UNITS—TONNAGE EA ___ <br /> �— IfITCHEN SINK6 OISP. �_ � FORCED AIR SYSIEMS—B.T.U. M EA. _ <br /> ' OISHWASNER _� _� WAILNENERS—O.i.U. M _ ___ __ <br /> � LIIUNORYTf1AY � UNIi11EA1E05—B.T.U. M __ <br /> � CLOfHES WA5NEf7 — EVAPORATIVE COOLERS <br /> � ���ER CIOTNES OflYERS _ 5� <br /> � UBIN�I _ 'Z VEN11lAilON FAN __� � <br /> — DRINKINOFOUNTAIN RANGEl100D _ _(p <br /> - — fLOOR DR�IN — Ali HANDLIN6 UNIf— C.F.M. _ _ ___ <br /> — VACUUM BRE�NERS S10VE <br /> — ROOF ORAINS—RAINLE�bERS — METAL FIREPLACE 6 CHIMNEV _ ___ <br /> ' — SINKISERVICE—B�R,E1C. '"' WOODSTOVE/FIREPLACE INSEpT __ <br /> �VA�k� 1IFRkK <br /> 9UB TOT�L SUB TOTRL � �� <br /> PENMIT f — PENMIT � _ <br /> iOUL FEE f TOiAI FEE ! <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> IRONIlEIBiICI! eE�B5EIBACN 91�E9EiBACK PL�NCHECRNUAIBER -�p PIANC��EGKfEE <br /> ^O � .�C � � / � -7 ��p `� �EE nECEmt No n <br /> c� �1_/. / /(L.�� <br /> usetoNe wrenee � �r c�Hrsne — 7 FEE9 VAW�TION FEE <br /> _��_ � �7� C7iD '� .I�res oNo D <br /> IVPEO�CONSf OCCU�ANCYGROULP� NO.OiDWElLIN0UNIIS 6'/{� <br /> �% �'�/ / BUILDINO f�� S�l� C <br /> SRE Of BlDO. NO Of SIO�IE� MAK OCC.lOAO pLUMAIN6 <br /> � 5 � <br /> ' Z, p� MECII�NIC�L � <br /> -r <br /> � FIRE SPRiNKLEfiS REOUIRED ❑YES ❑ NO omen � <br /> PEN�LTY <br /> �PPLIG�IIONI1CCBv �t�N5C11ECNE0BY MPR.fOlI1S5U�NCEBY <br /> i0T11L <br /> �1 .,qw�:` ..M"�+rr"" . _" "_""u+o...,�.� . . ..�...�a.... _. .�........._... . . .. ..�... . .. .. ... <br />