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. , , <br /> A,PP►.ICATION FOR e�� <br /> C'"�NSTRUCTION r' <br /> everert PERNiIT <br /> DEPT OF C6MMUNITY DEVfLOPMI:NT SLRVICE$ _ <br /> CITY HALL 259-8/45 . <br /> eveaeir. wnva2ot �COMBINATION �BUILDING �MECHANICAL �PLUMBING PERMIT NO. <br /> OWNIF M11lApI)RI55 CI11 11i' PNO'�i � <br /> P.�,�'�� C �� v� ��f— -2 0 3 0 �e�� �n� st. �� ��l w4 9 5�z�3 ��-�-���i <br /> AFOIIIIRORAISILRfR M�ILAU�RIfS fll\ ZIP PMONI <br /> GF�'IR�LCONiR�QOR M�Il�U0Ri55 CIIY ZIP PHOtiF ����°��� <br /> Y�Jtrr IJ �l cE r�'c/c�ni `' <br /> � L�.. '' v,�r ����� ��� �� s , ' � �.��s�� <br /> nncMn�iuico�tAnciors Mnnw aiss i.nr cr- r��om <br /> � 2z -nr-s�_�/1-r!l�3o� H, <br /> PWMM1INC COYiR�Ci00. MAII AD00.[55 UIT ZIP PHO� 1 l C11.Sf� � <br /> / <br /> GU55 Ot N'ORc <br /> ❑NEW ❑ADDITION ❑ALTERA`.ION �R[P.AIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BI�ILDING RELOGTIUN <br /> WIU�LION01 WONK <br /> f 3�6a o �� <br /> OfSCNIh[N'ORK � � � � ���_ � ' <br /> ��cfGo� � .1"-,���A�/ G�� �E�rS w ^' v•,15 - - <br /> rF�.orosit>vs� oi xwm�vc � I H6RE6Y CfRTIFY THAT I HAVE READ AND EXAMIN[D THIS AP- <br /> R<<rC�. PLIC�TION Ai�D KNOW THE SAMF TO RE TRUE AND CORRECT ALL <br /> ucnioiscxirnovorraor�eivtsrw nuawoaniucnrouacorns� PROVISION50.` LAWSANDORDINANCESGOVERNINGTHISTYPE <br /> OF WORK WILL �E COMPLIED N'ITH WHETHER SPECIFIED HEREIN <br /> ioi�..I_nioc�.�or OR NOT. THE GRANTING OF n PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF � <br /> ANY O1HER STATE OR LOCAL LAW REGULATING CONSTRUCTION , <br /> OR THE PE FORMANCE OF CONSTRUCTION. �, <br /> 1� . v J 1 _ 1 L� ( _ VJ� SICNATVRI CONTBAC�ORORAUIMORIZEDAG[NT DAif I <br /> [�I J <br /> ioB�ooRiss X /✓lQ u.� /J� /,3� �`� ! <br /> a <br /> I <br /> ►LUM�ING MfCHAN1Ul � <br /> NO. TY►E OF FIXTURE FEE NO. TYPE OF FQUIPMENT iFE � <br /> I <br /> WATER CLOSFT(TOLI(T) AIN COM1D UNI75—H P U � <br /> AATHTUfl ft1 i RIGI RAl ION UNITS—H P EA '• <br /> i <br /> UVATORV(WASH AASIN) 00111 RS—H P.f A i <br /> SHOW[ft � GA51IRf U�C.UNIiS—TONNAGE U � <br /> ', KITCHfN SINK b DISP IOR(f D Alft SV51[MS—I4 T U. M EA I <br /> � DISWASH[R \M1'ALI.IIIA71R5—flTU M i <br /> L�UNDRYTRAY UNIiH1AiIN5—flTU M . <br /> CLOTH6 WASHEF 1.\UPORA'IIVI.COOU RS <br /> - WAT[R HUT[R CLOIHLS DRVIFS <br /> URINAL VI�71U710N MN <br /> I DRINKING FOUNTAIN RANGf HOW <br /> t � <br /> � FLOOR ORAIN AIR HANDI INI;UNI7— C.FM � <br /> VACUUM BREAKFRS S�U��� � <br /> i ROOF OR�INS—RAINLLADERS ML1AL fIRIP1ACl 6 CHIMN[Y ' <br /> SINN(SERVICF—BAN,(TC 1 <br /> � <br /> f <br /> I <br /> i su�iou� SU!TOl�I s <br /> � ►FtMli { rFRM1T f . <br /> i TOiALiF[ f iOTAtiFE f � <br /> � SIDE YAR�SkTAAIX STR[E7 Sl1B�CK REAR\'ARD SI.TOACK PLAN CRI CK NIJMOf R PI.AN CHIIX F[C ; <br /> . (�� 0.fCCIPT NO. �. <br /> � USE ZONE LOT ARU yAUNT 5171 fEF � <br /> ❑YLS ❑NO iFE) �'ALWTION <br /> � TVPf JF CONST. OCCUPANCY LROUP NO Of DWLI.I.ING UNITS � <br /> OUIIDING s C� <br /> SIZE OF BLDG. NO.Of$�ORILS MA%.OCC IOAD � <br /> PI.UMBING ' <br /> flRf ZON[ OAS[M(NT OIDHf10MS RtQUB(I�KIIRS MfCHANIU� <br /> 11Y15 �1N0 <br /> �►►IIO�ALS OY OATE O7HIR <br /> 1. FNVIRONMI NUL CHI.CK 1151 pl NALTY U il C — <br /> SIC )o3(a) <br /> 2. BU�LDING PI.ANS � <br /> 3. fIRF HVD0.ANT TOTAL � � <br /> � FIRE PROTfCTION SYS1fM P[IIMIT V/�LIOATION <br /> WH(N PRUPf FlY VALIDATID(IN TMIS SPAC[�TMIS IS YOUR PLAMIT <br /> 5 GRADING�I%(AVA710N R(11�NINf,Ir,RUlili WG <br /> 6 DRAINAGL <br /> 7 fNVIHONMINTAIIMPACTSUTfM(NT <br /> B MULTH UISTRICT <br /> APPLIC�710N ACC BV PIANS CHICKLD B� ��PR IOR ISSCANCI flY <br /> (+' ]y <br />