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I <br />, eve� ^ �"�ONSTRUCTION�- � <br /> 259 -8745 PERMIIT PERMITN0. � 1372 i <br /> ❑ 6EMOLITION ❑ COAJINATION ❑ BUILDING � MECHANICAL ❑ PLUM61N6 ❑ 81GN <br /> D1MIkR MqLADD11EF5 CIT� zIP R JVE <br /> i <br /> John L. Fr.ee,man 1920 Monroe St. L•werett, Wt+ �382Q3 355-704G <br /> ARCMI�ECT OR DE316NER MAII�DOPESS GiiY 21P R/UNf <br /> OBEMLCONTMCTOII I.InIt�OD�E55 CITY z�P PMpNE LICENSE� <br /> MECMANIGLLCONTq�CTOR MMLAOORE55 CIT: ZIP %/ONE (JCENSEI <br /> RUMOINOCONTRACTOR M�ILAD�RE55 CITY ��p PNpNE �IGENSEI <br /> CL0.490FW�7R� — — — <br /> ❑ pEW ❑ADDITION ❑ ALTEMTION ❑ REPAIR ❑ OEMOLITiON ❑ BUILDIN6 RELOCATION <br /> v�w�nori �rwa�K - <br /> s 1700.00 <br />� DE:.GRIBE Wd1K . <br /> [nstall pellet aYru stove <br /> 1.�AT SOURCE <br /> ❑ ELECTRICITY ❑ QA8 ❑ WOODSTOVE � OTNER <br /> anovoseo use ov euuon+c <br /> Single family hame I HEREBY CERTIFY THAT I HAYE READ AND EXAf�AINED THIS <br /> APPLICATION AND kNOW THE SAME TO BE TRUE ANO <br /> LEOALDESCNIPTIONOFPROPERTY�SHOWBELOWORATTACMFOUNCOPIE51 CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_BLCCN �_C�F GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORI�V TO <br /> V!OLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PERF ANG CONSTFU�TION. <br /> JOB ADDNESS SIGN E C NTRA ,A MOR4F.0.1GENC OR OWNEN DATE <br /> 1920 Monrce St. j( 10/27/86 <br /> PLUMSING CHANICAL <br /> NO. TYPE OF FDTURE OR 17EM FEE NO. TYPE OF EOUIPMEN7 PEE <br /> WATER CLOSET(TOILET) A/C—A/HNDLG UNITS—H P. <br /> BATMTUB �EFRIGERATION UNITS—H P.EA. <br /> LAVATORV(WASM dRSIN) BOILERS—B.T.LL/H.P. <br /> SHOW cR GAS FIRED A.C.UNITS—B T.U. <br /> KITCHEN SINK 6 DISP. FORCED AIR SVSTEGIS—B,T.U. M EA. <br /> �ISHWASHER WALLHEATEHS—B fU. M <br /> LAUNDRY TRAV UNIT HEATERS—6S.U. M <br /> CLOTHES WASHEF EVAPORATIVE COOLERS <br /> URINAL CLOTMESDRVERS <br /> DRINKING FOUNTlJN VENTILATION FAN <br /> FLOOR DRAIN RANGE HOOD <br /> B�CKFLOW PREVENTERS WATER HEATER <br /> ROOF ORAINS—RAINLEO�ENS WO00 STOVE <br /> SINN(SERVICE—EIAR.E1 C.) METAL FIREPLACE 6 CHIMNEY 3O OO <br /> fIPEPLACE WSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> E%HAUSTFAN <br /> PUOTOTAL f SUlTOTAL <br /> VENMR S PERMIT <br /> T0T11L FEE S TOTAL FEE <br /> FRONTSETBACK HFARSETB�LN SiDESETBACK PLANCHF.CKNUMBER FEE RECEIPTNO. <br /> USE 20NE lOT�aEA <br /> VACANTSITE FEES VALUATION FEE <br /> ❑YES ❑NO <br /> TYPEOFCONST OCCI�PANCYGROUP NOOFOWELLINCUNITS BUILDING f <br /> PLUMBING � <br /> Si2E OF BLDG. NO.OF STONIES MRX ACC �OAD <br /> MECHANICAL �i��� 30 O <br /> INVESTIGATION FEE ��304(e) ; �. <br /> � <br /> FIRESPRINKLEFSREOUIRED YES NO <br /> STATE BUI�DING SURCHARGE <br /> STATEENERGYSURCHAFGE <br /> APPLIGATION NCC.BV VLRNS CMECNED OY Appp.Wd I:SURNCE UY <br /> DRIVEWAY PF.RMIT <br /> M.M. TOTAL 30 0 <br /> PEHMIT V�LIDIITION <br /> WHEN PROPERLV VALIDATED�IN THIS SPACE)THIS IS VOUR PERMIT <br /> N <br /> ti <br /> M <br /> ti <br /> � <br /> r.n�, ., . . .i.�_ <br />