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�heErcrgre�n ��� �0�����{ _Y'�� � <br />CITY OF i��atf p ER 11f1 I�' �.� <br />e�eret� PERMIT NO. �7�27 <br />CITY HAIL 259�91'45 <br />F:V[RE7T,Y1A 90201 �I COMBINATION � BUILDING � MECHANICAL ;�' PLUMBING <br />a�nr.tx e�a��nooacr; rnr zm vncue <br />.�..� .�_..���� �» v.�rwet 9�te1� ]55-2PS0_ <br />,L��'_PetCONI�CtOP MAIIADpflE55 C�tY 21P VH7A[ LLLNSE� <br />e.r. . .. . <br />�'.ICNAwCnLfANTFACTOR AIAIL �DORESS lltt ZIP PHONE LICENSE I <br />GVPGI�GCONTRACiM MAtLApOf[55 CI1v 21P PNBNE IiCENSEI <br />❑NEW �DDITION ❑�LTE(7AT10�! L)REPAIR ❑DEMOLITION ❑��ENCE CISIGN ❑GARAGE <br />\Alllnl OR Ok 11 <br />3 a�L <br />[�f'f.R111E WOF6 <br />� 9C�xJ:LD USCOF NUIIUING <br />�I�flj� ti�.17 TM�.dNiO� <br />t E4��. f�f.SCRIPf10N OF PROVEPIY �SMDLV 0[LOW OR <br />l01__y�+�tiLU:�_OF �!!� <br />PLUAIBING <br />Lf.V�I <br />UI51 <br />1 ORAIN <br />1M BPEAKE <br />pfiAlt�S — <br />conviro _ <br />GETBACK <br />:iSC 7UNE I LOT <br />�R <br />1 YPG UF CONST. ; OCC <br />SETBPCK <br />i. IiNVIRO111AENTAL CRECK IIST <br />? 11UILDING PIANS <br />3 I1R�: HY�RANT <br />_ 1-�R'E PFOfEGTION SYST[M <br />j 1iFb�U1HG <br />��. GR.�INP.GE <br />7 EPoVIRONMENTAL IIAPFCi STATLMENT <br />i�. NEtdllIDIS7PICT <br />cPP_ICAI IUN ACC, UY PIAN$ CIICCKED BY <br />V.C.• <br />I HERE�Y CE�TIFY THAT i HAVE READ AND EXAMIFIED THIS AP• <br />hUCATION AND KNOW TFIE SAIdE TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVCRNING THIS <br />TYP.E OP WORK WILL E3E COA7PUED WITH WHETHEH SPECIFIED <br />HEREIN UR NOT, ThfE GRANTING OF A PERMIT DOES NOT <br />PRESUh1E TO GIV[ AUTHORITY TO VI01.l�TE OR CANCEL THE PRO� <br />VISIONS OF ANY OTH[R STATE OR LOCAL LAW HEGULATING <br />CONS1AUCjION OR THE PERFORMANCE OF CONSTRUCTION. <br />S�G�IniURE0r,�6\IfL1I�'RIXiAViHOF�TEOAGCNi D�iG <br />X ._./'j^- ,Ii =1 > .�: . �` / _ L'J <br />MECHA�IICAL <br />un ivOPl1FF!]IIIGRIFNT --r FEE <br />n�� n __ <br />GAS f IIIEP !. G_U� <br />FGRCCU �IR SY571 <br />YhAL 111-FiERS — <br />UIllT Mi AlERS — <br />I.VFf'OHATNG COC <br />CLO7MES DRYERS <br />VC��i1LATION f�N <br />RnNGf IIOOD <br />AIR 11ANDUNG UP <br />HEi.R iFNO <br />—�: <br />\'ACANT SIT <br />OYES �N <br />PW6471NG <br />M11ECI IANICAL <br />OTHER <br />PENAITv <br />r <br />. <br />e <br />!GE EA: ' <br />^" MEA <br />AI <br />`- M <br />PIREPL4CE A CMIMNEV _ <br />SUB TOTAL f ^� <br />PENMIT � - ' S <br />TOTA� FEE f <br />UTAPER . PLFN GNLCK FEG <br />FkL A[CEIPI NO. <br />iu� � 83.RQ �p� <br />FEES VALUATION '�"FEE <br />S __ ___ _._ .. <br />u o.c. <br />SEC.307 <br />0 <br />PERMIT VALIDATION <br />WH[N PPOPI RLY VALIDnTE� IIN THIS SPACE) iNIS 1S VOUR PEflNIT <br />. . . ' �� � , . . . '�"' <br />N <br />M <br />� <br />� � <br />APPfi. FOR ISSUANCE BY <br />J I : . � _. , . � � j . .. <br />