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, °,� ���" "�,��, CONSTRUCTION <br /> evereti <br /> `"� �� PERMIT <br /> eve rett <br /> cirv ��n�� z�svs�a, <br /> iv�nerr. wn oa:o, CO�BINATION • BUILDING • MECHANICAL • PLUPABING <br /> OIVNhfi MAIL 11Uf)Nh55 tIP PI/ONE � <br /> 'O <br /> - _Judd _and_Black___28_OO�a�le-9_8201___ R' <br /> ARCHIiLCi Uli CL'�16NLIi p1ML AD RL55 PHf�N@ LICENS[ NO. � <br /> � <br /> � <br /> G[NLRAL CONTHl�CTOR �MNL ADDFiESS PHON[ LICENSE N0. Z . <br /> Robert G Hartman 29_09 21sf_S_T__252.A_8_891 c <br /> M1�ECHANICAL CONTRACTVR MAIL AUORESS PHON[ �.ICENSE NO. 3 <br /> W <br /> cn �PLUM6ING CONTRACTOft h1ML ADDflE55 PHONE LICENSE NO. .u-� <br /> ;.J <br /> �'GRh11T CLA55 OF WORK � <br /> ❑COMBINATION GYading <br /> ❑ [3UILDING � PLUM�ING �MECHANICAL <br /> ❑NEW ❑ADDITION ❑ALTEliAT10N ❑R[P/��q <br /> VALUATION OF WORK <br /> 5 ❑OEMOUSM ❑FLNCE ❑SIGN ❑SWIMMING POOL <br /> DESCRIBE WORK — <br /> Landscape buildinq on 2800 Maple Move 100 yds of soil from <br /> PROPOSED USE <br /> MECHAiJICAL <br /> LCGnL �ESCfiIPTION OF PROPEflTV (SHpIV 6ELOW Ofi l�TTACII TV P[ OF ENERG V <br /> FOURCOPIE51 ❑GAS ❑ELEC. <br /> Lo7 oLOCK_oF NO. TVPEOFE�UIPMENT FEE <br /> AIR CONO. UNITS-N.P. EA. 5 I <br /> R[FRIGCfiATION UNITS--H.P. EA. <br /> f30RER: H.P. EA. � <br /> FORC[D Alfl SYSTEMS-l3.T.U. MEA. <br /> — _"_ _— I <br /> JOH AO�RESS SPACE R WALL HEATERS - D.T.U. <br /> 280 Maple - - <br /> uNrt nEnrens �s.r.u. i <br /> � LVAVORATNECOOLE(i5 <br /> PLUMBING -- <br /> e�orr�es oi�veas � . <br /> V[NTI�MION FAN <br /> RANGEHOOD � � <br /> NO. TVPE OF FIXTURE OR I7EM FEE - nn� unNo�_irvc uNir 0.F.M. • <br /> BAT'H TUBS 5 -- -- ------.. "--- i <br /> CLOTHES WASHEF i - -- -- - � � - --- <br /> UISH WASFI[HS � �'nTER HEATEfi <br /> DRINKING FOJNTAINS � FAC. ❑UILT FIREPLACL R CHIMNEY � <br /> FLOOR DRAINS ��n�. ��Sif:M�. NO OP OUTL[TS <br /> 1 __._ _..____ _ ._ _._ " __-__-.__ ' <br /> KITCHEN SINKS W UISP. � SUn TO7nL 5 � � <br /> _ .. . .__..____ '_- , <br /> �AR SINKS � PERMIT 5 . <br /> ROOf DHAINS - HAIN IEADERS � TOTnL f-EE 5 I <br /> SHOWER Bl1THS THIS PBRMIT RCCOMGS NULL ANU VOIU IP WORK OF CONSTRUC <br /> SERVICE $INKS T'ION AUTIIORIZ[D IS NOT COMMENCED WITHIN 120 DAvS, OR IF <br /> SUMPS - SEWl1GE PU.'v1P CONSTNUCT IpN OR WOHK IS SUSPENDEO Ofi ApANDONLD FOFi �1 <br /> URINALS � �'ESHIOD OP 120 D/1V5 AT ANY TIML APT[A WORK IS COMMENCE�. <br /> WATER CLOSETS 1 I 11@REItV CIPiIFV iHAT I H/�VE qLAU ANO @CAMINLO TIUS AP- <br /> WATER HEAT[fi5 - ELECTRIC � �'LICM IUN AND KNUW TIIE !iAM@ TO (1[ TRUE ANO COfi{iECL AlL . <br /> PNOVCJONS UF LAW$ AND �1NOINANCf:S GOVEHNING THIS TVPE <br /> WASH �ASWS � OF WOfiK WILL BE COMPULI] Wllll WHETHBN SP[CIfIED HEfiEIN ' <br /> LAUNDHV TRqVS ��� NU7, lHE GqAN71NG Uf' �� PCRh1lT DOLS NOT PR[SUMG TO <br /> � GIVG AUTHOHITV TO VIOI./�TG Oq Cl�NC@L THE PqOVI510NS Of- <br /> — ANV Ol H[19 ;TATE Ofi �OCl1L I AW ciEGULMING CONSTRUCTION <br /> � OR TIIE PENFONMANCE OF CONtiTRUCTION. <br /> —�y- <br /> I <br /> SU� TO7AL —�— <br /> � /^/ �//� <br /> PERMIT - 5 —I X �/` ��/��_ ���� „� <br /> TO7AL FEE �� 79 <br /> WATER SENVICE SIZE BLDG. SUPPLV SIZE sicNnTUn[bi-CON71inCTO�o�nUi��.nceNT -�n� re <br /> SIOEYARDSETOACK STqE@TSCiBACK (iEARVAHDSETAACKPLI�NCHCCKNUMi1[H PLANCRLCKFEC <br /> PGE R@CEIPT NO. <br /> USE 20NG LOT AREA VACANT SITE <br /> ❑vEs ❑No FEES VALUATION FEE <br /> ' TVPL OF CONST. OCCUVANCY GROVP NO.OF�W[LLING <br /> UNITS � <br /> � SIZE OF �LDG. N�.OF STORIlS MAX.00C. LOAU dUILO1NG $ � � <br /> __-1�_n�_ <br /> PL V MUI NG I <br /> FIHG ZONE BASEMENT FIRE51•IiINKL[Ii5 <br /> H@OUIR@D — � <br /> ❑YLS ❑NO M[CHANICAI � <br /> SPGCl/1L CONUITIONS: UT��Efi � <br /> — I <br /> — ' -�--- PENALTV SEC. 30JIn1 I <br /> TOTAL ZS IOO <br /> PERMIT VALIDATION <br /> -"-- WHGNPROPERIYVMJDAT(.DUfx7�{�::�I•ACGlT111'SL.Y1)�JRP=-IiMll' , <br /> [5S �� �j 00 � <br /> --- - � - �;j , <br /> YOU�2 REC'�EIPTc�> <br /> �,„ ,�,�,�„��:���,,,�,,. ������„<<:K<<,�. ��,•,,,,��,,,,,�,�:,.,,��,�� ,—,. � THANK YOU c�� i <br /> � <br /> , <br /> � . . <br /> . . � ,� � � 77 _ _' . <br /> �� <br />