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FRM�EVERC-TT Bl1ILDING DEPT� T0: 20664334?S 7��-' 17� 1992 2:13PM p412 P.02 <br /> APPLICATION FOR CONSTRUCTION PERMIT � <br /> TO BE COMPLETED IN BLqCK INK—PLEASE PRINT <br /> BUILDING LEPARTMENT HEAT�NO SVSTEM: .GI15 fj ELECTRIC U____� <br /> 259•8810 <br /> I I DEMOLITION I I COMBINAIION � BUILDINO IIMECHANICAL I ipLUMBING I I SIGN <br /> ONNEN W.4�OOPCK CT' IIV lMOXt <br /> .COJ�t�lCnL1.�llC�1Q�y{ I-Veci cl��Yn F�rIIC��U�, �iSC��7 (vAll-�323 <br /> ��*�' v� nttnE <br /> MfMRFCIOhU[�qASll u1lN1UM1tYf GIY ti� M1�c � <br /> GaZ.r1lL'.GI.�J CL��DVt, <br /> ��M1����MCI(M1 W.YIDDP[6i GIV I�I %q12 `—SiniflC[M][• — <br /> 52me a.5 icF�uve• <br /> MiCINhKNLEdI111AG1f1R lyt Wy11[Ya GIY � jiy ' � <br /> ��wM 61�t[u[[u5{� <br /> KWtlsNCql�WylOq � IlA4AU0�itn CI1Y IR MOK � 61�1C�K[u,v� <br /> G Or wp�K <br /> EW IIAODITION IIIILTEPATION IIREPAIq IIOEM�L�ITfOCNoEq����FODbFRPLINSERT IIpUIlOINORELOCATIDN <br /> ��,.�«,��. � cs,.�, c� n��e 5t�.; n���t-a��3 <br /> OCfCAoiWOMKMLSOWnC�OpincC�M�(vviD � �� .— <br /> ''f1rW Cmhltucho��i is21�a 5ca2�q� <br /> vN`orw. toufcaan wn . I MEPEBV CERTIFV THRI 1 NAVE RE�O AND E%AM�NED TNIS <br /> `�"' �'Q"� . m� ^ `�`�'��`�� APPLIChTION AND KNOW TME SAME TO BE TRUE hND CARRECt�LL <br /> �[t�ulxtcmtewcrvarnrnrv�W BE�ununeirncc;Wneor�ts� ' PROVISIONSOFLnWSANUOqOINnNCESGOVERNINOTMISTYPEOF <br /> �m�,�U_. siocr: �y WORK WIIL BE COMVLETED WITM WHETHER SPECIFIED MEREIN OR <br /> 1l � ��� NOT.THE GRANTINO OF A PERNIT OOES NOT PHESUMC TO GIVE <br /> ��UIY\(L'�YliUry� OlV � AUTHOflITV TO VIOIATE OF CRNCEL TNE PROVISIONS OF ANv <br /> `THER STATE OR LDCAI LAN'REGULATINO CONSTflUCTION OH THE <br /> . /1 ' _ ��n PEflFONMANCE OF CONSTqUCTION.THAT 1 AM�UTMORIZFD DY TNE <br /> `��Y.W.<�C.� "1 �/�,ry1� J'�� OWNER OF THIS PROPERTY TO F:RFORM THE WORK FOR WMICH <br /> ,/���e _ � APPLICATION IS MADE AND I COMPLY WITH 1ME STATE <br /> __._ J'IL`I- IS� N�.PG COYTMCTORSLAWIB.Y�RCWAN028o400W�C. <br /> _ -� AI' 'V1Zi�—FY`�Y�Fi x ���. �lPl��9 <br /> �141Mi won[nx ' ' �w � . <br /> [cr.� �2°iS�J(P nx — <br /> PLUMBINO u�.m.r�vr..n xo ' ' ' —"— <br /> MECHIINICIIL <br /> NO. TTPEOFFIXTUIIEOPITEM FEE N0. TYPEOPEOUIPMFNT FEE <br /> �L1- W�TERCLOSEI�OILEn,._ NC--AMN�LG UNITS—M.P. <br /> BATHIUB �! � FORCEDAIq5V5T[Mg—D.T.U. M E.A. � <br /> _�� UVATOPY pVASH BaSIN� �f UNIT MEATENS—OT,U. M � <br /> SHOWEq � CLOTHESDIiYEPS -- <br /> NIICNENSINN6DISP VENTIL�TIONFAN � � <br /> �_ DISHWASHEfl � 7�� � piWGEHOOD �— <br /> �AUN�RYTMY WATER HEATER <br /> CLOTMESWASHER _ WppOSTOVE ��� � "�— <br /> . URIN�� � METALFIREPUCE6CHIMNEY � <br /> �qINKINO FOUNTAIN FIREPUCE INSERT �� <br /> ... FLOOR�RAIN H:ATPUMP ' •. <br /> BACNFLOW PREVENTERS OAS PIPING � <br /> _ ROOF UR�INS—qMNLEADERS� �� EKHAU6T FAN �� ' T <br /> SINK SERVILE—BAR,ETC. � <br /> _. . ; <br /> . I <br /> _. _ _' / _ <br /> . �. . � ' �T <br /> .. SUBIOTAL t SUBTOTAI S � <br /> _ iEPMIT f PEflM1T S <br /> TOT�IFEE { TOTALFEE s ��� <br /> FOR OFFICE USE ONLY: <br /> �1[MIf6(i11l.fJf IICA9FLIMlII pp[GCIO/.G I M1µtllCtllNlN��fy ILC A1C1111Y0 <br /> _ . SNO i�/:'"Y - � :f_�' % _ <br /> ��� . «�� ���sne � � FH66 VALU�TION EE ' � <br /> 'TpMiu1M'UU �TttpLRflIt1U4 8011D�N0 i D�Jr/' <br /> CfY4R� YibM�11YWII1 ... _ _ <br /> ��V 'IJ �-�J ' vwueinc '. . � /)/ V <br /> �IJ �154 r rm.rcara�� vscu�xr u MF.CILW�CAL <br /> 9�i — <br /> LY11MUCrlOW fw[[vqyKiRiPE64 14Wrt�wiGtry �D�IiIpNAI.VWIqICCI( <br /> u a �� � iPPkMl4q ' <br /> QAK1111011i1�NN9[P{ �D i <br /> 6T�TE BWLDINO 6UflCINppE �I�J D <br /> +*�•• rtuiseoowvcpar ��CITYDFEVEflETT � � <br /> I.00ALSALE6 ^���cworocs ��_ <br /> �J� Z 3 iA%GOOE153105 totnt <br />