Laserfiche WebLink
APPLIf,ATION F� R $�,�nir.►c� <br /> � � ��� <br /> no�°�'" CONSTRUCTION <br /> �verett PERMIT <br /> TO BE COMPLETED IN BLACK INK— PlEA5E PRINT <br /> �UILDING DEPT. <br /> 59•8745 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING SIGN <br /> �in, z�p vHo�E <br /> M�IL�ODRE55 �� iy, .� �j���/=J_T]_ <br /> NNEA !�] .�/a Nri f �(TJ�(J <br /> ��,� �o���. t�', ro PO � � �,� <br /> Ctt SP <br /> NCMRECTORpES�GNER ( MMI�DORES Qp,,� . <br /> /��� /� ��a.'S:�p�� ^Y la+Mo�ol1 rAG '�7 �s�ll' -I(.(J� �D�-ST3 <br /> ���A�'QRp�W�/ N JIRNP Ciry ZP P ONE IICENSE <br /> ��s�� Msll�DDNE55 Yd�M'T� <br /> �EHEP�I COHTR�CIOR �� -�n �+I„/A Q17JI¢ ���� Z`�� <br /> MOUr1T�,t1� �Jcr..IF1G CD. ?D.BG''r 's08� :�"�°Cll� YY IV� <br /> �EGMAHiG�L CONTP�CTOq M�II��ONE55 <br /> GT, � 2�P P pNE UCEHSE <br /> ��T, Z�p PMOHE UCENSE• <br /> 'LUM�INOLONTP�LfOR M�IL�ODRE55 ` <br /> :��u ov wonK <br /> NEW ❑ ADDITION ❑ AITER�TION ❑ PEPAIR ❑ DEMOLITION ❑ WOOOSTOVEIFRPL.INSERT BUILDIN6 RELOC�TION <br /> I�IU�TIONOi PRI�STOFM�TERUl5PW5LA <br /> 2 ppp - <br /> o¢scnieewoaa r'p p�_ <br /> LoNST oE WaoD �e A�+�/ �7Mt�T Bu��oMf� w <br /> USE OF BUIl01NG 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP <br /> ,(����jy���j/'�'��'�� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> IEG�lDESCpip7�pry0F ROPEPTVISMOWNBEIOWOP�TT�CNFOURCOPIEA OfWORKWIL�LBECOMPLE EDWITHWHETHERSPECFIE HERE- <br /> `o�_�i��_aF IN OR NOT.THE GRANTIN6 OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS O� <br /> OR THEHP RFORMANC OF CO STRUCTIONNGCONSTRUCTION <br /> SIGNATU F CONTR�CTOR ON�UTNOR12ED�GENT D�TE /�',BS <br /> ((/ <br /> X �-a�+w <br /> AVPUC T GRYBUSINE554LENSENO <br /> VROJfCT�ODPE55 <br /> MECMAHICIIL <br /> PLUMYIN6 FEE NO. T'PE Of EOUIPMENT FEE <br /> NO. TYPE OF fl%TUME `� Q <br /> WATERCLOSET TOIIEn �IRCOND.UNITS-NP.EA <br /> (0 REFRIGERATION UHI75-�/.P EA <br /> BATHiUB BOILERS-M.P.EA <br /> LAVATOHV�WASH BASIN) 6A5 FIRED AC.UNITS-TONNAGE EA <br /> SMOWER �Op FORCEC AIR SYSTEMS-B.i.U. M EI. <br /> KIiCHEN SINK i DISR � WALL HEAlERS-B.T.U. M <br /> OISMWASHER UNITHEATEPS-B.T.U. M <br /> UUNORVTRAV � Qp EVAPORATIVECOO�ERS <br /> CIOTHES WASHER � CLOTHESORVERS ���b <br /> W�iER HEATER VENTILATION F�N � <br /> URINAL RANGE HOOD <br /> pRINNIN6 FOUNiAIN AIR H�NDLING UNIT- C.F.M. <br /> FLOOR ORAIN STOVE <br /> V�CUUM BNEAKERS MEiAL FIREPL�CE t CMIMNEV <br /> POOF ORAINS-RAINLEADERS WOODSTOVEIF�REPI�CE INSERT L <br /> SINK jSERVICE-B�R,ETC <br /> SUBTOTAL i DC <br /> SUBTOT�L ��Z' <br /> ` PEPMIT �' OC <br /> PERMIT 7pTAL FEE � <br /> �OT�LFEE < <,�'"� �� <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> PL�N CnECN NUMBER <br /> pL�N 6HFCK iEE <br /> iflOHfSEiB�CN PEAFSETBACN 91DESETB�CN / ^��� `EE pECEiPiMO <br /> -� Pe D � <br /> LOT�PE• y�CAHTSrtE F[Ei V�LWTIOH F![ <br /> USEIOHE OYES OHO <br /> TVPEOfCONST OCCUVAMCYGROIIP NOOiOWElLINOUNITS � �a �( <br /> \�--f� 1� 1 � euaoiNa f ��2000• <br /> MAK OCL IOAD <br /> SiZE Oi B106 NO Oi StORiES �� I I Z �' <br /> / PLUMBING �/� <br /> l'`� I�i> ;'•t� L �W �. <br /> � MECM�NICAL <br /> FIHE SPRINKLERSi7E0UIFED ❑ �ES �"N� OinER <br /> PENALTY <br /> 4PPLK�fiONACC BY PLAHSCMECMEDBY �PPN fORi59UANCEBY TOTAL �l� � 6 <br /> j�'lA Y�'1��i . <br />