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������ `� C'` NSl'RUCTION � � <br /> eve 259.$$lo pERMIT PERMIT NO. ": c' i�;:� <br /> ❑ DEMOLITION (� COMBINATION ❑ BUILOING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> owvn� mm�nonnrss rnr zir mwr+e <br /> ,., .�-i:r. s Slnith P.o. 1'�c>: 592 �.Zl:c_ Stcvm�^ c�A 9P751; GS'-20:?'. <br /> nnc�eiecioi+ncsmr�ui nun.anoui:s cnr zu� v��oNe <br /> ceNca�ice�+r���cron niainnon[ss cirr xu� rr¢ve lif,ENSE� <br /> O�R1�Y F.Ii i.[t7�1>l Y 01d 7 <br /> MECIUNICALCONIRAC1pR �ami.�oo�acss CI1Y 21P PHON[ IICEN$E� <br /> IIUMN�'GCON10RCiOR MRILADpPf55 CI1Y ZIP PIION[ LICEPSE� <br /> LUS50!N'ORn <br /> �NEW ❑ ADDITION ❑ ALTERATION ❑ HEPAIR ❑ DEMOLITION Cl BUILDING RELOC��TION <br /> VAlUFT10N OP N'OPN <br /> f 54�J��.�� <br /> fl[SCRiOL WORN <br /> Si.gle fa:ai.ly reft3ence <br /> IIE�T$OUl1[E <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> aawosco usc or omio�nc <br /> I HEREBY CERTIFY THAT 1 HAVE REAO AND E!(APAINED THIS <br /> APPLICATION AND KNOIY THE SAME TO BE TRUE AND <br /> iecun�scnirnonovmcvicerr�s�wc�nEinwonnt.ncnrouncomes GORRECT. ALL PROV�SiOIJS OF LAWS AND OIIDINANCES <br /> �or_oioc� _ o� GOVERNING THIS TYPE OF WOFiK W�LL BE COMPLIED WITH <br /> VJHETHER SPECIFIED HEREiN OR fvOT. TH£ GRANTING OF A <br /> int 1 of IoC : I?or.�e Wo�- : .lrid. PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO <br /> �- VIOLATE OR CANCEL TH[ PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW FEGULAl1NG CONSTRUCTION Ofl <br /> _ THE PERFORMANCE UF COtJSTRUCTION. <br /> JO�RDDRE55 9GNATI��OI �pMR�CiOq,r1Ui110liIZED�G[NT.OROWNER DATE <br /> X ' <br /> 6730 % 'ce R:?. ,:i�1�L_ �� � .' i,. S o� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF F�%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> � 1VATER CLOSET�TOILEi) � � A C—A�HNDLG UNITS—H P <br /> BATNTUB � REFflIGERATION UNITS—H P EA <br /> � LAVATORY�W�SNOASIN� [701LEfl5—BTUMP <br /> SI�OWER GASPIREDAC UNITS—BTU. <br /> KITCNEN SINh 6 CISP FORCED AIR SYSTEMS—B T U. M FA. <br /> OISHWASHER � WALI MEATEFS—B.T U M <br /> LAVNOPY TRAY UNIT HEATERS—0 T U M <br /> _L CLOTHES WASMB� _+ EVAPORATWE COOLERS <br /> URINAL ] CLOTHESONYERS 6 SQ <br /> ORINKING FOUNT>4V ? VENTILATION FAN � QQ <br /> PLOOR D�AIN � RANGE HOOD 6 SO <br /> DACNFLO�Y PflEVEN'ERS � 1YATEP HEATEF (� SQ <br /> ROOF ORAINS—RAIKLEAOEHS WOOD STOVE <br /> SINN�SERVICE—dAR,ETC� METAL FIRGPLACE fl CHIMNEY <br /> FlREPLACEINSERT i <br /> HEAT PUldP <br /> GAS PIPING ..,J. .. ...__k <br /> E%4AUSTFAN <br /> SUB'(OTAL f r SUBTOTAL� , �� }p <br /> PEPMIT S PERN17.. , <br /> TOTALFEE 5 Q � TOTALFEE . 7p qr� <br /> FNJNTSETO/.CN REARSETp�CN til0E5Ei0ACK PLANCHcCKNUM�ER FEG pECBPTNO. <br /> � L uJ <br /> � � 6�/19G'G 2.3�-;i�? 95352 <br /> USEZONF LOTFREA VACANTSITE � . �. �� , <br /> _� � � ❑res ❑Ho FEES VACUATIONf,.`_, I.Cti FEE i <br /> TYFf:OFLONST OCCUPANCYC.POUP NOOfOWEIIINGlIMiS BUILOING S_ . � " ' <br /> ��.n �� fl � <br /> I <br /> �;__.* �-.-: PLUMPING QS pp �i <br /> SIIE OF ULOG NO OF STORIES MA%OCC LOPO I <br /> 11r,�iiAP.. r �.�. MEGHANICAL U.i:�"'ICI� _ �. . _. .� ..-�[i rv��G��- <br /> �R Sl I <br /> i <br /> INVESTIGATION FEE . SCc�30<IeI � <br /> FIRE SPRINKLERS REOUIRED YES •�NO n " ��(�il� �' A�l � i <br /> STATEBUILOINGSURCHARGE C�..�� ' �'��'�� I <br /> , 5 <br /> �w,r.i�.�...., i <br /> STATEENERGYSURCHARGE �.,, ;�, ,� ; �� <br /> APRICRTIONACCBY PLANSCHECNEOIIV APP�(ORISSUTNCFpV <br /> DRIVEWAYPERMIT ���� "� � �'��� <br /> �n n <br /> �, :; TOTAL _, e'i! "�.i qo � <br /> .,.... . . F.li. �' � ��.. <br /> - PERMITVALIOATION ' - �' �j fl.` <br /> WHCN PROPEf1LV\NLIDAIiD 111::Hdi SV�FC!�THIS�S VO�R PERMIT <br /> ' .,. ,:'1.;.'ll �„-,� <br /> ,.y ' . . i: ] i <br /> t. � : <br /> , <br /> ,i . ',', : �__ . <br />