Laserfiche WebLink
APPLICATIC 1 FOR CONSTRUCT )N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPARTMENT HEAl1NG SVSTEM: J GAS J ELEC7RIC U___ _ _ _— <br /> 259-8810 <br /> �. �. DEMOUTION �. I COMBINATION I � BUILDING I ��.MECHANICAL �. .PLUMBING . SIGN <br /> p{fy�q MAIL/.O� f5$ CIIY �'�� <br /> �-���� � ����� �ls� ���,�� ��rz�.,, - yr�, 6o��0 <br /> 1LN411 I '.4�1A0C f5v CIIV lIP M11J�I <br /> 1 <br /> �—u�,����rsr�o��n'�Yaicvu��� ' uen� s ' 1VY.1—._��4\�Cl� � r�c nnue <br /> c, 5�., I.'�91 L3l• 21� -'7�,�n <br /> n[vrPucarvrn�c�aa n rtwo�:s cnr.I' tP, rMNc �*U[iS[rSE�� <br /> _1"'`. ;L.�� ��n,.ti���l� 2153 �L�ll °�20�, L9D-COgO� <br /> V[O�M�ICALC 1FAGi0A uvllOpP[Sc CqY Ilf %+CNE 51�¢LKENSE• <br /> 1`lll�dry0004{�I1`11�IIC�tOq VI1rR'��JrI'i55 CIIY ZIP M1IONE SI�IELICENSE• <br /> I��VV, � \ 7�{� <br /> �ONi�4LIfPiCFO'\YG1K C Ir � ,\ ^'_ n�^� I'( <br /> y �) /A�/ <br /> t�tiCRgE Kpit ANO GGJ�nE lC04GE MVqV[0 LOM�tI P[RiGN�h�nuCNE Iq <br /> -�c�,��� 2�1�s - _ --- <br /> \M:`��u"� i NERE�V CERTII'Y THAT I HAVE RG�D AND E%AMINEL� THIS <br /> rno�rossousta ou2oMa APPLICATION At:J kNOW TME SAME TO BE TRUE AND CORFLCi nLL <br /> PflOVISION50F lAWS AND ORDINANCES GOVERNING TNIS TYPE OP <br /> uw�ceuwr*iona vaov[arv�sravmes�orva+�n�c+rnocov[s WORH WILL BE COMP�ETED WiTH WHETHER SPEQFlED MEHFIN OR <br /> NOT TME GRANTWG OF A PEFAfIT OOES NOT PHESUTAE TO GPo'C <br /> ior �a. a — AUTHORITY lO VIOIATE OR CANCEL THE PROVISIONS OF FNv <br /> O1HEfi STqiB OR LOCAL LA1V REGULATiNG CONSTRUCTION Oii 1NE <br /> � PERFORAIANCE OF CONSiRUCTION.TNFT I AIA�OTNORIZED DY iM6 <br /> !���� �'� . — OWNER OF THIS PR�PEqTY TO PERFORhI THE WORK FOF WIIICN <br /> �1_ APPLTiAT10N'+S 1ADE AND I COMPLV WITH TME Sin1E <br /> renrr�iewiovuuo[n CONT n'Tdfl II� L� P2iRCWAND296:�OWAC <br /> CCNSi (�'j O�NIlN L �D��1k55 iElf EN UBffl � <br /> _���.��.���.1��---- X --��Yti G. IS�`��'__ <br /> PflOJECTA00RE55 �� ' <br /> PIUMBING M[CNANIGAL 4 <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> WATER CLOSET�TORETI A C–A HNOLG UNI15–HP ' <br /> B4TMTU� FORGEDAIqSVS�E'15–�TU. M EA <br /> IAVATORYpYA5M6�51N1 UNITHEl,�IP$–�f.�). !A ' <br /> SHOWER CLOTNES GRVEBS _ <br /> KIiCHCN SINS 8 DISP PENTILATION FFN _ <br /> � DISNWASHER RANGE HOOD _ <br /> "" LAl11l�RVTRAY WAT[RHEATEF — ' __ <br /> G.OiHES W�SH[R 1Y00�STOVE � _ <br /> URiN4L td[IDLFrt1EPLAGE�WO000l1RNING� _ <br /> DRiNNINGFOUNTAM FlREPLACEINSERT ' _ <br /> FLOOfi OPAIN MEnT PUldP _ <br /> �ACNFLOW PREVENTEFS G�5 PIPIIIG _ <br /> FOOFDRPINS–RAINLEADEBS BP.UU51 FAN _ <br /> SINK�SERVICE–B�R ETC 1 ___ _ <br /> SUBTOTAI Y SU�TOTAL < <br /> PEFMiT 5 PERA1li $ <br /> TOTALfEE 5 TOTALPEE 5 <br /> FOR OFFICE USE ONLY: <br /> irron*se�n�cK nunsnnea. s4tsosece rtyva�mxrmo�ca �tc rtcE�P+Ne <br /> r .��� 6 � i Ncc'yire � ._'i �� 7 �; <br /> ��scr�, �ot�n.�n veuxrsire FEES VALUATION FEE <br /> ��j �' YES NO ourtomG _ � 3t'�yJ ��.��,_' <br /> hq0�C0'S1 MJOi5i011iE5 �Krvx� qPCMUK�.vu —1 <br /> ��� °',' PWMBING ' _ <br /> SiZfIXWU'u i19E5FPM4[NSPEOD MSCMENi MECNANICAL ' <br /> � SF I �o �� �- ves r�io — -- <br /> Occur�.vcrlwo nn[w�nMneoo HeqHi�miulroN ��OItION�LPIANtNEtK _ <br /> /�( O /��J OtH[f1 <br /> NfASpN = �;J <br /> SiRi[LJ�lDINO SUHC.MnnGE �l <br /> �,vu.cor nnNs��rao� e. CITYOFEVEHETT rueucwor�Ks -�— <br /> t.I� LOCAL SPLES �� <br /> u„� �� z TAY.COOE IS 3105 iou� /-7;j7j <br />