3619 RUCKER AVE 2018-01-02 MF Import

I-3 0 H AXIx C H �HCn H LC I�H K O H 7D Ind H H O H u F4�g zH H i-3 ti cl) u5�'+ `to i y p HOCA FPOII:EVERF.T1 ➢UILD114G DEPT 7350113 t=4 141 1991 1:02PM 9275 F.02 APPLICATION FOR CONSTRUCTION PE'R llff mP twowP TO BE COMPLETED IN INK -PLEASE PRINT T Gt tt u ✓erett HEATING SYSTEM: ❑ GAS U ELECTRIC p,F1 _�_QRWKug2� BUILDING DEPARTMENT --- ---- -- L59-8810 DEMOLITION COMBINATION I I BUILDING )<MECHANICAL PLUMPING MAII ADDRFSS CITY_-- DP PHONE -- iCNAA9 MAR ADORES'. CITY SIP - - PHpN'F EVER: F=1P-E VEPT, SIGN AZWIECT On CC S!F., H !/A'L AOCRESS - CITY 21P PHCRE T%ItJt.E�( dp.�iis •�s �o.Box loos �dr G/d, �gzo� __ f.[NFNAL CONIRACIOR MLIL ADDRESS TK CITY 21P PHONE LICFuSF6 51E�RA �sT. I�-Ii5 �I E "l�l-�T. R�DND_ fb_ 319"j L+[CNM1NICALf.ONTRACTOR MAII AODFF.$5 Oil 21P CHONG LICENSE ►T^112c SYsT6M.s, .�57 .:�l .sT. �A JW 4UBU ►-360od.. ._FtKESWI v.UMNINNUCI1MOT00 MAIL AWIESS CITY 21P PHONE LICENSE LASS OF IYOHK NEW I I ADDITION I 1 ALTERATION REPAIR i ; DEMOLITION 1 1 WOODSTOVE/FRPLINSERT `I DUILDINGRELOChT10t7 - CONTACT PERSON AND PHONE NO 214. 5i ''= K►Lti: IL. CONTRACT PRA:E(N WDR. -_-.... ._ �L{6RLFf� _. 033 IZd g L•E5CHInt WORK ANU VAIAM[ 1W 1AOt P vULYtU Lg*sALI. -a [.Iv F e s rs E� t.1 ►1EI I &. -- -- :=DPo6E0 D6F O-RU In:NG I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS e� APPLICATION AND KNOW THE SAME TO BL TRUE AND CORRECT. ALL UCBC.RIPTI(Ni (X PRORr ATY E6NI-!Wt! DCLOA' OR ATTACH POUR COPIESI PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF tZ. FLAT F ID IS WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR LO 1 j ULMI, _ _ or NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF AN1 7� OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TH[ PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE: dcGiORAlf�6s Ta THE f�Ld7 711ERft�F 1 S OWNER- FOR STATL TI THIS PROPERTY TO PERFORM THE WORWITH APPLICATION IS MADE AND I COMPLY YJITH THE STATE APPLICATION CONTRALTO AW 18.27 RCeY AND 2962001':AC. Or ON J' t -_ P�� «�LI u '2 d — iIJ / LA-r 61GNATURE • � wly I 2 EcoPS'S erF S rlcy, coU._... o q 19 OIt[6 4YSTiMS 4lEe5t_ — 'n9J[GI FUUK[SY 3fo� T7 1 I��I/ � i �r FALL G IF%' G -- ACPUCA4LSCItt6l1$INF&$IICFN6ENO.N/OBV.INCGitIAMF PLUMBING MECHANICAL 40. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT ILL WATER CLOSET (TOILET) _ _ A'C—AjHNDLG UNITS—H.P. _ 1 _ ; FORCED AIR SYSTEMS—B T.U_. M E.A t BATHTUB LAVATORY (WASH BASIN) _ ' UNIT HEATERS—B__TU. M i _ _CLOTHES DRYERS _ ! ' _SHOWER KITCHEN SINK 8 DISP VENTILATION FAN DISHWASHER _ _ RANGE HOOD_ _ - is _ LAUNDRY TRAY WATER HEATER —.y— CLOTHES WASHER _ I WOOD STOVE i _ URINAL L7ETAL FIREPLACE CHIMNEY DRINKING FOUNIAIN _ I FIREPLACE INSERT ) FLOOR DRAIN HEAT PUTA-.. _ I BACKFLOW PREVENTERS GAS PIPING- gOOF DRAINS-RAINLEADERS -_ EXHAUST FAN - SINK(SERVICE-BAR, ETC.)._. -- I SUBTOTAL S SUBTOTAL S _ PERMIT S + PERI.71T $ ��_... .._ ...—_•TOTAL _._ .�• TOTAL FEE 5 FEE "OR OFFICE USE ONLY: RDNT SCTBACK I t44! t ZONE WE a CONSi. A;.TIIu Ic or of 40 - NO.Or SlpnreD i;CLIPANCV WAD rIRCSPRNKIFP: .CASCW fOR SIOC ac•TonFx ACPNYf• 147 dLYl'vII'Iy LAnL c+7.r BUILDING zyj PLUMBING •---•_ -- MECIIANICAL AOOIT70NAL'PLANCHE0K—( I 1 OTHER STATE BUILDING SURCHARGE PCCEIPT NO 4 -1 —— IIA..[nY - I PLn PN PpynBr IIYOFFVFRETT PUPLIC WORKS /(, jj r.