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. �:;� : ,t,�.,���.,, � CONS i r�����'14N � ''', . <br /> �V����� �������� PERMIT NO. �Jl���� ��' ��� <br /> ���,� �a����;s�s-<� <br /> !vp�Etr e�n et>,��� u �OMBINATIUN �J BUILDING � 1 MECHANICAL Ll PLUMBING <br /> � .:a�;� e,.,, <u��-.:.i., -- c.a, zu� ,,, .. <br /> c. a. so�r.a_soN sa2isxoxe_avE. _. _ �Ga..s4ss--_--- <br /> ..�.,rniCCi Oq DCSi�r:ta vcii pi:;J:i:,, Cltt ZiG t'�ci�.i <br /> ..�'.LPnI CC:1PPGiOR MMLAGDRESS Crv ZIP i���..•.l uLi�. � • <br /> F <br /> .;U�nYiLn��ANinAC�ON MAILApDRE55 CIT� ZiP PHONE liCc.'�� � <br /> I�JUpINGCONi9ACTOR L�AILADDRE55 LI`V ZIP PHOIJE UCLh'.'. <br /> �55 OF WOAK <br /> LxNE\Y ❑ADDITION ❑PLTEqAT10N ❑PEPAIR ❑DEUCLITION ❑FENCE ❑SIGN ❑GARAGE <br /> v%�WF1iONOf WC�K <br /> 5 <br /> + I���[fRiRi.WOHK _—__ <br /> INSTAT T Ff'. _ <br /> ��iroro=_m usc or Auno.ur, <br /> I I IEREEY CERTIFY THAT I HAVE READ ANU EXAMINED THIS AP� <br /> i�anioixaivnoi�a ���:.��e�.:�„s�o;.mr:..��.,,-ne��c..�-vvns, ?LICATION AND KNOW THE SAMETO BE TRUE AIJ� CORR[GT <br /> ALL PROVISIGNS OF LAWS APJD ORDINANCES GOVERNIN a 1 HIS <br /> �cr y�ocrc_or T WORK WILL BE COMPLIED VJITH WHETHER SPECIRLG <br /> �REI�J R NOT. THE GRANTING OF A PEI�MIT DOES NGi <br /> PF[SUME 0 GIVE AUTHORITY TO VIOLATE OR CANCEL THE PR�� <br /> — � V'i,ilONS O- ANY OTHER STATE OR LOCAL LAW REGUI.AiI�;G <br /> CnNSiRU .TlO PERFORMANC CONSTRUC�,G�s <br /> •. � �I.�1 I(` i-�' ORl%��.'J� S�IZL AGV� I�'.1! <br /> . . .� 3821 SHORG AVB. � X - '"t <! - ` � Cp� 8 31 79 <br /> PLUMBING MAN� <br /> NO. TYPE OF FIXTURE OR ITEM FEE M0. TYPE OF EOUIPMENT FEE <br /> �vniewaostrnon.En n�r,cctiu uwrs--Fir en � _— <br /> [iATH7UE± HLfRIGERATION UNITS—H p.EA _' <br /> LAVATORV IW45f1 6A$INI L101L[RS—H fl EA _ <br /> SHUW[R GASIIREOAC UNITS—TONNAGEEA <br /> K1ICHEN�INK B DISP. FO��CGD AIR SYS7F.M5—�T U. M[A. �_ <br /> DISHINP>rER WALLHE.AiERF—B.iU TA _ <br /> �AUNDPV T(iAV _ UNIi H[AiE�S -�T U �A <br /> CLOTHLu WASN[R LVAPOPAiIVECOOL[RS _ _ <br /> lh'AT6R HEATER CLOiHES DFYERS .__ <br /> URINAL VE�ITILATION FAN _ <br /> OfiINKING FOUMAIN RANGf.HOOD . <br /> F�pOfi DfiARJ AIP HANDLING UNI7 — C P M <br /> VACUUld BPEANCRS S10VC <br /> flOOF UHAINS— RAINLEADERS hiFTAL FIR[PLACE ft CHIMNEY <br /> SINK�SERVICE—6AR.ETC! -. <br /> Sl1B TOTAL SU9 TOTAL S _ �p_ <br /> PERMIT S PERMIT f �Q_ <br /> TOtAL FEE f TOTALFEE S � <br /> SIDE VARD SEt�AGK SiRC67 SFTl3ACK R6AN VARp SE3ACK PLf�N CHEGK NUTA�ER �LAN CNECK�LI' <br /> F[E i'LCUP7 NO <br /> USE ZONE l07 ePEA VACAIJT SITE <br /> �!yE5 '�_.NO FEES VALUATION FEE <br /> 7VPE OF CON57. OCCUPAi:CY G90UP NO.OF DWE�UNG UNITS <br /> BUILOING 5 <br /> gIZE OF BLOG. NO.Of STORIES NdX.OCC.LOAJ -- <br /> PLUMBING <br /> FIHL<JNL BASEMEM FIRE SPRINKLERS <br /> RWUIRED MECHANICAL B 00 <br /> '.'YES :'NO - -- <br /> APPflOVALS BY UATE OTHEF <br /> t ENVIROIJMENTAL CHECK LIST � p���F��y V BC. <br /> SEG 307�a� <br /> :: Ol1IL�ING PLAMS -- <br /> - TOTAL . 8 OC <br /> 9. FIRE HyDFANT _ <br /> a FIRE PROTCCTION SVSTEId PERMIT VAUOATION <br /> - WH[h nHOP[P�Y VALIbAI W IIfJ THIS SVf.GL�iHIS 151'OUfi PERMIT <br /> 5 GRADING � �(�C� ��� g.� � �,'_� <br /> 6 �RAINAG[ :'�J <br /> i ENVIRONMENTAL IMPACT STATEMENT p p �'� <br /> N HEALTH OISTPICT ____ �� �J��'J� 1A������- � <br /> APFLIGATIONACCl3V FLANSGHLCNED�Y APFRI�ORiS;Uldnlli�� ��,�•����J ���^; I� <br /> h <br /> --- --- - - -- � ,, , 79 <br /> � ,:�„ <br />