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APPLICATIarI FOR CONSTRUCT�JN PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> HEATING 5"STEM: ❑GAS [J ELECTRIC U <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> � ' DEMOLITION COMBINATION �BUILDING MECHANICAL PLUMBING SIGN <br /> pWryEN MRIlA0UPE55 CIfV IIP YNONE <br /> ,z'.vn, r'.lr. iiat��si.✓ Y9r�' z�d eG�w, E�«<d fYso3 3s�v-o7a8 <br /> iENLNI M�IL�DDHE55 LIiY Z�P �IIONE <br /> ARp111ECTOR0E51GHEB YAIt�DDRF55 GIY 21C PN04E <br /> GEN[PALCONiB�CLOF MNlA0�1iE55 LIiY ZIP PNONE SLQELIC[NSE• <br /> p w,ve.0 <br /> MELH�NiCALCONIR1CTOfl 4Alt��I1flE55 CItY ZiP P�qNE SiNEIICENSE• <br /> PLUA��INGCONiIUCiOP MAIlADD11E55 CIIY 21P ✓IIO�IE $iA1CLiCENSL• <br /> CUSSOF WOUM <br /> NEW � ADDITION ALTERATION x REPAIR OEMOLITION WOODSTOVE/FqPL INSERT BUILDING RELOCATION <br /> � CON1hCiPEF50NN1pPNONENC <br /> cp+*n�crvn�ceorwonK.�r/_� ,GO�� 1A� /�r/r.l�o� 35�6'�m7YY <br /> OESCPiBE WORN AN�SOURFE fCOiRG(.INVOLVE� <br /> ,toof' Nnc 3zao ,(/ aE <-, <br /> Paoaoseous6aouaowe I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> �'��- APPLICATION ANO KNOW THE SAME TO BE iRUF.AND CORPBCT.ALL <br /> �eee�oev'niv*ioeorraoPenrv�s�owrv�eiowoeeirecHrauncoP�es� PROVISIONSOF�AWSANDORDINPNCESGOVERNINGTNISTVPEOF <br /> WORK WILL BE COMPLETED WITH WHETHER SPEGFIED HEREIN OR <br /> �or e�ocK ov NOL THE GRANTING OF A PERMIT DOES NDT PRESUME TO GIVE <br /> AUTHORIiY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHEH STATE OR LOCAL LAW flEGULATING CONSTRUCTION OR THE <br /> -- PERFORMANCE OF CONSTFUCTION.THAT I AIA AUTHORIZED BY THE <br /> OWNER OF iHl$PROPEfliV TO PERFORh7 THE WORK FOR WHICH <br /> — APPLICATION IS MADE AND I COtdVLY WITH THE STATE <br /> CONTRACTORS LAW IB27 RG W A�lD 2b6200 WAG. <br /> y9iy 13.e✓ .sLc Cv. E�.s�N, .,�.f 9rsol %,... , � ��{�--- /i�Z <br /> rnaec*.00ness ` " <br /> �uecxo <br /> PLIIMB�NO MECMANICAL <br /> NO. TYPE OF FII(TUPE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WPTER CLOSET�TOILET� A'C—A�HNOLG UNITS—HP. <br /> BATHTUB PORCEDAIRSYSTEMS—B.TU. M E.A. <br /> LAVATORY�WPSHBASIW UNITHEATERS—B.T.U. M <br /> SHOWER CLOTNESDRYERS <br /> KITCHEN SINK 8 DISP VENTILATION FAN : <br /> OISHWASNER RANGE HOOD —�— <br /> LAUNORVTRAV WAfERHEATER <br /> CLOTHES WASHER WOOD STOVE <br /> LIRINAL METAL FIREPLACE B CHIMNEY <br /> DRINNING FCUNTAIN FIREPLACE INSEFT _ <br /> FLOOH DRAIN HEPT PUMP <br /> BACNFLOW PREVENTERS GAS PIPING <br /> ROOF DRAINS—RAINLEADF.RS EXHAUST FAN <br /> SINK(SERVICE—BAR,ETC.� <br /> SUBTOTAL 5 SUBTOiPL 5 <br /> PEflMIT S PERMIT 5 <br /> TOTAL FEE 5 TOTAL FEE 5 <br /> FOR OFFICE USE ONLY: � <br /> FPON'SEl9RCN RE�HSF101CN SIOESEiBACN PLANCN C6NI1M ER fEE N[L[iPtNO <br /> 70 <br /> useza�e �ornn[n vecaN*snc FEES VALURTION FEE <br /> � <br /> BUIL�ING y �� <br /> lYP[GILGYR4lOHABIF lYG{OICONSIBCIWI Otfv*uuv nOdprvhb'�[untt <br /> �°°'° PWMBING <br /> SRE W BLOG NO OF S1pPi[S OAS[MENi MECHANICAI <br /> CCWVNICYIO�D fIPESPPNKt[OSPEO� NEIGNTUM�UiICN AD�ITIONPLPLANCMECK <br /> SPPINKLER <br /> flFALp!FOF S�PINNLEPS � <br /> STFTE BUILDMG SUFGHAPGE y �S/"J <br /> 'LAGEBI �'IANSAPI'IiWED9V CITYOFEVEflfR PUBIIGWOflN$ <br /> LOCALS�LES <br /> TAl(COUE IS 3105 TOT11L ��� ;S d <br />