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� <br /> ' ���.Ew;..� ^�APPLICATION Ff-'R <br /> Ci7YOF , CONPERMITTION - , `°e�'�`" �' <br /> �verett � <br /> BUILDING DEPT. TO 6E COMPLETED IN BLACK INK- PI,EAS[PRINT ` <br /> 259•8745 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN ' <br /> OWNEi: , M41L�DOPE55 ���y <br /> ZiP PIIpNC <br /> ii % , _ 1 <br /> �_' 41L!''tY �J?. �l j .'I ._. �� ��, �i�> S <br /> A�.CMIIECIONpESIGNEF MFIL�DORESS CIiV piy p������ -- � <br /> __ �'1 <br /> ...L:^^.'_�ii'_: i%� '� .�K'i��,.i1. . ?:�.t� .. - <br /> cer�eaetwrnnncwn --� •.--�',(i�' j <br /> MAI 40UPE55 CiTv llP 191Uf1[ Uf,RL:[� t <br /> r �^ A_�-. , 7, ;�� 9 /,!/�r�r/ •a. �_� ,.�v� � S7i"/ '3k-?ll `/ 1 <br /> /.:°/. <br /> IAELIi�NiCAI CONTR�CiOR �` M�R�DOHE55 C�rv ZiP PnON[ �,/�. l j,i�f�IS' � <br /> �T� '/� (. 'L ��7�X 3 <br /> PlU1dBIN4CONrt1aC1UH Mn�LAODHE�S Clrv LC P��nryl: lif,f�lyr• <br /> � <br /> CiASSG�WpNfl oy '. <br /> ❑ NEW ❑ ADDITION ❑ AITERATION ❑ REPAIR .E7 DEMOLII�ION ❑ WOOpSTUVE/FRFI.,INSERT BUI��_OCATIUN ? <br /> �4 W iION�)�W pqH�COST Of MA1EpIqLS PW 5�ABOPI � <br /> /� �.0 <br /> 7nv D6O. <br /> o.scnie-eHonK-7 - <br /> r� �� , � , -� {- <br /> ��� �4_41L1.tS_7��r �.a./C'u9/ /i^ Hi'U.� s / r/�Y] � <br /> USE O�BUiICiNG } <br /> ��� ;��/rH �f I HEREBY CER7IFY THAT I HAVE REAU AND FXAh11ME� THIS.4P� � <br /> PLICATION AND KNOW THE SAMt 708E THUE AND CCRRECT.ALL <br /> tEG�LDESCNP��ONOFPpOPERtY�SHOWN3ELOWOR�iIA�HfOURCOPoE51 PROVISIONSOFLAWSANDORDINANCESGOVERNINGlHISTYPE <br /> ior__o;or,K_pr OF WORK VJILL BE COMPLETED WITH WNETHER SPECIFlED HERE- <br /> IN OR NOT.THE GRANTING OFA PERMIT DOES NOT PRESUME TO ' <br /> r T S 1 � `��J� �y k 1/� � � GIVE AUTHORIiY TO VIOLATE OR CANCGL THE PROVISIONS OF � <br /> � „ ANYOTHFRSTA�EORLOCALLAWREGULATINGCONSTRUCI'ION <br /> J�� �''�' ' OR THE PERFORMANCE OF CONSiRUCTION. + <br /> /"�1/�r /�I � )� 1�.-1- ��•q�/r�(�� SIGNAiUREOFCONiRAC10RONApIHOPqEDAGCIJi p47E � <br /> Q,��� � <br /> X , � -� ` --�1 l- ?-s- -�-_5- ; <br /> rao,iECTanni�ess �^o�K;qprSCnvnUSn�[:�.3uce r : r- - — <br /> l� � - <br /> — _ i <br /> PLUM6ING _ MECHANICAI ., <br /> NO. TYiE OF FIXTURE i FEE NQ. � � i <br /> _ � - TVPE OF EOUIPMENT FEE <br /> — .'__'_._ _�__'- _____ ' <br /> WATEPCLOSET;TOILET) �,. - -"----- --- � <br /> ---- AI .,p40 UNITS-H.P. EA. <br /> '_'�___._'______-___ .-- • <br /> . __'_'.__'_...""_'_' 1. <br /> � H U REfRIGEqA(IONUNIIS-HP E4. � <br /> -'__"__-_' _...-____'-__'__ � <br /> LAVPTURV�WASHBASINI . _._____.. ___ ' ' <br /> _' <br /> - --- �JILEFI�-H.F.EA. . <br /> _ —_'___-_ ___-_ <br /> . _.. . . _.' ' <br /> _ IpYlER �iAS FlRFD AA UNIiS_lONH4GE EA. � � <br /> _ '_" __ _-""'_ ._ _ .__ . <br /> ftllCHEN SINKS DISP. FOHCED AIR$YSfE�dS-9.T.U. td EA I � ' <br /> _ ' — - __.__ '___--'...___..4 .__._'_"___ <br /> _ DISHWASHER WALLHEATERS=B.TU. A1 � <br /> _ LAUNDRYTRAV _ —�� UNIT11eAlERS-BTU_ M -_�'�--'-.._..- Y"-- "----'--- - � <br /> CLOfHES WASMER _ EVAFliFl�VIVE COOLEliS ! <br /> WA1EP HEAiER '--'--_-'_' '�__'_"". _i_- . <br /> � <br /> - CLOTNES�RYEqS : <br /> _—._""'__'_'_'___' .'_ _ '_._._. <br /> URINAL VCNTILA�IpN FAN : <br /> -.— _-' —'—'_'_________'-"_'___-'_ " '_"__'_ ` <br /> __' DR�NKING FOI�NTAIN RANGC IIUOO ' ..- "-"' t <br /> _ _.'__ __ _..� <br /> _.__ <br /> FLOOR DRAIN AIF NANOUNG UMIT- Q('.M. <br /> .__ _'__ _ — .__ ' _— i_ ___ <br /> —_ __" _' � ' ___ : <br /> VACUUM BfFAKERS SiOVE � <br /> __ --'_ "".�___— <br /> _'_ _ .— <br /> ___ flOOF�PAILS-RAINLEADERS �Hr7ALFIRCIf:iCcBCHIHHEI � � -- .. .- <br /> —' SINYISERVICE-BAF.ETC�1 _ ---" — - WppUStOVE fIP�_F-IA- F n� FNI - � f - _ I .. <br /> ---- -- --- - ---_-- --- _ -- _----=-_ _ :-.- . - 1 _ .. _ 4 _ . <br /> ----#-=------------ 1 - - � _ <br /> SUB T0TI1L ____ SUB TUTAL � S� <br /> ' _ _ _'_ ' __'_ '." . <br /> ___ ' <br /> _ PERINIT S PEflM17 � 5 i � <br /> __' __ . __'— — ___ ..__'- <br /> __ __ . <br /> TOTALFEE y _ - -� � -- �-- � ' - <br /> '.—' _ — <br /> _' _'_'_ _-'___'__'—____-_'__- _ .rEE______ .. _ . .s_.'_.. . . . . .. .. <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> P�L'�rvfSEtqa�K REARS[iB4CN SiOESEIB4CN cLPNG�fC��'°f❑ � '-- l —'-- �flel� ni •f � . . . .--�- <br /> G� /, S —/� I�ri� J �1s � ��:�in�, � � � <br /> USEIOt�F IOiPREA � /1 - � __ �"___' 'E �_,2 _ _ 4 �1 <br /> 5 , <br /> V4CAllf lRE y ' — 4� � " <br /> _._. <br /> IJY[5 [llip �EES VAIU�TiON �-tF. <br /> ._. '____"_ . _ -_____ I..__. <br /> *'/�'F.OF CON51 OCCUMNCY GPOUP NO O(OVIEIIING UNIfS I <br /> ____"___ "'�_'_ _ ' ' . _.__ _ . . .. <br /> _ BWLDtNII _----_I5 . I" I . <br /> I! S'.:F Of Pi Ul: NO 0� St0lilES MAa UCC I.OA� __._'____ j. --- .-.-,-. .1_ . <br /> .- __... ..._._ . __ . <br /> �•i ue.iewu <br /> � <br /> ---- ----------------_.. . . ._� ._.. ._ .._ .: . . <br /> _.. <br /> MLG�AryI(AL <br /> PIRE SPRINKLERS REOUIREQ c71'ES ❑ NO -----"-�----- ---.-------. . _ . . . __ <br /> .__"' _ __ ' ' ._. <br /> Of11FR � <br /> _ '—__ . ' �__. ______ "_ . _._ ._ . . ....__ _ <br /> PCNnUY � <br /> �P�91CF��Nl61.�; B1 4�UNSGIIfCMLOHY APPfi I(:RIStiUPYC[B'• � <br /> ` _ "__._._ _____' —__... . _ <br /> TOTAL .1-.._ . .. . . . <br /> ._'_'__'__.____'_ '_'—_"_____.._I. . . ._.... ..._ . _ . � . _. . <br /> i <br /> ..�ilirif_. <br />