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_ � <br /> pPPLICATION FOR ���,�„ <br /> "TM�F°'"" �ONSTRUCTIOf� e <br /> evPrett PERMIT <br /> DEPi OF COMMUNITY DEVELOPMENT SERVICES <br /> CITY HALL 259-8745 <br /> EVEaEii. wnse2ot ��OMSINATION ❑ BUILDING � MECHANICAL ❑PLUMBING PERMIT NO. _ <br /> µ.�;ia mnu noox�ss an� zir vrwr+[ ' <br /> Lar� G.�;�p�.e� &olo �y+� Dr S E F,.� +� l..>a 4s�aov 3y7-.2S31 <br /> AXCIIItICIOft�fSlf,tifH NAllAOpNESS CIiY ]IP P10 f <br /> \.Gf Nf NAl CO41 NAQOR <br /> MAII A�DPf55 CIiY ZIP PNON[ LKEM1SE/ <br /> /\ <br /> O����� ��� l P PHONF IICFNSE Y <br /> nIfQ1AnIUlC051NAC10N M�ILnD�RFSS <br /> 1`Il'��IIIhG COviXAftOR <br /> MAII ADOR65 ❑�V LP PNON[ ��CENSE I - <br /> � <br /> CUSS O�NORK <br /> NE\Y ❑ADCiITION ❑ALTERATION CIREPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑6UILDING REIOCATION <br /> \'�IJA11pti OI \10RN <br /> f <br /> �DISCH�IIf WO0.K <br /> � � Firt � CC I"t— <br /> htuovas�ouu oi xonuvc I HER:BY CERT�FY THAT I HAVE READ AND EXAMINED THIS AP• <br /> • e�� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> uui ntsceivnovoi vaorterrisnoKvxuowoe nnnonouacovnsi PROVISIONS OF LAWS AND ORDINANCE$ GOVERNING THI$TYPE <br /> OF WORK WILL DE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> iu� _nioc�_or OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLAT� OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> � OR THE PERFORMANCE OF CONSTRUCTiON. <br /> SIGNATURE OF CON7RACTOR OR AUiHORIZED AGENT � DATE <br /> �' - <br /> ioneonuiss � / 8 <br /> y+� S �r �F x <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF F�%TURE FEE NO. TYPE OF EQUIPMENT FEE <br /> wnTFRClOSET�TOLiFT1 ABCOND UURS-HP E4 <br /> 9A7H1U9 REFRILFRA710N UNRS �MP EA <br /> LA\'ATpFY(WASM flA51N� 801LER5-H P EA <br /> $MOWFN CA$fIRFD AC UNITS-TONNAGE EA <br /> KIICHLN$INK 6 DISP FORCED AIN$VSTEM$-B T U M EA <br /> 76WASHfR WALLHFATERS-Bi.0 M <br /> ' UUNDHY TNAY lN1T HkATEHS-U T U M <br /> CLO1Hf5\VASHER kVAPORATIVF COOLENS <br /> WA7ER HEATER CIOTMES DHYERS <br /> URINAL VENTIUTION FAN <br /> DNINKINC FOU:'.TAIN RANGE MOOD <br /> fIOOR DRAIN AIR HAN�LING UNIT- C.F M. <br /> VAf UUM ORCAKkNS STOVE <br /> ROOf DRAINS-RAINLEADENS METAL FlBEPUCE 6 CMIMNEY <br /> SINK�SFHVICF-NAR FTC 1 r` � <br /> j SU!TOTAL SU!70TAL f �� <br /> �ERMIT 3 PERMIT 3 U OJ <br /> TOTAI FFF S TOTAL fEE f <br /> $I�F VAND$CTOACK STRE[T SCTfl��K RUR YARU$EIflACK PLAN CM[CK NVMp[F PLAN CMECK FEE <br /> FEF RECEIPT NO. <br /> USF ZONE LOT ARU y�CANI SITE {FES VAWA710N fEE <br /> ❑YES ❑NO <br /> iYP[ Of CONSi OCCUPANCY GNOUP NO OF DWELIING UNRS <br />� HUILOIYG s <br />' $IZE O� tlIDC NO Oi STORIES MA% OCC LOAD <br />' PLUMOING <br />� FINI ZON[ BASEMENT �{���H��U��S KEQUBFIDNKLENS MLCMANIUI �J D <br />, I f7YF5 ❑NO <br /> `_ A�PIIOVAlS !Y D�iE OTHFR <br /> 1 ENVIRONMENTAL CMCCN UST pENALTY UB.C. <br /> SEC ION+I <br />� 7. 9UILDINC PlANS <br /> TO7AL /� � <br /> 7 fIF[ HYDHANT <br /> � FIRE PROTFCTION SYSTEM �fI1MIT VALIDATION <br />� WHEN PHOPENL7 VALI�ATED�iN THIS$PACE)THIS IS YOUR PERMIT <br />� 5 GRAOINGIk%UVATION6ClFARINLIGRUUXING <br /> I_ <br /> 6 ORAINAGE <br /> I 7. FNVIRONMENUIIMPACTSTATEMENT <br /> B NEALTH DISTRIC7 <br /> APPLICATION ACC 8Y PUNS CMEIXED BY APPR. f00.ISSUANCE BY <br /> 1 <br /> 9-i�79 <br />