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m. Ewryrwn " � � T � O � � � � 't � everen � <br />�moF CuNSTRUCTION e <br />�verett PERMIT <br />DEPT. OF COMMUNITY DEVELOPMENY SERVICES <br />CI7Y HAIL 259-8715 <br />EVEttEir,wn9a'1ot ❑COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMe1NG PERMIT N4. <br />OWNER ^ � nl�ll e00NE55 ;� CIiY 21P PNONF <br />X���i�� l��fJriP t %�C+ ti`/ F'-.iCrP� �74'2�'l -iS'i' 2C�Sl� <br />�RCHIIFQ OR 0[SICNlR MAII e001LL55 ❑IY 71Y iMONE <br />G[NENAICOviXACIOR M�ILAO�NESS UtY ZIP YHONi UCFNSF� <br />X SQ INC <br />MECMANIUL CONIqACiOR Mnll �ODRE55 C11Y LIP PHONF LICENSE 1 <br />1tLLw01YG CONLPACIOR MAII n00N[55 CIiY 21P YMONE LI[ENSE / <br />C1A55 Of N'ORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAG[ ❑BUILDING RELOCATIC:N <br />VAWAi�ON O� WORK <br />f <br />OfSCPFIflI WORF <br />K T�r-eb�r,ce i�idr;^� <br />F0.0V05[0 U51 01 NWl01�G <br />IFL�L UFSCNIPiIOrv OF PROPFRiY (SNOWnN 9ElON'1�OR nItACH fOl1M COPIfS� <br />� lotJ.S_Lx1ocR�o� /�inchC'.r �c�Y� �1�, <br />�� ,+ � s {rCa o-F lo+s r�;��I <br />1 �,,, .�„ �� tl �� u, ;�% � u<<,i,-,� s„' <br />;OPA 65 <br />.7 � 6 3 y F�f �-e tl, I Uc= <br />PIUMBING <br />NO. TY�E OF FIXTURE <br />WATER CLOSET �TOLlfil <br />BATHTUB <br />tAVAT00.Y (WASH 9ASIN� <br />SHOwEft <br />KITCHEN SINK 8 DISP <br />DISWASMFR <br />LAUNDRY TRAY <br />CIOTHfS WASHFR <br />WA1ER MfATFR � <br />URINAL <br />DRINKING FOUNTAIN <br />R000. �RAIN <br />VACUUM BRFAKERS <br />ROOi DRAINS—RAINLEAOE0.5 <br />SINK �SERVICE- BAR. ETC � <br />SIOF YARD <br />S�,:F Of <br />LOT A0.f A <br />OF <br />AM�OVALS <br />1 fNVIRO��MENTAt CHECK 115T <br />1. BUILDING PL�'�5 <br />J F10.F HYDRANi <br />l FIRE PROTfCTION SYSTE�1 <br />5 GRA�INGIf%CAVATION6QFARINGGRUB9ING <br />6 �RAINAGE <br />L ENVIRONMEHTALIMPACTSTATEMENT <br />S HEALTH DISTRICT <br />APPLIUTION ACC. BY PUNS CMECKED BY <br />?7�79 <br />f <br />VACANT $ITE <br />OVES ❑NO <br />NO. OF DWFL <br />�r <br />�PPR FOR <br />�/ ` � <br />D�iF <br />BY <br />I HEREBY CERTIf�Y THAT I HAVE READ AND EICAMINED 7HI5 AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WURK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CUNSTRUCTION <br />OR THE PERFORlv1ANCE OF CONSTRUCTION. / ry/ <br />SIGNATURE OF COP�iRACTOR OR AUTHORRED ALFNT �ATE � g/(/ <br />a �� � -» - <br />MECHANIUI <br />NO. TY►E OF EQUIfMFAP iEE <br />Alft CON� UNITS—N P. EA <br />RFFRIGERA!ION UNITS—MP EA <br />601LER5—HP EA <br />LAS FI0.E0 AL. UNITS-10NNAGE EA <br />fORGE� AIR SYSTEMS—B T U M EA <br />W1lLMEATERS—Bl.U. M <br />UNIi HEATE0.5—B T U. M <br />E VAP00.ATIVE COOLf RS <br />:LOTHES �RVENS <br />VFNTILATION FAN � <br />RANGFMOOD <br />AIqHANDIINGUNIT— CFM. <br />STOVE <br />ME fAL FIRfP E 8 CHIMNEY <br />SU� iOTAI f <br />►EIIMIT f <br />PLAN CNECK NUMBER <br />BUILDING <br />PWMBING <br />fAfCHANIGL <br />O7NER <br />PENAITY <br />PLAN CXECK FEE <br />FEE RECEIPT NO. <br />VALUAiION iEE <br />s <br />7 S� <br />U.BL. <br />SEC. JON4 <br />TOTAL � I <br />H�MIi VALIDATION <br />WMEN P0.0PERLY VAlIOATED (IN TMIS SPACEI TNIS IS YOUR PERMIT <br />r� <br />�. <br />