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APPLICATIf� FOR CONSTRUCT�N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPARTMENT HEA7ING SYSTEM: U GAS J ELEGTRIC 'J__ �A—� <br /> 25 -8810 <br /> DEMOLITION �. i COMBINATION '�. BUILDING i :MECHANICAL �. '.PLUMBING . ! SIGN <br /> �ONN MAR�O�P65 CI1V 0V VIqNE <br /> /�Pq� ,r ,, ,� 9Pos7 ��A-�8'3 <br /> *cr�cr�r uu�noonEn cir tir Pr�o�+E <br /> �dA. /na�a �,�� � � ScJ <br /> �flCNIiEGiORw005IGNCR YA�LRDOPf$$ G1Y ZiP VIIONE <br /> �M <br /> GEN[flALCON1np�lOB M4R��011E55 GIfY Z�� PIIONE SiF1El�CENSE• <br /> � <br /> IAECN�C{1iPALi011 MPiU�ONF55 CIIV IIP P1qNE SiRlELICCN`E• <br /> n <br /> ir <br /> V�UiAOulGCG111BAGi0H M�hA�DqES$ CiiV I�P 19qNE 51.1LE16EN5E• <br /> CONIMLI PRICE OF WOPK <br /> �ESCRRE VIONx iHU SOIUPE FW 1RGE 111VOlVED GONtACi P[NSCY�N�PIKKIL NO <br /> �c�r v�=/�s���S' ✓�r� <br /> I HEREBY CERTIFV THAT I HAVE REAO AND EXAMINED THIS <br /> Pnaroseoascoruw�cwc APPLICATION AND KNOW THE SAME TO�E TRUE AND CnqfeCT ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING iHIS TVPE OF <br /> iEGn�o[scniviroxocvaorEnrris�rowxeE�owoannec���vrotoaiesi WOflK WILL BE COMPLETED WITH WHETNER SPEGFIED NEREIN OR <br /> NOT THE GRANTING OF A PERtd1T DOES NOT PRESOME TO GIVE <br /> ior o�oc/< �/ or AUTHORITV TO VIOLATE OR CANCEL TME PROVISIONS OF ANV <br /> ���z Z //�wC .S E OTHEF SiATE OR LOC�L LAW REGULAtING CONSTFUCiION OR TME <br /> // — PERFORhiANCE OF CONSTflUCTION.THAT I AM AUTHORIZED BY TME <br /> �I�e�GL'L OWNER OF THIS PROPERTY TO PEBFORM THE WORN FOR WHICH <br /> APPLICATION IS MADE AND 1 COh7PLV WITH THE STATE <br /> rnnet�rn*i n no�en[n CONTRACTOHS LAW IB.27 FC W AND 296200\YAC. <br /> ��.��p5-/-OZO-000/ <br /> ca+sreucrior��oerv¢Nocn nooncss.re�evea+c rvuue�e <br /> X — /U� <br /> PR JECTAUDPESS "' � <br /> LZ �,�.�,�s, _ <br /> PLUMBING MECHA[NICAL <br /> NO. TVPE OF FI%TUNE Ofi ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER"LOSET ITOILET� A�C—AHNDLG UNITS—H.P. <br /> BATHTUl3 F�RCEDAIRSVSTEMS—B.T.U. M E.A. <br /> LAVATORV�V/ASH BASIN� UNIT HEATERS—B.1U. M <br /> SHOW''.R CLOiHES DRVEPS <br /> KITCHEN SINK 8 DISP VENTILATION FAN ' <br /> —i— <br /> DISHWASHER RA!�GE HOOD <br /> LAl1NDRY TRAV WATER HEATER <br /> CLOTHES WnSHEF 6YOOD STOVE <br /> URINFL METAL FIREPLACE�WOO�BURNING) <br /> �RINKING FGUNTAIN FIREPLACE INSERT <br /> FLOOR Of7AIN HEAT Pl/MP <br /> BACKFLOW PREVENiERS G4S PIPING <br /> ROOF ORAIN$—RAINLGADERS EXHAUST FAN <br /> SINK�SEFVICE—BAR.ETC.� <br /> T <br /> SUBTOTAL 5 SUBTOTAL 4 _ <br /> PERMIT 5 —T_ PERMIT $ <br /> TOTaLFEE 5 TOTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> ! NlSfIIiAGn fiFAfl5Ci0ACM S�ESEipALM PLANG�ELMt��Cq-�� fCk PELEIPifiO <br /> O <br /> wcrrn:e iornsen vncawsrte FEES VALUATION FEE <br /> '� VES ���. NO BwlDirvG <br /> PGECICON51 HOOfSiOqIB PfWW una[rm�.ux:.T's <br /> c=a'° PWMBING <br /> S�ZEOf�LCG PIIESPNIN✓LEfliflFOD OASEMiN1 MECHANICAL <br /> VES NO <br /> OCcu�elicvLo�� ��AE�IMA�PFoo NE�GNII�wUiKKl ADOITIONPLPL1Nl.HECK <br /> Oil�[R <br /> RE�SON —�— <br /> STATE BWl01NG SURGNAFGE <br /> v�ip��,�/ PlAlIS�PPROVEOBV CITYOFEVEflETT PUBLIGWORKS II <br /> LOCRISALES <br /> �oa.E TA7(CODE IS 3105 TOTA� <br />