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i ���o � ��. <br /> �NSTRIJGTION �°�� �= <br /> I@VE',r ett PERMIT PERMIT NO. _ � �4��� <br /> � <br /> i ❑ DEMOLITION ❑ COMBINATION [];BUILDING O MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OVMER M/ILAOORE55 CITY ZIP PHONE <br /> I EV[>FU3't"P Ii0US2[1C, AU'PfIOPSTY 14th & Pot?lar i�:verett !'A 9P,201 255-92:'.2 <br /> ARCHRECTOfl�ESIGNEIt MAILAODRE55 CITY 2iP PHONE <br /> DOn(� /1P.Cfi2^:Ef_'TS <br /> GENERALLONTRqCTOR MAILAD�R�55 CITV ZIP PHONE LICENSEe <br /> MECNANIC/LCONTRACTOR MAILADORE55 CITY 21P PHONE LICENSE� <br /> I <br /> IPLUMBINGCONTRAGTOR I,o,ILA00RE55 CITY 21P PMONE ULENSEw <br /> ICLASSOF\YORK <br /> IQ NEW ❑ ADDITION ❑ ALTEHATION � REPAIR ❑ DEMOLITION ❑ 6UILDI�G RELOCATION <br /> VALl1ATION Of WORK <br /> 5 xKK�X�RftxL{H� ��[j"/� QC� <br /> I OESCR�BE WORK <br /> Construct single story caood frame �uilding <br /> NEATSOUNCE <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PROPOSED lISE OF 6UILDING <br /> Adult Residential 2el;�il�ilitation Ctr I HEReBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> IAPPLICATIOIJ AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL�ESCRIPTIONOFPqOPERTY�SHOWBELOWORAiTqCNFOURCOPIESI CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> I �or._e�ocK _ oF GOVERNING THIS " /PE OF WORK WILL BE COMPLfED WITH <br /> Seg at_ the N[•: cor of SP? 1/4 idFl 1/�3 CIC 1/4 WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> c�. _� _ t, v - o� " o �o ' VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> i th h1 230 ft. STATE OF LOCAL LAW REGUL.ATING CONSTRUCTION OR <br /> i <br /> THE PERFORMANCE OF CON TRUCTION. <br /> iJODADURE55 SIGNAi - � ONTRACTOq�AUTi R E AG�,AT.OROWNER OATE <br /> I y /- 5- 87 <br /> �1 ' ' 'n .3 X � �G�.i <br /> PLUMBING MECHANICAL <br /> .II NO. TVPE OF FIRTURE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> I WATER CLOSET(TOILET� A/C—AMNDLG UNITS—HP. <br /> BATHTUB REFRIGERATION UNITS—HP.EA. <br /> � LAVATORV�WASHBASIN� BOILLRS—BT.UMP. <br /> SHOWEF GAS PIRED A�G UNITS—B.T.U. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTE�dS—BS.U. M EA� <br /> -I DISHWASHER WALLHEATERS—B.T.U. M <br /> LAUNDRYTRAY UNITHEATERS—BS.U. M <br /> CLOTHES WASHEF EVAPORATIVE COOLERS <br /> I� UFINAL CLOTHES�RVERS <br /> I DRINKI4G FOUNTAIN VENTILATION FAN <br /> FLOOR DRAIN RANGE HOOD <br /> BACNFLOW PREVENTERS WATER HEATEB � <br /> �I FOOFDRAINS—RAINLEADERS WOODSTOVE <br /> � SINK(SERVICE—BAR,ETCJ METAL FIREPLACE 8 CHIMNEY <br /> FIREPLACEINSERT <br /> HEAT PUMP <br /> � GAS PIPING <br /> EXHAUSTFAN <br /> SUBTOTA� S SUBTOTAL <br /> _ PEflM1T 5 PERMIT Sl <br /> TOTALFEE 5 TOTALFEE <br /> FliONT SETBACK aEnn SETBncK SIOE SETORCN PLAN CHECK NUMBER FEE RECEIPT NO. <br /> 101 7�t <br /> �' ��/17�i�; 1i32.30 '333G.` <br /> I� USE ZONE LOT AREA VACANT S�TE ' <br /> I ' P.-q d3,700 sE ❑�Es QNo FEES VALUATION FEE <br /> TVPEOFCONST OCCUPANCYGROUP NOOFDWELLiNGUNIT$ BUILDING S � QV ( p <br /> �Ji1. �J <br /> ��—i,t P.jYrII')�"'� / PLUMBING '1� ' , _, " . .. . . . <br /> SIZE OF BL�G NO OF STORiES MA% OCC LOAD <br /> 6072 Sf 1 73 MECHANICAL �i i' <br /> �II�II INVESTIGATION FEE � Ser..304�0) _.. <br /> FIRE SPRINKL[RS REOUIREO ❑YES ❑NO , , . ,....— <br /> '� S7ATE BUILDING SURCHARGE . � v�� <br /> S7A7E ENERGV SURCHARGE �_. -�,t-`s <br /> APPLIC4TION ACC.�Y FIAN$CMEfKED BY APPR FOR ISSIIANGE DY � �J GO <br /> DRIVEWAV PERMIT <br /> TOTAL �� � ]. f��; i� <br /> sq jei lc ' ' . ., 7 . .0 <br /> PEPMITVALIDATION -""�' " ' �" <br /> III <br /> WHEN PROPEliLY VALIDA7ED pN THIS SPACE)THIS IS VOUR PERMIT <br /> e. , <br /> 5;_pnratc �,lt;r�6ir,;; rnd .„c��a:�.'�^n1 L�erni.ts <br /> � ��n _ _ .,. _�i_!�_� . .� <br /> ��. ., <br /> AI'FLICANT'S COP1' <br />