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,�a EYe,,�,� .. P P LI CAT I� iV FO 1 everetl <br />°�TM°F CONSTRUCT�ON � <br />�ver�t� PE R1�1IT <br />DFP1 OF fGMntUNITY DEVELOPMENT SERVICES <br />CITti HALi 259-G745 <br />evtHEii.wnve2oi ��OMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />�������R MAII ApDXIR ❑LY ZIP PMOHE <br />' __/i � .��_.��/c i�✓ .S � � ? y. �rff-.-%dr= �c/� �lir i?�`Ti %.�='-o<< . i :".j _ c; i 9S' <br />ARCIIILIf10RGf51f,NIV MMlA00RI5S CILY ZIp PHONE <br />, Llrv[X�l CON�VeC�ON MAII AODRlSS UIY ZIP PNONF :I[[NSE / <br />�S !_ L (� <br />NfC111N�CAl C0.11NACtG0. MUl AOORlSS CIIY CIP PNON[ IICENS[ 1 <br />PII'�IONCCONip�CfO:: n1AllADON155 fltY <br />l I��� Of 1\ORK �� �'.� 1z `JLy �_ % <br />' ❑NEN' .�SQADUITIOI� ❑ALTERATION <br />�.ionnmoi�ror� , <br />+ .�000 <br />I11�CN1111 NORA <br />� i� i� %� v �c-_ : <br />rroroun vst ur nmimac <br />^IIONF <br />❑REFAIR CDEMOLITION ❑FfNCE ❑SIGN ❑GARAGE ❑BUILDINGRELOCATION <br />�. �tL�lUlsc0.�rnoNolrqpPtRM1�SMON'NFEIOwoaeltnculOuucOrRsl <br />ioi S xiocr:__ov �Lct/r r� i7 C7 <br />It�N U)pP155 <br />° �S? <br />PLUMBING <br />NO. TYPE OF FI%TURE <br />K'ATER ClO5E11TOLIETI <br />E1ATMiUO <br />U\'AiOR11K'ASH HASIN) <br />SHOWER <br />KI7CHEN $INA h DISP <br />UIP�'n51iF R <br />UUNDRI' iNAY . <br />CLOiHCS WnSHfft <br />WAIER MEA7fR ' <br />UN�NqL <br />DRIrvAING fOU��TAIN <br />f LOON ORAIN <br />VACUU'd 9REAKERS <br />NOOf URAINS—RAINLfADFRS <br />SINK �SE RVI( f—OAR F iC 1 <br />� i It' <br />� ,.�� �� �Lv ` <br />USF ZO"+F <br />iYP(� � <br />SIZE Of( HLDC <br />��O X Z Z � <br />FIRE ZO"+[ <br />3 <br />FEE <br />I HER&6Y CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME f0 EE 'i RUE AND CORRECT ALL <br />PRO\'ISIONS OF LAWS AtJD ORDINANCES COVERNING THIS TYPE <br />OF N'ORI< WILL �E COMPLIED W�TH WHETHER SPECIFIED HEREIN <br />OR NOT. THF GRANTING OF A PERMIT DOES NOT PRESUME TO <br />G�VE AUTHORITY TO VIOLATE OR CANCEL THE PHOVISIONS OF <br />�NY OTHER ST�TE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE Of CONSTRUCTION. <br />SIGNATUHqE OF fONTRAC70R OR AUTMORIZED AGENT DATE <br />: /' !� <br />NO. 7YPE OF EQUIPMENT <br />niHco�o ur+iTs—�ir cn <br />RElNIG[RATION UNRS—M P E� <br />f101LFHS—H P EA <br />CASFBEL.IC UNITS—TO"':JAfFk�� <br />fOHCfDA'%:�Y)lk�:�—BTU M <br />WALI'ifA:(RS—l7TU M <br />UMiMiATERS—OTU M <br />N'nPORAIrvE COOLFRS <br />SUBTOTAL <br />�FIIMIT S <br />TOTAL Ff[ S <br />K I S1Rff7 SCTBACK RUR VARD SEiOAIK PUN CH <br />LO7 ARFA <br />OCNP`AN'CY GROUP <br />�l � ( <br />NO OFSTORI6 <br />VACAN� Sllf <br />nr[s G.sl� <br />NO OF DWFLUNG VNI <br />MAX OCC LOAD <br />OAS[MENT IiIUftOUMS HNtfYNIN <br />� REQUIRiD <br />f]Y(5 �`F <br />APPROVALS BY <br />7 (NVIRONMENTAL CMfCK UST <br />1 BUI:DINC PlANS <br />) FIR[ HYONAPIi <br />C FIRE PROT[CTIO'� SYSTEAI <br />i CNADING4%CA!�n!IONRQURINGICRUNflINt; <br />6 ORAINACF <br />7 E��VIRONM[NUIIMPACT57MfMENI <br />8 MULTN DISTRIC7 <br />1r'PI Iln11Urv nLL u� <br />DATE <br />PV.vS CH[CKFD BY I AVPR fOF 65UANCF NY <br />VENiIUiION MN <br />RANCFMOOD <br />AIR HANDLINC UNIT— <br />SIOVk <br />MFTAI FlHEPUCE 6 CI <br />�SC�% 3 � 8' <br />fEES <br />BUIIDWC <br />rwMniNc <br />MFCMAMUL <br />OTHfR <br />PFNAUY <br />CFM <br />VENMIT <br />3 <br />FEE <br />fEE /� � RECEIPT NO <br />VALUATION �fl <br />s �OOd 1�� <br />UBC <br />SEC )O)(a� . <br />TOTAL I I <br />PERMIT VALIDATION <br />WMEN PROPEBLY VALIOAT[D pN THI$ SPACF) TNIS IS YOUR PERMIT <br />l� <br />