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QPPLICAT. )tV FOR CONSTRUC`~`ION PERIVb1T � <br /> TO 9E COMPLETED IN HLACK INK—PLEASE PRINT <br /> HEATING SYSTEM: ❑GAS ELECTRIC ❑ <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> ❑ DEMOLITION f�CJMBINATION ❑ Bli1LDING ' ' O.MECHANICAL ❑ PLUMBING _ SIGh <br /> Ow1lER MMI.ADC'1ES5 <br /> CRY DP PHONE <br /> 301�� P.�l�'n �� ��3� �1�E Pue C�ece�k 9t�o � lto6�25)-152� <br /> TENANi <br /> MNI.p00RE55 CITV 21P PHONE <br /> ARCH�TEJTOROESIGNER Util�00PE55 CITV ZIP PHONE � <br /> D5.G�-,.'y`.,�.�ne f°�1� f`�w��or. 5a . C„�rei� 9�j7S�� �206�353-(�5? � — . <br /> GhNERRLCONTAACTOR tAAILADOF1E55 CITY . ZIP PNONE SiATEUCENSEM <br /> Eiuel�ne-C�,�I��31 \ ,�p� E�e�eF� �q�01 (ZcGI �5�•25Gn 4��F L�ln��� <br /> � MECNANIC�LCONTRACTO IAAIL����E55 CITY ZIP PNONE STATEULENSEM <br /> p �pu��. (� ��3�, k 5�eueh,. °I cg25 cg 206��34-4111 �u4�t�����4�i fl <br /> PLUM GCONTPACTOR ��AlLA00RE55 GTY ZIP PHONE STA EIICENSEM <br /> I�a. )�a,.����Mb�rn, P.o.�b26 LKS�eve•.< 20� (2oc�l_33S-�i�t�C� t1p�N i V(?lnl_DN <br /> CONiflACTPRICEOFWOpH� . . , <br /> DESCN9E VWRK AND SOUAnE FOOTAGE INVOLVE� CONTACT PERSON AND PHONE NO. .. . <br /> � � F �. ��rl � S �E . - � <br /> _ � � . . . ._._. _ _.— <br /> �� L .��� I HEREOY CERTIFY THAT I HAVE READ ANLI EXAMINED THIS <br /> � PROPOSE�USEOFBUILO:NG APPLICATION AND KNOW THfi SAME TO E3E THUE AND CORRECT.ALL <br /> � 5 F R PROVISIONS OF L�WS AND ORDINANCES GOVERNING iHIS TYPE Of <br /> iEcn�oe PTIONOFPFOPERtt�SHOWYBELOVlO(iATTAC4TWOCGPIES) �°�7RK WILL BE COMPLET[D WITH WHET4Efi SPECIFIED H[AEIN OR <br /> �or � « owce -���— oF ��a� �� ����r e� � N� �T. THE GRANTING OF A PERMIT DO[S NOT PRESUME TO GNE <br /> AUTHORITY TO VIOLATE OR CANCFL 'HE PROVISIONS OF ANY <br /> � �. {�P� ,�, . OTHEfl STATE OR LOCAL LAW REGULATIKG CONSTRUCTION OR THE <br /> �� i S� n✓� ��9 PERFOFMANCE OF CQNSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PflOPERTY TO PERFOP.Id THE�WORK FOR WHICh <br /> APP,LICATION IS MADE AND I COMPLY WI7H THE STAT[ <br /> rnRce�Tnx i.o.r+uMoee ��CONTFACTORS LAW 1 "�AND 2962C0�VAC. <br /> y�R'�,- �-�-� ' o �� _v 5 <br /> CONSTPUC710N LO����ENDEH,A�DRE55,T[LEPNONE KUTAOEH i{_�� <br /> ca� �; 2a2a co\ e4 wR o � - �7- �� <br /> �-rO � SiGNAiUnE oefE <br /> PROJECT AODYHE 339-� <br /> NO ` Y ����BlI51NE55UGENSEI�O. <br /> � PLU!ABING MECHANICAL <br /> TYPE OF FIXTURE OH ITEM FEE NO. TYPE OF E�UIPMEIJT FEE <br /> - NO. , — ' <br /> WAT[fl CLOSET(TOILET) � ^ O A/C—A/HNDLG UNITS—H.P. __�_ <br /> BATHTUB ' �) FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> � � <br /> LAVATORY(WASH BASIN) i UNIT HEATERS—B.T.U. M � � <br /> --r— <br /> i CLOTHES DRYERS ' <br /> p SHOWER � <br /> ' VENTILATION FAN <br /> �_ KITCHEN SINK 8 DISP _ ' <br /> i <br /> � DISHWASHER _ � � RANGE HOOD , <br /> � WATER HEATER . <br /> LAUNDRYT^4Y � � � <br /> �_ CLOTHES W��SHER � WOOD STO��E �_. <br /> p URINAL ' METAL FIREPLACE(WOOD BURNING) � <br /> ' � FIREPLACE INSERT _,�_ <br /> � DRINKING FOUNTAIN _ ' � <br /> i HEATPUMP ' -. <br /> FLOOR DRAItd � '— � <br /> ' GAS PIPING � <br /> � BP.CKFLOW PREVEIJTERS � . � <br /> � EXHAUSTFAN ' <br /> � ROOF DRAINS—RAINLEADERS , <br /> , ' _� SINK(SERVICE—BAR,ETC.) � � <br /> i ' <br /> — i <br /> � SUBTO7AL 5 ; <br /> SUBTOTAL $ � <br /> � — PERI.�IT $ � PEFMIT S �_- <br /> TOTAL FFE $ ' TOTAL FEE 5 ' <br /> , FOR OFFICE USE ONLY: seceirTi+o. <br /> PIAt!C Efix NUMBE� FEE ^l /I�/�� <br /> FRONTSETBACN � AEARSETBACK �' SIDESETBACH � •� <br /> —�iJ �j (J3� �� — <br /> _1f�� VALUATION FEE <br /> USE20NE� IOTAFEA � �AC4NT9TE FEES <br /> L_ ^ n vEs �� No l ' <br /> � BUILDING ` Zl� �> I � <br /> 1VPEOfCOH57. ����OF iORiES O:Cun�y,y xOt��wElLrv0uxi19 . � <br /> Z cnouv PLUMBING �I ' <br /> -�� - � <br /> SREOF�LOG. FIRESPRI 'LERSIiEO'0 BASEM[t!T MECHANICAL �rD � <br /> ( <br /> . �Z S f, ❑ YES 40 ; <br /> ADDITIONAL PL4N GHECN � <br /> OCGIIPANCVLOnD FIqE4 RMRE 'D IIEIGNTL1611TATI�— . i <br /> �/A OTHf.R _ D i <br /> tiEA50N STAT[BUILDINGSURCHAFGE � � <,�7 � <br /> — <br /> INtAKF:OY PLANSAPP�O�BY CITY OF EUF.RETT PU�UC WORKS .� <br /> J LCCALSALES / � <br /> q TAX COOE IS 3t05 T�rA� (F� % ' � <br /> o,,re S/Z.3% S -- ------- -- <br />