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tn� Ew�p�M�� <br />trtv or <br />e�P��ett <br />A�PLI�ATIOh�J F�R <br />CONSTRU�:TION <br />PERMIT <br />TU I1E CPMPI.CT[D IN BI.aCK INK - Pl EASE PRINT <br />r•, rnn <br />�' <br />BUILDING DEPT. <br />259•8745 ❑ COMHINATION ❑ BUlLDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN— <br />�wr��a u.0 �unmsti on nr n�nr�t , <br />-,;:i / K ' S�' , ��'i'.i�t' -`'�,v ,; ; �� yriti S � , � l3-v_3/_, <br />/�(�ICJ �Jnsr 1 ��, _� � ---- - <br />♦RLrItIECIORDf91pNfN ueItAUO.li.ss LIIY LII' wiUNE <br />C�Iv !IP OMGNE I�GENSE • <br />fil Nf <br />MIV��NiLeLCUmnno�on -__..___.-__ <br />PWMBMGCONtR�C10N IA�ILIOOHE'+ti C�IY !�� VnONE LCENSf� <br />C,L.,�(S'SOf WOPM <br />W NEW ❑ �DDITION ❑ �!.TERATION <br />Y�L�I�. JII Of WONRIjn51 pi M�If PNlS Pl U91 �flf.Pl <br />- - sF <br />em�oi�c <br />�� <br />❑ REP��P ❑ DEMOIITION ❑ WOOOSTOVF/FRP4INSERT ❑ BUILDIN6 NELOCAt10N <br />S.(�Ad. � �?_d►..) ��S �___--- <br />�c�.��.�..,.�.���.�......,.�...,..�..........�'__..__._. _. _ <br />�(, i <br />im�LLeioc�_o� C [�-� -=�'S <br />Mi / <br />Y�:� �,� 5 � ,� . --- <br />PROJECi�DUPlJS � <br />�ls /ml0'r/a S'C.— <br />PLUMBINQ____ _ ------- �- - <br />NO. TVPE Of FI%TURB ___ ___ _ _ <br />�I w�TERCLOSET�TO�IEi� _. <br />-�Z7 d�THil1B . — . <br />_(, �AVA(ORY IWA511 B�SIN� __ <br />SHOWFP __ - — <br />% ritr,Ht �� t;iNn s oisP __ __. <br />DISIIW�SMER '_'____ � <br />LAUNf)f1Y iRAV _ .. <br />fLOT1�ES WpSMER . . <br />..� �YlA7(f111EAI:R __ —. <br />UPIN,�I — <br />—^ ORINMING �OUNf�W _. <br />FLOON OFlAIN — <br />VACuuM BHl�1cER9 — <br />_ PUO�OI.�iNS �✓��N�EAUERB _ <br />SINRI9ERVICE_BAq,EiC __ <br />=1--= <br />I HEFFBY CERTIFY THAT I HAVE REAO AND E%AMINED THIS AP� <br />PUCATIONANDKNOWTNESAMETOBETRUEANDCORRECT.ALL <br />PROVISIONSOF LAWSAND ORDINA�JCESGOVERNINGTHISTVPE <br />OF WORK Wll 1. flE COMPLFTED WITH WHETNERSPECIFlED HERE• <br />IN OR NOT iHE GRAt.�TING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF <br />4NV OTHEH STATE OR LOCAL LAW RFGULATING CONSTRUCTION <br />OR TNE PERFORMANCE OF CONSTFiUC110N. <br />9GN�11�R( Of (.UNIRA(;IOROP ��i➢�OR�ILO�GENT O�ik <br />X � l"��' - "%�;�' �//�-�_ <br />, `. <br />�vni ir.�qiA cilv But �N1991 �CEN9E NO <br />MECHIINICIIL _ <br />qp, TVPE OF EOUIi <br />AIR COND UNITS-M P E� <br />RF.FPIOERATION UNITS-M P <br />BOILERS_NP FA <br />pASfIRED�L UNITS-TON� <br />FORCEO ��� SYSiEMS-8 T l <br />�� W��I HF�TGPS-BTII M <br />UNiTNEATEflS-BTU. M_ <br />EVAPOFATIVE COOLEPS <br />� GLOTHES DRYEAS _ <br />2 `JENIIL/TION�AN <br />. ` RANGEIIU00 <br />eue ror�� _ --_ -- �" .," —.� <br />-- - <br />-- .. .--- � - ' PENMIT � <br />PEFMIT _ 1 . J_ - ---- — ' '--- <br />-. I _ __.TOT�LFEE ___ . � .._... /���� _._-__ __'__ - TOTAIFEE_-'_—� -_ <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. FERSONNEL <br />rnnrn p[ �H�� P� nH 9NN:.e � �UI V�Pq� � I <br />4i Nf��linYUrAlIl�� � T PL�N(.Illf.nirl <br />% IfFE RFcI�����n� <br />�G � ��� -T �' � •x�5 �/s sCs' <br />!fE <br />L (,/V � <br />—� _ O- <br />_— �� .i!�+ <br />_ _— ._ _. . <br />3D3�cY� <br />U51 <br />r <br />1H91 tN,� ��P�Nf,Y GPOaP <br />�� �~� <br />pp NO U151ORIk3 <br />I <br />fcppllliUrl���. 9r VUNSUIELMEO <br />E • P.� <br />V�C�Ni 9i1( <br />fIPCg IINO <br />NO Of OW(ILINU LINI <br />/ <br />Msi OCC IU�D <br />BUII O�Np <br />PI.UMBMO <br />MECH�NIC�I <br />01NER <br />f![� I V11LU1ilOM <br />rFr�q Tv <br />•PPH 1 �il1'.StiU�Nf ! bv — . . -. _ . .- — . -. _. <br />TO�M <br />�.� <br />