|
APPLiC�►T!(._i FOR CONSTRUC7 .JN P�ERMiT �N'��"'
<br />10 IlF COM°� �TC-C !N OL.ACI( �NI<—PLEASE PRINT ' fn
<br />IIGATINi�5YS1(�Id. GAS JCL[CTHIG J.----_
<br />RUII.I?IWGUf�I'AIiILdf-I11 ----.—.- -- �.---- ----
<br />759 DR10
<br />� UEMOLITION COMOINATION �j� BUILUWG MECFIl1NIC�L i� PLUMBING
<br />.�:��1� II 1 n�l �1�1�1�1 '. � 11 /.I' .
<br />� II�YII
<br />11 lI�111
<br />plll'lll�ll'1 II��IIf46111'11
<br />IIAII �I�I'III '�.•".
<br />IUp APUIIP:[ ��
<br />���i ill'
<br />� n. �u�
<br />��
<br />rn�nir
<br />' � SIGN
<br />�1f11111Ni�.11lllM1�llirll I.Inllnl�l�lll^': �Jlv lln I'11p111 :�n1�11f.R1!FI
<br />L� C. �vi��j:_,� S/�i7i/ � l/ ��>��= �,�/ c✓nr' i_1( !:-rr 9sZa� Z9U -./8�� � ��i� _�_9[� �'
<br />i.nrnnnn�.ninwunnr.ion r.�nnnni�r�i•a: ,�.uv nr rn��nr rl/QfIN:fN^.f�
<br />1'I I Il.11llllli fv MIIII�C Iltll
<br />PI �'�ti nl yN ilp�
<br />y\f rirw i � nnuiu�,N
<br />I.UII �OIIIII"V:
<br />niirnniwri iarnu�
<br />I.IIq111Ar1 f11U f Uf WnI1Y
<br />❑f 4nIIlOF'NOIIN GIIP :Ull�llf f I x i IN :1 IIM ,I 1'I I i
<br />i II . /IP I'I1��111 ���--�— $Iplf 111111^.f I..
<br />i�i r.�� n i rn,r�i � wuous uwr�rnri iNsr�r i i nuu t�wr, nri � n�.n i i� �u
<br />i�.,i���irni,rn�n,mru,�nrn,� � ---___ . ..
<br />;".i1/.ZR{' /�Onl/�
<br />rnnn �•a ii utiF ar aun �inn:
<br />�/N�G,�. fFrtif�r 4' /�o•y� -
<br />i vuni urcain•iu»� ur rnnrnu r ra�� �:•:�i un � nv � m ni inr.0 ruun r,nria^.i
<br />�„� � „�,,, � .,, � P >� %/y- 9r
<br />UPP� /o/G s�v fr-' 6h 2A ��
<br />CUu/E;� 79s s� Fr 3sU s4fi`r
<br />%DiAG /79/
<br />�a��,.�„ � �„„��� �,
<br />-�-z., _ , �i,,.u, /) l <
<br />110.� TYPE OF FIIf1UIlE Ofl ll
<br />_ 3 wnien cu�srt �ion ei� 1 I
<br />`� R�IHIUP ._ . . . .�_-
<br />� � 1 AVMOIIV (W�^.II II�':II1) /�f
<br />/ SIIUWfII
<br />_� I<I ICI IBJ SINK A UISP �
<br />__ � -. UISIIW�SII!'ll �
<br />-�- f�111JUfIV Tf1AV
<br />/ CI OIHfS WARIIEfI
<br />'�� UfiRlAl
<br />-�7 UI111JKIP1(i fUUFIIAIN
<br />ta rtcx�raimnud
<br />�fiACl<flUWffIPVFNICH`.:
<br />f1UUf 1}f1A1MS f1A1111 f AUI fl ;
<br />sirn� � rr�wr,e nnn, r n; �
<br />�;ini i��ini
<br />- ri nr,ui
<br />iinni ir[
<br />FOR OFFICE USE ONLY:
<br />fI1fINI CH11�}j� I11 �11'.1 �Ir�r V
<br />� �
<br />��SF lyly- � � i, n �iU � 9�
<br />!�
<br />�`r
<br />I•f{111 Illlllti NI11\\'AI�II 1\II lil i��y :1 m 111.11
<br />�-,� �- ��
<br />situroiuj� rn�rn:inmr;
<br />I �I �jr' (�IVIYLi
<br />�2-sf- �n��wE Z
<br />a:curPNcrinnn ruR ,i•nnrnnsmun
<br />T ���0, —_
<br />nre.,.yn�nr,rnrtui� nc
<br />re�
<br />G1�)- /8/�
<br />I IICHFUV GER�IFY IHAI I HAVE IIEAD ANU f:XAMIYF'U Illlti
<br />A(TI ICA710N AND HNOW TIIF S�ME TO AF Tf1UP AND CUf1f1FCi. AI I
<br />Pt1UVISION501' LAWS AND ORDINANCES COVf:RNING TIIIS IVPP ��f
<br />WUf1K WILL �F COMPLFTFD WITH WHFTllffl SPf-GfIFD IIFf1FM (7f1
<br />NUI. THE GRANTINC OF A PERMIf OOES NOl Pf7ESUMF IO (:Wf
<br />Alllllr���llV 10 VIOIAIE Oft CANCFL 711E PIlOVi510N5 Of ANY
<br />�,nirn SIAIf- Ofl I.00AL LAW REGULATIN(i CONSTRUCiION OR iIIF
<br />I'fJll Of1M�NCF OF CUNSIRUCTION. TIIAi I AM AUTIIONLFD f1V Illf
<br />�iwrir_� or r�us rnorentv To PrnronM nir- wonH ron wiur:ii
<br />�I`PI ICAIIQN IS MADI' ANR I COMPIY WI111 Illf ^,IAII'
<br />C� ttJI f1ACTq W 1�Y ' f1CW �Id1� 7��, 7Ut1 WA�'.
<br />/ �
<br />, ��,� i��� 7 S / �� � / � ���
<br />�.�i.nu:mrssinnru nu
<br />NO. TYPE OF EOUIPMENT
<br />{->- NC -�NHNDLC UNITS--ILF.
<br />/� fORCCU AIR SVSIFM� O.T.0 M E A
<br />�-7 UNITHEATFRS OT.U. M_ � ---�
<br />/ CLU�HES �I7YFf15
<br />� VfN�ILA710N fAN _ _ _
<br />� FlANGE HO00 _
<br />/ WA�f.R I IEATEl1
<br />C]- WOODSTOVE.—. ..__.- . _.
<br />/ MF1AI FIRFPLACF R CIIIMNEV (�45��/B�'T
<br />��j � f If1CPI.ACE INSf-ft� -- ----- -- - �
<br />Ga- -i��niruMn - --
<br />t;AS PII'ING
<br />� F%IMUSTFAN --[.. . .�_ .— �
<br />- -- I�I---'
<br />_ _ _ - -- �
<br />--- - -- -- ;
<br />--.
<br />-- -- -
<br />— --
<br />q ... SU[�lU1nL
<br />< . . . _—._ -'PERMIT .
<br />R -- -- -- � ---- �� 10�ALFEE
<br />� mF er i v ri nn rin- �u unnmrn rF1'
<br />� �'�� � .:��z,��
<br />vn��nrusnr FEE9 VALVAiION
<br />nnm�rn� rinm:ni���i��,:.�i�n. CITYOFEVERET�
<br />J N �ocn� sn�Es
<br />__ 3/1�/9f �-rnxr.nnris�inr�
<br />111IIII�!4i; .
<br />,�,�„�,��,�, _---
<br />.��,,,�„����
<br />nuuin�rc�ni rinN c�mi.i.
<br />srninni rn
<br />^h�IF(-�H1111�.{NHR9F.YN:H�Ht:F
<br />r� nn �c wunns
<br />,,,�,� _ _
<br />93, 3B3
<br />�. •
<br />�
<br />� --„ ' _--
<br />�
<br />1
<br />� �;
<br />- J .. � "
<br />
|