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`,,,. `,'."�.,.'�„ C��1 ST R U CTI O N <br />everett PERMIT PERM�r Ho. 14sho <br />GTY NAlL:59N7dv <br />eveAcir wneeaoi �� COM(31NATION I J BUIIDING �{i MECHANICAL �� PLUMBING <br />OWNEP <br />M<�LPpUf1F5i GiY n� VNONF <br />RnRFRT W_ .Tl1HNCnN _EyEI�T�.FLA 98204 347--�.36L —iip pHOHE <br />•R�NttECI OR 0lSIGNER MAIL MIURE:iS <br />OF.NER�L CONLR�GTOA MAIL �ODRE55 GLV 21P PHONE LICENSE � <br />.cl3mP - CI1Y IL PNONF. IIGENSE r <br />MECM�NiC�I CONiPAC10H MMl �ODRE55 <br />Pl �IMBMO GONfH�GTOP <br />MPIL ADURE55 CI1Y 2iP PHONE LiGENSE � <br />n <br />CI NEW ❑ ADD�TION O ALTERATION � REPAIH ❑ OEMOLIiION ❑ FENCE O SIGN ❑ WOOD STOVFJFIREPLACE INSERT <br />WONN <br />! <br />Furnace repair <br />�or _ ewcn _ or <br />JOC nDOREFS <br />716 - 94t:h St SE <br />PLUMBINO <br />TYPE OF FI%TUHE OR ITEM FEE <br />WATEI I CLOSET 1701LEn <br />BRTMIUB <br />LAVATORY(WASHBASIN� <br />SMOWER <br />NITCM�EN SINK 6 DISP. <br />DISNN ASNER <br />LAUNCAYTRAY <br />CLOTMLS WASHEH <br />WATEII HEATE(1 _ <br />UNINAI — <br />DRINKING FOUNTAIN <br />FLOOR OPAIN __ <br />VACUUN 9REANEHS <br />ROOF URAINS — RAINLEAOERS <br />SINK ISERVICE — BAN. ETC ) <br />SUBTOTAL 1 <br />-- oERMIi s -- <br />TOTRL FEE f <br />�qp °f-9ACN STfiEEi SETB�CK FEAR YAHD SEiBACK <br />NE LOT AREA VACANT SITE <br />YES NO <br />�.....��. --- nrcuasucv Ga[nIP NO OF OWELLING UNITS <br />SIYE OF BLOG. <br />FIRE <ONE <br />BASEMENT <br />qPPROYALS _ <br />1 ENVIRONMENTAI CHECN LIST <br />2. BUILDING PLANS <br />� FIRE HVDRRNT <br />d FIREPROTECTIONSVSiEM <br />5 GRADING <br />6 OHAINAGE <br />i. ENVIPONMENTA� IMPACi STATEMENT <br />B.HEALTH DIS�RICT <br />BY <br />MA% <br />INKLERS <br />NO <br />D�7E <br />ISSUANCE <br />I HEREBY CERTIFY THAT I HAVE REAO AND EXAMINED THIS <br />APPLICATION AN� KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. TfiE GRANTING OF A <br />PERMIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTRUCT�ON OR THE <br />PERFO�+NCE 6�ON�S7RUC110N. <br />. �aerr u�n�on¢co 4GENT OAiE <br />MECH <br />NO. <br />AIR COND UNITS — M.P. EA <br />REiR� .EFf.TION UNITS — HP. EA <br />BORER$ — M P. EA. <br />GAS FIRED A C. UN115 — TONNAGE EA. <br />FORCED AIR SYSTEMS — BS.U. M EA. <br />WALL MEATERS — B,T.U. M <br />UNIT NEATERS — B.T.U. M <br />EVAPoRATIVE COOLERS <br />CLOTMES ORYEPS <br />VENTIIATION FAN <br />RANGEHO00 <br />Alq MANDLING UNIT — C.F.M. <br />STOVE — WO00 <br />METAL FIREPLACE 6 CHIMNEV <br />FIPFPLACEINSERT <br />NEAT PUMP <br />SUB TOTAL <br />PERMIT <br />TOTRL FEE <br />FEE <br />FEES_ _ _ "_ VALU�TION <br />dUILOING <br />PLUMBING <br />MECMANICAL <br />OTHER <br />PENALTV <br />TUTAL <br />S <br />J03 Ie1 <br />f � <br />' --10 DII- <br />f <br />CM@CK FEE <br />FECEIPi NO <br />____ FEE—____— <br />16 00 <br />'NMEN PROPF.RLY YALIDPTED IIN THIS SPACE) TMI51S YO�If�PERMIT Q. <br />i� <br />co <br />� <br />,� <br />,AI)'.!Ili'.`, I n I <br />z <br />0 <br />--1 <br />m <br />M F-� <br />-� T <br />titi <br />Vf 2 <br />m <br />cv <br />mo <br />n <br />--� c <br />o� <br />-i z <br />m� <br />.o z <br />Cy <br />i S <br />rr f. <br />-�1 v� <br />< T <br />O A <br />T y <br />= 3 <br />m .- <br />N <br />O <br />�r <br />C lm/� <br />3 N <br />2 C <br />-i r <br />. m <br />n <br />A <br />--1 <br />2 <br />n <br />z <br />s <br />� <br />v <br />T <br />c <br />� <br />� <br />