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FROH+EUERETT BUILDING DEPT TO: 2066433475 ]PN .71 1992 2113M 11412 P.82 <br /> APPLICATwN FOR CONSTRUCTION PERMIT <br /> TO BE COMPLETED IN BLACK INK-PLEASC PRINT <br /> BUILDING DEPARTMENT HCATINOBYSTEM: WUELEOTRIC <br /> 259.8810 <br /> 11 DEMOLITION I I COMBINATION _ IX BUILDING I IMECHANICAL I IPLUMBING I I SIGN <br /> ONNEN INa AFFAIR cm t. -' <br /> 1 <br /> RM („ amrTwctsCa10z b RRu-7373NCM ¢ P <br /> IaR ' <br /> AUS IS SY9 Iu,,Ih \3r1lc�Ale 4H0�'S 7a, RNID 303(0 <br /> AACHITFFl gIIItgOMA Yµ [n env F► RIR/ <br /> IL-nc•' I'141J 13ei17rrlR(/ PIW lirlkw� 4RUU1 TLX, (oNy.737� <br /> OW[ AM Y•l AOg1[[i ORE p KIICHR [IAl/IIF[M[{ <br /> Y/MVMUKEMiRM1C1M YµAUXItq q1Y M M1IOMF FNII[ICCMn. -- <br /> nwrmucann•cIM ..- uAa AtAlnen cnr tIP n1PIK RMepccw{ <br /> c+uet.IrpnA <br /> IX NEW I I ADDITION I I ALTERATION I I REPAIR I I DEMOLITION 1 I WOODSTOVWFRPL INSERT 1 I BUILDING RELOCATION <br /> OIWAFTP{MWANI)ft lW. <br /> QMAALI MIKY UI YgR77 Z(n2100 ,. y"vTAlerur.L�S JGtr�-237.3 <br /> x{ea1Ri RO•KAMItpYVe[001.0[ WP <br /> qoo <br /> hMBAN[O URnungxn 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> 5 I 1 ' T1I 1 I h APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> IEMIUL mgFlQAApAi RHtMN{FIgY{MMgCN I4gNFOFBB, PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LM 3�-I_ ggal D{ WORK WILL BE COMPLETED WITH WHETHER 6PECIFILD HEREIN Oct <br /> NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> t Ck r �11 �I 1 C n IC.1 CLS OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTHORIZED BY THE <br /> OWHEN OF THIS PROPERTY TO PERFORM THE WORK FDR WHICH <br /> APPLICATION 16 MADE AND I COMPLY WIT" THE STATE <br /> _�3cSIC tt 135 lT 93 /1 CONTAACTORSlAWlIJ77R.C,WANDIISD2DOWAC, <br /> 76,10 _ .� '4 SW '1 x l'y '�.e, b;k- e/I.n 3.a;) <br /> U242•MOl[l'I MJIi[M IYMVH ^r44 -IyTF-� <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OP EOUIPMENT I FEE <br /> WATERCLOSEI L701LETI _ IVG-AMNOLOUNITS-H.P. <br /> Z <br /> BATHTUB 1 _ 1 FORCED AIR 6YFTEMB-91U. MEA <br /> 7 LAVATORY(WASH BA91N1 UNIT HEATERS-E.TU. M <br /> SHOWER CLOTHEBDRYERS <br /> 1 KITCHEN SINK S DISP _ VENTILATION FAN <br /> 1 DISHWASHER _ <br /> RANGE"DOD <br /> LAVNOgY TRAY WATER NEATER 1 <br /> CLOTHESWASHfiR WOOD STOVE '�— <br /> URINAL 2 METAL FIREPLACE BOHIMNSV i <br /> DRINKING FOUNTAIN' .j FIREPLACE INSERT <br /> FLOOR DRAIN <br /> WP HEAT PUMP <br /> _BACKFLOW PPE'VENTERS OA B PIPING <br /> ROOF DRAINS-RAINLEADERS _ EKHAUSTFAN <br /> SINK SERVICE-BAR,ETC. i <br /> SUBTOTAL S <br /> PERMIT i PfiRMR 1 <br /> TOTAL FEE i TOTALFEE / 1 <br /> FOR OFFICE USE ONLY: <br /> %nMTAnA•cr " IIIA4 AnA•rx Frac RT[•rx . R•N gRCK N r[e RLa.n <br /> 39F24, 3U J LC3A5 <br /> Istl v lol ANtA FBBB VALUATION 1E <br /> _ , 2 591 Y�S BDRDIND <br /> ,MUMA YlgvuM irRpp l"I'M Ne,wR. M�ORIIAAMnt <br /> PLUMIlma <br /> .Vc pglq Rl1.rc AipF{ {ARTINr WCHAMCAL ' <br /> 2173 O SY T q] 304•AAO <br /> +_ _ <br /> CVMKIY IOW TN[{AKMIFR{A{00 KCIR WIiAlppK1�N� ADDRIDNAL PIAN OILCK <br /> �tI/A <br /> NO 2V, SPRINKLER <br /> BTA,i MIMING SURCHARGE - --- <br /> ''"`{{' � nANauAAVAFP[T CITY OFEVEREIT rAIAllcwonxe <br /> Ju LOCAL SALF6 <br /> ,y 43 Tnzc9DElsales ,oTAL � � <br />