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PERMIT NUMBER
' 0
AFiPLICATION Far
13UILDING ELECTRICAL" PLUBAING - MECHANICAL
9504,
PLAN LI.C1- VALIDATION
DATE Of APPr. CATION
C No
PLAN C-HrCK -FEF C-N
7
7 Iry ztv
rNAMTSUJL:j)jNGPROACTIC1ENTIPfC
IERS
,,Ree�
court Actors
M4
vIllied"it-OC-) LOC.... 7-
OUTLETS -SWITCHES • RECEP 10.00/1..
LIGHTING FIXTURES . 10.00 /1.00
/0
A0.11III At"'
4V .om. Vfryt-101,1
iL
`NpUG.`N;rA,W&.7,,J Vejli LOC. No.
A. COS T."
A jr, r all 96 114
APPLIANCES - RESIDENTIAL 4.00
PANELS 10.00
PANELS GVER 200 AMP) 20.00
SIGNSTRANS. 3.00
SPECIAL CIRCUIT 6
TtMP...MFTrROR POLE IN?lF401..l1
MOTORS EIE
;v L
.--:
SERVICE CHANGE
LICENSED CONTRACTORS DECLARATION
TIEMP.POLE Clio
list Ion, licensed under pro non Are I
I lultby affila, I vi, ,,rch 9
(o*nUUpmtbZ I On Section 7000) of Diibhm 3 of "Up
Prof .shin, Code' 6 my license 1. 1. Still role f
Dole Coffirill.
OWNER.BUILDIER DECLARATION
Im.by.frino that 1w, ... mp, fee. 4. Cemi,Uusrs License
U!, for the hallowhism.mr. (Sec. 703 1.5.iiuslncss ancl Proruslons
Code: Any city or county Ishichn,min,. Iv.rn,it loconstruci,aller,
Nq 'In A I ; I I
US For suc to file A I
is ficen .150. file isof iV fter's U use
P
w !in 7ODD .17D on
law (Cho IerD .1 and Professions Pc I it IhOn On h Pit the 1.
of,
P I Or . Sottio P L
b,.n,.ppR it for. Penn . Cis Ole so OR us Oil I
it
gurucilemn'llwrifi on d ars,3500
Cl I . a, Unm, or the P I AS Ii WE
ths"U.1"OU""i ti m. 11 d work, Oil h Let.
intended or frC I Is I `UI.tU, Us Professions
CUJM:Th,C..IrU,IUr'. I . . -is - 1. , an .11, of
is who t0d, m Ism,.... 'he---, --it I
USE E DATE
ELECT. PLO.'
MISC. EFERTO.QRD
VALUAV014 e-1 SIFT.
�RR�HISSUARCE i. . 10.00
JEOLFC� CA,
TtL
"1
A,,TER�DRAIN VENT -WATER (EA.) 5.00
BACK.FLOW PROTECT. DEVICE 4.00
--UCC. GROUP
RE3,UNITS
DRA INS. FLOOR, HOOF; AREA, COND., 5,00
FIXtUrli TRAP 6.00
TOTAL RIAGS .
g,!Upr;
me to, uCUh.hb ...... joy.,. musiftil that lu ... ....
.cols are md intended testify .. it for sale If. hUsec,il, the building
it improvement Is Sold within one year of con;Plellm the uumer
huddle will hall the Lorisn of pro li.G.11m, he did of b1iild .1 hp-
,.,. for Pulp.. -(Ld'.):
D 1, as owner of the property. am enclusively contracting with
licensed CuU.,t.. in e-mu ict the project (See. 70P14, Business
I. on w.,, of property h. builds m it I 1h,tI.A. end who
c.nl,.Ii fi-11,101 Projects will, .. . . ....... .... ...
B.&P.C. for (],is
-CA.SYSTEM-I IN .4 0 L TO 6.00
GAS E
W �EAT
GAS, EA. SYSTEM r Ov , T I 2�60
IN USE
RUILDINg
RE[ INP PS Gibe,
0 0. 0
.
I
INDUPTRIALWASTE INTER. 30.01]
.
LAWN SPRINKLERS- INC 5 V.B. .6.00
go
.1
LAWN SPRINKLERS OVER 5 IEA.J 1.00
SLWEFI-SANITARY�STCIRM EA.2011tt/IODU
�RAaNO.
PARCEL NO.
WATERMEATER WIVENT 8,00
,caso. . - I
_rILE
_L I
0wer, Dale
WATER SYSTEM! 5.00
___KC_CDZT_E_
--XCL N6--
WORKERS' CONIFENSAT19"ECIJIRATION
WATER TREATING EQUIP. 5-00
y Ofirus that I ban, is rKNIEDIfCconsCrit elfinsure.
I livib
.1 . selli call, Workers' mituall.".1m., collipled
copy it,,, I I
Policy
0 Con (led y 1. US). I ... 1.1'ed. Out
❑ Ceti it it with stim, ill
Ap,lica
C RTIVICATCOf EX I CM I OPTION . FROS 9 is,
COMPENSATION DISURA
IT . SeCtion need not he completed If I,. per.;, is hi, one
LIF t I. the "if., ... Ace fit,, week rise illhish Slits per-
WIM"rycat"I shall not employ any person In SAY iu...'I lost to
. .. .... .. .. . . ...............
NOTICE TOAPPUCANT:
=lop; yaU,h.uld become subject to the Weeks," COMI)cmi'llm,
sIone. of line. Labor Calls, YOU IMUSI forfliwilli comply will,
such p rovith, nior this petrill shall be deemed icloked.
ZoNIN9
ENG. SITE NO. -
0 -0
-2
ENERGY F21 tj
,O� .01
-670-
-77, EFEpr� jF
PE MI1,IPSUAIhICEC. 10_00
FLOOD 20:11E
4111 NO
AL.1,
ym .413
ILG.
TOTAL
QT
BUILDING
.ALTER
OR ADD TO MEWI. 5.01)
APPLIANCE', 6.00
AIR HANCOLIS,G UNIT (TO TOMDQF AM 4._00--_
PLAN CHECK
FEE
AIRIFIANDI-1143 UNIT(OVER 10= 1F.M.j 6.00---
SEISMIC FEE
I . .
CONSTRU(710N LENDING AC&NC`t I
Incetmby SRI. ll,,l the,,. Is h . crulmoinin lembn, .,,my for
30 30(mirld ties or di.v Work fir which This Pit
97."'"
L,Adc,'s N,.e
Lc.dh,',Addr,i,
I ce'llry list I I've ... it 11.1, And Rol. list III, Minor
ietrunnalf"n 4 set. Use" 1. 1111.1101 .1.1, all I'll and
oralnun.m c."
and 'let, 1. .�Usla 10 building sent ...... I.., and
I .... by...Ih.d" c .lot!... u I it, 1. A." min One
'bul ....... im.id Noy for I c ri'liquiC,
twat SOL,, Va. in Air Xis, fi,iriul,. he City I`
CUPORInn, mi'lisbil ., cost, nd AP?P., which
nut, in ,Way C I Id City in c,,11.1.1
,onfin f1rhiT, 1.
7
it
E
EXHAUST I CHOD (WITH DUCT) 5.00
HEATING UNIT (70100,000 B. U.) 8,00
MICROFILM 1 1
-
HEATING UNIT (OVER 100,000B.T.U.J9.1503
VENTILATION PAN (SINGLE) 4.00
ELECTRIC
PLUMBING
BOILER - COW (3 H.P. or 100,000 B.T.U.) 6.00
501 LEI' COMP I0wF 100j" BTU) SEE FEE SCR.
MECHANICAL
MISC. - REFER TO ORD.
'CONST. TAX
PERMIT ISSUANCE
M9C"A:0NT. LIC..o.
Isaac".
-11110 of It C q upilur