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Permit denial
. � f � � . _._.._.: d F'��EZ� T,���r}.��`�.=� � fj !"T Y ��... --� �. (.ih"Of�}I"Oti(} � J } „ ,,,��'�.�/�l - Uatc R�..c�/ =�._ I rrmii 5 O��/��_��(/ !.t� i3�r�fia � � �� � � �jtt h:ell�i�oarkx�ir ; � t - � I � ��l Cn�sta!Iii� ��1ti i ��"_'� � aPPro�ed f31. i�Lmou�tt k _._ i � � �c1-?124++--1�,Utt-lfain . � � ;,�� ; �� �9 _'i 2���-�1�>1 t,-1 ax "� : �,'�, .'y E ITI' OI�' C)RC)Na-YL,LINIBING 1'ER'�9IT � '° `s F���`��� (A11 C��ommercixl PrriYiitS �Vlust br Approved b��Yhe StaYe 'riurt�C`i[� rl�pro��.}[� ; �� ___, - . . , . .. _.� _ - � _._. � c�r-.�r�1�1. 1�Fo����.aPr�c>� ----__. � � � I. Y�u �7i��� appl�� for plumf�in��;�er-iYiitc b}�mail �7r in person <it the Clt ���Yfices_ Applieations���ill he re��ieweci and a}�ern�it���iil be issued��ithiil t��o wot•kin�� da��s_ '_. Pennit c3rda���ill be sei�t t�i� ret�trn roail after a rc��ieti+� is cc�mple ��d. Pl;Rti1 S.4RE�: ?�O I e V:1L,ll) l''�I'IL. 1'Ul RE:C`G1VE :� PE1��1I f. ���ORK NIL'S N(}T 6FC' N 11hT[[.TNI' PERIt9[T C`Al2ll !S POSTED OIti THF"JOB S[T�. _.. Plunibin�.�= p�rmif,rtia� E7:� is�;iiecl C)NLl'to I[cz i��::d pltnnbin�.z con ��et� s ancl to pro�cr �� c,���c�:r:� � ��esiclir:{_> ir�the dtitic�3li�a��. � -�. ��}�en 3t�: ;l���i cc�nstf•ltcti�,i� �r-r�;:i7ic�d lin��i� invc>Ive �.��parate builcl� <> permit �3,t 4�� obtai�led. �. ,A11 ��urk must be d�t�e�€z�acct�r-ciance«�ith State C'ade reqE�irc e�lt�. ° 6. 411 �+oi•k ntu5t bc ins�ected,�I�il air tes ed bcli�ce it i�ci�vered. Ct� ��?i?-1<<--ttitit�. (Z4--18 h�3ar notice reqaire.c!) ___. T�'PE C7}�' PL ttlT , I' {Gh�ek �1i1 That �1pp , i [ Ke;id.nti��il ❑Commer•��ai (Appro��al Requir��l t ❑ 've��� ❑.��dditianal ❑ IZeE�air> l;�j (�c��i�,.,.�_ ❑ In Access�,i� Strue irc" ,, . . ��Yut� will neecl �or�►��ro��al and nra� r�z��ii ����� tPrr(}f�;,ii„ t ii�. l�c>;c (`i3a,�t... ��.. ��;�. �t� " . ,,, � Job Site �C)wne I�1fc�rn�at�ian: , � , -� � �ite �1dCtre�s: �.. 1 " wr��`�k,`�' � �, �..-- ; � ,- � � t)�ti�n�r: -�;,�-�t�-- ' ��,� �' ��laili���,� :�ddress: � �- �� .' � ,����.-�. -�, _ - �� �' : ��- , ; , , .� , t�itti : � ':�: ;���,,��; %i�!: �- _ __, (�I«c��e �'hone: r`:, �- � .. ,�;�,� - � '11te��n��te �'h�r�.�_�_ - -- __._----......_._.._... _� ------ ��� C�>i ���actor- Infc�rm� �iotr. � Ci�ntra�[c �: � (.� r�rl�a� '.'v��,�,jl: ' ,��ddre>s: Stai:e Bonc'. = C`it��: _ �ip: _�_ t=��iiration I�<��- Phc�ne: � . � � _ � �n �� � !S (?xC�v�/l,C�� � D w�/' A�C� D�cCv y � 0 � I �pM �� `T (� p 0 �L Q b -�- �' /t/0 i � L� C.i�,M �C� �• (�. �--_..__-. _---_____ _ _ ___. _ ._ _ ___ _--- ----- � _PI.t�'��F3I?�t31 IXTI,I2F;� F�F�INC; T?�ST,�I.[.l�I� - - -- �...._ _ _ � ��:�, � i n :_, F [V�TU{Zt. � f',5�T1� ' 1'' _ � � l)t{�IE�I� ; E 14TlJR[�. �' E3SM�f ( i ' _ O"('i�IC:K 1`YPE FL EL � Tl'PE I F'L_ j f�L '; � � � V�ater l�lc�set ,.--a i [�lt�or[)�ai�ts � � � r i � ' � � � -,�_ , , , La��ator�� � � Se«er Eject«r � � ; I . r.-., i j Bathnih j i i L�nindi��"i��ra�� I ` � j " � Sha���er , ( � ��;�si7er =: , , > � , I ( � i Kitctre�i Sink�—' � ' 1t atcr Htater ; � ; [ s E � � C�i;posal � I G�ater Sotte�rer I � I � ( ( I ; � � 1)i�hw�asher i 4t'et Bar 1 � �- j I , � ! Sillcocks � ti�lis�ellaneaus i - - - ------ — — ---- __.__.� i'[ E�i�1IT I�I�I. C.'=ll_CL;I.f1TIC)'�(S} i ���SI.:�) i)��F� - ?(�(}' ST.��"I�I w�I�:�`t t�I: ! ❑ 1'es_tlii� ,��iit>r�applie�. �T�herep[acc�.,.:�_:� ��t EEnt= r,r€f=1�: .;��;a_ � r.z��E._._.�_. .' . �_� ,.,�,?�.., . . ..�� _ _ s a.,��f�,���;F`- require.me��t. i .�.z ._ ��, .i��,:�. . as; ._ � --- - ?. �ia;a ttxaf �«St c32�`�>t}(}.fi(t ij�`��;,: c,��t�ilin�� t`r}e cc�Sl <;��thc� l i�.[iir� �u . . ,�. ;.��.F _.. Is impr�ved, iz�stal�:d or rc;pl�cc� h��tt�e h�j���e�F��ner ur'ticensed pllimf�� �,.. Skip 3�e�t sec�ti�3r�� rti t17is;��piie�; C�st��f Yermit � State Surcliar��e r; 11<iil-h� Fe�(If Apt�lirahlt°;� `�_ ,�! '���ts#i E',�rrr:i' � .� .., � , .. . .r� `� — ----- _�._. _______ ' I'�I;.'�-�1 I'1`I ��; C'.�I.;C'('L,��TIC)�;(5}—Jt)BS (}� I:�K ��(�f>.(i(l a {I abu��r do�,not :ippl��: ti�llc�ti� ��uicieiincs beiu����. :i. ��, l. CON"TRAE'T� PRIC"li. * is 1.2�`�,t>1�:c5r ,c: ,,ri ,�.,� .,t��ti�urizum ��ee rEfS�Cl.Q{1� > , 0 s [ --- ''''� i " � __ ___ _____ � .fl;�� �; ,-: _. i ._ iminimum ,�U.O%t; � "'. yT,4TE �URt'H�12GE � � � .�}UU` � �� � ; � ,. � , � _ u ..f-_ ___ � _ __ r t�oniract pricc� 3. POST:�GL:K T��f�',�C�I,IN(�fC7��I���n�1ai1-In ,�pplicatio��sl � �.t�(' ,A, � 4. TOTAL PERIYI�T FCP t=�dd L_ines 1-3 At�����e7 5 . "� �` ■ �° ��(�V�I'}{:1(��I� f'Etit`I c�r lOI3 t C?S��I� t��eans tl�e �etua! or estii��atecl doli�r amc��,x�t ci��rs��:t1 Fc��� tl�e �� per�l�itted iti���ri. incluc3in�� �7�ateriai;. iabor.}�ru�[�it.and othcr Y2xed cost5. it is the am��unt t<� �ae ci��tt<�Wc; ta the cu;tomer l���r tite �����r-f: duit�. li an� n�at�ri�jl. ec�uipment� labor or installat.iun� ar� furnistu�i E�e � thc o���ner. tei�ant �>r a�n�� ��tl�cr�a€lrt}�. the 1•eason<�hle n��arl.et ��alue of'such it�ms n�aL�st be �dcie�i tc� tl�c � estirnated cost c�r cantract �7ric�: fc�r pern�it fee pur�ose�_ ]n the event t}iat therc is a ��i,�ut� ��r� th� amount of[lic �a�h ct��t_ d1z t"itt� ma4 reqtEest th� tiubmi:.si��n <>f a ,!�nec! copt ol the .�ct�i�l cbntr�ct_ J ------ -- __ . _——-- ---__— Pl.t �'fF3t',�;Ci I'3.F'�9�I'I�lLf'PI.-1C11TION ACiRF;E?�1�EN'I� � i�l�' tili,l�,!��I_Il..i 11;1�.(�l �EC?1)11L* 1(+ �li�: � 3i1 �U;� 1`�tiU�1lli� c!1 .. I�IuIiiI�IIIL� E':'i'Ilili. �'?i":,.'�, it� t�3O �l�i � «�urk in �u�irt �cc{�rdar�c� «�itl� th� c�rdina��ces of the C`in and tl7e rei7tilaticm� Uf Cl�c �tat� ��3� iti�lll[lttiOlil_ �lilt� C(:l'tljll'`i t�lilt il�� 5�iltt`II7t:llt� illilC�.' i�(i I�il� ;I(?lTlt�;]lllll? ;tit' cEi��?�)(c:l�'. T1't.i°.: d.ii' C ct C�'e C t. �,.f ' %ttt.'I� � , ,� �}� �f� ;, .r+^ Applicant'� `ii;�:nt�tt�re: _ �, ' � �� f.--- — I�7atc �r= _ `