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'� '/!r l n�r�)rrrn II <br /> I ���, ,�� CONST�IJCTIUi'� ev� <br /> � CV�I'ett P'E�MIT � <br /> � �i1V NRII 1SVVA.'i I <br /> � IVIP{1� 154��IIN•.1�','� I <br /> � <br /> �,° °� ��°°•°':°� gIIILDING MECHP,NICAL PLUMBING <br /> I �������,,.,��•,� <br /> OWNER MAILAUUHlS_� lIV PIII�NI <br /> Ci.crim Zer".>r: ?11-� :!:�kcr � <br /> ---- - - - _ <br /> _- <br /> r,ivcllltdcToftUI:9GrvLr�. . . �nMLnU1�Rt�,l, Pnu'JI .. . uc1N;� qn I <br /> _ 1 �. �.. 7/ , <br /> I',F.NI.NALCOATF�CTON MAILAVURESS PHONE LICENSENU I <br /> I <br /> NI C�IANICAL CONTFACTOF MAIL ADOHESS PMONE UCENSE NO. <br /> I _ _ — � <br /> I PLUM11F11NGCONTRACTOR MNL ADUflE55 PHONE LICENSE Nn. W <br /> I :ane --- -- m <br /> PL(iMli CLI�SS OF WOflK Z <br /> ❑�UILDING ❑.kLUM(iING ❑MECIIANICAL ~ <br /> ❑NEW ❑AOOITION ❑ALTEHAitCN ❑RtP.vH � <br /> . ----_ _—_—_ _.___"___"—'___. .___-__- _-_...--_-_—".-__.._.._. � <br /> VALUAI!ONOF WORK � �yJ <br /> ❑utmiuic:�� [,7iir.::i L�.ir,w ❑�swi�.,�.,, •��, i•ou�. d <br /> E . _ . . . _. _._. . . _--___ .__._-._____._ <br /> __--.. . __.___.__.._ . <br /> nescnmr worv� g1 <br /> vaor�oseo use MECHANICAL <br /> -- - --- <br /> ----- -- i.ri w iuii � -[�i�, L;:ni �Cira. �t�o-.c. i <br /> �icni. oEsci�ir�lii����iii �rivnv�rSrv Istiuw oE�oworv niina� c,ns <br /> ruunCori[!�� __- - __-- ..__ . _.- -' <br /> NO. � TVPE OF EOUIPMfNT FEE <br /> _-__ _ _ - _-- <br /> L(�l _ IILOCK—_ OI - -"� �l.IH CUNO. UNIT9 NP. GA f _�_ <br /> . ._. _.. .___.._ __ _. _.__.___ — <br /> �I�.tfHIGlNATIONUNIL!: H.Y [A �_ <br /> ' _._"_-___ . . . _._-_ � <br /> _.___ _. uOiLERS H.REA. � <br /> �isnS HfiLP A-C VIVITS TONNf1GG E4_ � <br /> _____ <br /> ���HCEUAIRSVSTEh15 Fi.T.V. MEA. _� <br /> JUO �DDfiE55 �Y/�L: HEATEPS--�.T.U. M _ <br /> ?114 flaker ju�vi4 �+enren�-n.T.u. m T_ � <br /> IvnVUNATIVECOOIERS _,� I <br /> PLUM6ING __ � IcLuii�esor+vens __ � <br /> JVI:4TILATIONFAN __ _ <br /> � Iln'JfiE HOO� � <br /> — !JH HANDLINr} UNIT- QF.M. � <br /> N TVPE OF FIX7URE ON ITEM F E -- -�- — J' <br /> � INCINERATON � <br /> � WATEfiClO5ET1iUILETI S — ----- ' - T <br /> � OATHTUB ._ --- --_ ..._- --- <br /> LAVATORYIWASNO/�SIN) -___ _- I <br /> ___ _ _r_ <br /> __- 51=0WER --_-_-_-___--_ ���� - _ - __ "_' _-_' SUD TOTAL S - i-. <br /> ♦ _—'_— <br /> - t KITCVIEN SINK Ar U�SP. <br /> _ _-_-_ _. ___ ___-_--- _ -___ ___- --r_—. <br /> oisiiwnsr�En vFnnnir s <br /> ---- - -__... -- 4 ----- --+--- <br /> �AUNURY TRAY TOTALPE[ E I <br /> ___-__"_._' —_ <br /> CIOTHES WA:•HER THIS PF�MI1 O[COME i NULI nND VOID IF WORK OH CONSTPUC <br /> Wl1TffV HF.ATER T'ON �UTIIOfiIZED IS NOT COMMENCEU WI1111N 110 DAVi, nH il� <br /> ---- - - --�� - —{ CONiTRUCTION Ofi WORK IS SUSP@NOED OR Af1ANOONEn 10'� � <br /> URINAL <br /> � PERIUU Of 1Z0 [)�V i /�T �NY TIME A�IEH WOPK ISCO (... <br /> '__ __ -_"___ . <br /> pRIqKING FOUNTAIN ____f__ <br /> FLOOF SINK OR pqAIN � ��EREOV CERTIFY iHAT I HAVE R[AO AND F%AMWED TH6 n✓ <br /> �IICATION AND KNOW THE SAMft TO(iL THUE ANO CJRRECT. ALL <br /> � Vl�CUUM HRLl1KEfiS � PROVI;IpNS OF L/aW; I1ND OriUINANC(5 GOVE(iNING TNIS TVPt. <br /> fi00F DRAINS� fiAINLEApCFS � OP 1\'OHK 1YIL1. fiE COMPLIF.O WITN �VHE111LH SP[CIf I[D HEfiEiN <br /> SINK KERVICE-04fl. ETC.) �---�- OH NU1. THF G�nNT�MG UF A PERMII f)nf5 NOt PN53UME 1'O <br /> _ -_ <br /> _-- — —� --" rflVl- nUT11pRlTv TU VICLnt! OH CnNC41 tlrt- 1'POVISIONS OF <br /> --�-' --- nIJY /1111[H "Tnit� pl LUCA1 InV/ IIV;UInfINGCnNiTfIUCT10N <br /> - � a�� Illl lnl PI il� i�".1."IVLI ��1 (n41�.IH11(�II('��� <br /> —. -_-_ ___ <br /> SUA TOTAL -�;j.('j <br /> . __.._ -_ ._ <br /> _ � . ___' _. .-"-�}.�..l.l <br /> rorniTFee_-- s —_ � - -- 7/1�77 <br /> --- - - X <br /> �.i�.r.:.'vi�� ui i-��r:i��nriu�i„i„-.uii� n�.� rii i��„i.L_'-- <br /> LII�L YNiD5ET0ACA LiRLLI .^.Lif1ACK RLAH VAPI�if.TfiACY �•I �.� (���f CK 'JU1111L1� � PI nNC11PCK i EL � <br /> FEE RECCiPT NO. i <br /> "__-___'__..__ _-_-__ .__ . <br /> V':I :��Nf.--"� LOiAREA V�CANi5116 _ I <br /> ❑vEs ❑�+�� FEES VALUATION _ FEE <br /> __ _ _.__ -r.-.__- <br /> T v�^, UF CONST. OCCUPANCV GROUP UNITS ��Wc��I � <br /> ___-_' ---�__._ . <br /> - ' <br /> :,i:1 �fF13LDG. NO. OPSIOfilES MA%.00C. l04U ��UiIIUNG 5 _ 1 _ <br /> ____"_"__ I � 'i <br /> ____ _-."_ _ — <br /> PUJMBINci <br /> In�l Ji��iL . ._ ❑�15EMEN1 FIRFSPRINKLLRt ___— --- <br /> I RE(lU1RE0 � . .... <br /> ❑V[S ❑NO MECHANICAL <br /> _ —�- <br /> �:i'I �'i��LGONOITIONS uTn[N I � <br /> '_._ ..__. _' --__- _ — 7 __ . <br /> _-_ _ _ _-_ <br /> �°INLIIv 56C.3091n1 � <br /> . . _ _.-______-__-___. __ -_"'__ -". _ . _ . . . _ __. .__ _- _._"'-__ __"-�.�._1_5�.. . <br /> 7.1 i <br /> ___.._. --� --� TOTAL � <br /> � <br /> - PERMIi VALIDATION �. <br /> -" N'��Fpl'HOPi.�ilvvnli'�niFD �r: i��i � ._�i , �� , .�itr�� "� n�.tii �, <br /> _ � <br /> �___ � I <br /> � <br /> - -_ I <br /> _.._. _ <br /> � <br /> � " �Ii.ali[14nf11i�1��� �'...�� ���1'�r�[lll� aViq�nAtl�l,tiiP .. . 1 . � <br /> I , I I li <br /> I � I <br />