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IhC [rriyleCn <br />��,��, <br />er•erett <br />IIIV IIGLI )i�lflFx4 <br />f cl HI �l .:.�Li1411�:�iY <br />ldlel <br />,,.� ,�, ��,••„��,��. <br />�.� cl I Ilf!•1'I I <br />OW NF_ It <br />�ihfww � <br />.,,.,.� <br />A!�^IIITECT cili DE::IGN[fi <br />� <br />R <br />CONSTRUCTION <br />PERMIT <br />BUILDING MECHANICAL f'LUMBif`JG <br />MIUL ApUN655 CIP PHONE <br />'707:t �fl�ttspf�o Ih�d.90 %� �y'S ��t3 <br />A'.AILApOqE55 � PIIONE IiCl:N�:c <br />"-- PIiONE <br />PLUMDING CONfNACTOR MNL ADDRE55 PHONE LICENS@ NO. <br />PEflMIT CLASS OF WOHK <br />QOUILOING �PLUM�IN3 �MECIIl�NICAL <br />❑KEW ❑l1pDIT10N �ALTL(iATION ❑q[PAIN <br />VALUATIONGF WOfiK <br />5 ��� ❑DEMOLISH ❑FENCF ❑SIGN ❑^WIMMING POOL <br />oescainrwor�K -- --------- --- <br />�G8 � j1�4'CQ <br />LOT _ <br />JOA AUOQ� <br />6 <br />PLUMRING <br />" —T— <br />NO. <br />WATEf <br />OATHT <br />LAVAT <br />SI10Wf <br />iivTioN or rraovEnrv �si <br />I �!'riL <br />[3LOCK—OF <br />��' S� s <br />lil�_\��il <br />H <br />MECHANICAL <br />nrv nrinc�� •rr� or r-Ue� �oii. ❑cnr. �Lrc <br />��4 NO. TVPEOFE�UIPMF.NT <br />nlP COND. UNITS II.P. En. <br />f1EPRIGERAi ION UNIfS II.V. @A. <br />— f301�[R5� II.P. FA. �- - <br />GAS FIRED A.0 UNITS- TONNAGE EA. <br />fORCGD NR SYSTFMS-� U.T.U. M EA. <br />W/1LL H@MER5-13.T.U. M <br />VNIT HEATERti-�(I.T.U. M <br />EVAPURATIVECOOLERS <br />CLOTH[501iVER5 <br />VENTILAiION FAN <br />RnNGE /IOOD <br />FEE �Ifl HANDLING UNIT- QF.M. <br />I IJC W E fiATO fl <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOP-SINK OR ORAIN <br />VACUUM f1qE/1KEfi5 <br />flOOF URAINS-RAINLEAOERS <br />SINK (iERV ICE -pAN, ETC.1 <br />SUf1iOTAL <br />__ .___—_ ___.-.. .__ ._-_.__._-._ _.._-_ _. <br />P[RMIT 5 <br />--___ .__.__- --_TOIAL i'LE - —__q _" __.___ <br />A <br />SPECIAI.CON0ITIONS�. <br />qr.r.iruvei <br />ncnnv,-.nn;e <br />❑VES ❑NO <br />everett <br />�� <br />� <br />W <br />m <br />� <br />� <br />Z <br />� <br />� <br />� <br />W <br />a <br />168 <br />� __ SU� TOTAL S � <br />PERMIT $ �— <br />! <br />TOTAL FEE S � <br />TMIS PEPMIT 11ECOMES NVIL nND VOIp IF WO(iK Oq CONSTRUC- <br />TION AUtHORIZED IS NOT COMMENCEO WITHIN 110 OAVS, OR IF <br />CONSTNUCTION ON tNURK IS SUSPENDEO OR AUAN�ONLD FOR � <br />PERIOD OF 120 DAVS AT ANY TIME �1fTEP WORK ISCOMMENCED. <br />I MEFEfi\' CEf1TIFY THAT 1 HAVf qEl�D ANO E%nMING� THIS AP� <br />�'LiCAT10N I�ND KNOW THE 54Mf: Tp pE TRVE �ND CORRECT. ALL <br />VHOVISIONS Of LA1N5 l�NO OPDINANCEv (tOVERNING TI/IS TVPF <br />OF WORK WILL 8[ COMVLi[p 1NI1H WMETHER SPECIFIE� HEflEIN <br />Dfi IJOT, lll[ GRANTING UF A VEH�dIT C]OES NOT PRESUME TO <br />GIV[ AUT110111TV Tp VIOLOiF. pR CANC[L THE PROVISIONS OF <br />4NV Oi11Lfi STATC OH LGCAL LAW REGULATING CONSTHUCTION <br />Ofi l l�l' PI:RFOliMANC[ OP CONSTfiUCT1pN. <br />x �� <br />- -- <br />smNniui��or-coNrnncioFfonnui�i.ncrNr onre <br />�LAN CMECK NUMBLf PLAN CII[CK PEE <br />FEE RECEIPT NO. <br />FEES VALUATION FEL <br />MA%.00C 19AD ❑UILDING $ �7��� �7� W <br />—_ —_Y-_- <br />PLUMftING I <br />HqLSPqINKL6N$ ___ I <br />111 UUINEO '—�--- <br />❑VES ❑NO M�CHANICAL � <br />OTIIE(i � <br />I <br />--------- {',NfITV ;f:C.]0]la) I <br />__.____...___'"_.'_'__-___ - �W <br />_ TOTAL <br />P[RMIT VALIDATION <br />— WI'ENPROPCRLYVALIUAlE0UN1H159YACLIlMI515Y0URPEFA1IT <br />B <br />