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<br />BUILDING
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<br />ii[rvtHAL CONTFi/1CTOR MNL
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<br />MECMANICALCONTRACTOR MAIL
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<br />PLUMf11NGCONTPACTOR MAIL
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<br />�EHMIT ��p
<br />� DUILDING � PLUMIIING �MCC11nNICAL I
<br />CONSTRUCTION
<br />PERMIT
<br />MECHANICAL PLUMBING
<br />1DUfIC_S lIP PIIUN
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<br />�NEW ❑AD�ITIUN ❑nLTERATION ❑qLPAlfi
<br />❑UGMOLISH ❑PENG[ ❑SIGN ❑SWIMMM� POOL
<br />LLCiAL OESCRIPTION OF P(iOP[RTV (SIIOW flELOW Uq ATTACH
<br />FOUIi COPIE51
<br />J .� � ':' i�. '� �
<br />LOT OLOCK—OF _ _
<br />'�+C..3? :95�, 12 , . E;". <.,�_ ,, ,, ., ., T.�,- . -.
<br />rJt�' �4
<br />�ODADORESS
<br />PLUMBING
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<br />WAIEFC�OSET
<br />�ATHTU[3
<br />LAVATORYIWA:
<br />SHOWCR
<br />Y.IICIIENSINK f4
<br />DISHWnSHEP
<br />LAUNOfiv iRAV
<br />CLOTHES WASNF
<br />WATEfiHFATfF
<br />1�
<br />��I
<br />3
<br />SPECIAL CONDITIONS�
<br />(�110 - ' -,_ ', ; ^
<br />MECHANICAL
<br />�vw, or��uE� Coi� �rvnr.—�
<br />GAS
<br />NO. TVPE OF E�UIPMENT
<br />Alfl COND. UNITS- H.R EA.
<br />REfRiGGRATIDN UNITS -H.P. EA.
<br />-- noi�er�s �i�r. en. —
<br />GAS FifiED A.C. UNITS-TONNAG!
<br />PORGED Alfi SYSTE�dS ��.T.U. M
<br />WALL H@ATEPS � U.T.V. M
<br />UNIT IIEA7[fi5�-l3.T.U. M
<br />[VHPORATIVECOOLENS
<br />CLOiHEiDRVEflS
<br />� VENTIL�tIONFAN
<br />RANGEHOOD
<br />AIR HANOLING UNIT-- C.I
<br />in+ciNeAnran
<br />5
<br />Qverett '
<br />i?': 7C
<br />F
<br />�
<br />�
<br />W
<br />a
<br />17QQ
<br />� SUOTOTAL 5 Jj)�IN
<br />____ PEfiMIT > �
<br />TOTALFEE 5 �
<br />TIIIS PE9MIT OECOMES NULL AND VO10 IF WOFK OF CONSTRl1G
<br />TION AU�IIURIZEO IS NOT COMMLNCED WITIiIN 1:0 DAVS, OR IF
<br />CONSTflU:TION Ofi WORK IS SUSPENDEO OR ApANCONED FOR A
<br />P6R100 Or 12U �AVS AT ANV TIM11E AFTEfl WORK IS COMMENCEO.
<br />1 HERE[3V CEflTIFV THAT I V'4VE READ ANO E%AMiNED THCi AP
<br />PLICATION qND KNOW THE St�M1fE TO OE TRUL �ND COR(IECi. I�LL
<br />PROVL':IONS OF LAWS AND OPD JANCES GOVERNING THIS TVPE
<br />OF WORK WILL f3E GOMPLIED WifH WFIEiHER SPECIfIGD MEREIN
<br />OR NOT, THE GRl�NTING OF A PERMIT pOES NOl' PqESUME TO
<br />GIVE AUTHOltITY TO VIOLAT< OR CANCEL THE PqOVI510N5 OF
<br />ANV OTII[R $TM[ OR LOCA� LAW REGUL/1TING CONSTqUCTION
<br />OP THE PLfiFORM/�NCE OF CCNSTRUCTION.
<br />_'_ _--'__--r.i -^ L_ x �
<br />SiGNAT�';`C UF CONTRACTOR Jfi nUTH. AGENT UATE
<br />STqEET S�f14CK R[AR Y��SETBACK PLAN CN[(.'. NUMflEfl PLAN CIIECK FEE
<br />f L
<br />^ PEE fiECEiPT NO.
<br />'_OIAREA V>CANTSItE r�`�:� ���'�M�
<br />IiLEs ❑rvo FEES VALUATION FEE
<br />DCCUPANCV GROUP NO.OFOWCLIING —j—
<br />Uh TS ^ �
<br />C
<br />�MiCS MA%.00Q LOAO F3UILDING 5 �`1�r�/, ry� �y�
<br />2 _ — L�-..G�.NN _.1l^�iW
<br />_ _ PLUMI3ING �1 IM
<br />FIIiESPRINKL[(i5 _ .7L�4V
<br />^ft Rf[IUIREU -- ��—�� —
<br />`1a ❑VES ❑NO MLCMAHiCAL
<br />— +
<br />OTMEfi �
<br />— - I
<br />___ —' -- —�—
<br />-- P[NLLIY SF.C.30JLtl I
<br />_ _""'__ __ ___ _-" _ __' ___" 1
<br />TOTAL I
<br />'— 6 i�` �.X'
<br />PERMIT VALIOATION
<br />--- wi�rra rrvorwai.r vnuon, En �ir� trussNncei nns is voun rciar�vt
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