.
<br /> a
<br /> . . .. v�fl\.) [ 1\ VlJ { IUIV . - � .j� � f'1f('i(.'ti
<br /> ,. � PER1111 Y" .,� .F'""'.
<br /> : � - _ � � _ -r.nr-�+r--- � . ' � i � � � jrl ,,L'..^�,� .
<br /> `� ��i�C' 6'�'1��: - . , �;' . .,::�
<br /> , - �, ,.;� j
<br /> r.irv �inii 1 �:��a�� . PLUMI3INi.i °
<br /> ��ii,, ,�, ,vn o;��nt COB1QINATION • CiUII.UING • Mf:CFIANIC:IL
<br /> , ' �
<br /> . � . . NhIL nU11111.L5 LIY . YIIUNL ' .
<br /> UWNIit • ' . ' ' �0� ��
<br /> ' ' (l .�/� � '�.q �5ouo sT ��reTl__�S�o) _
<br /> �. _RR��� f'ilU�pUS.JY� — �—""'-.'._•._•` . YIIUNI . - Lll'kN:EN� .
<br /> AftC1uTtGT UN nc:If.NCfl . MAII AUPNL}io . . , .
<br /> GCNtNALCUt�TI:ACT011 � _...MAl1.nf�UFlE$5__'-'__—"—"�IIONC UCLNSLN( . '
<br /> 35'J-�yA2. W�BU-1�23qKR
<br /> W.�. Gldr�--. �____�29---��ti..�.l�d:�_—.---- ���E��.� ��
<br /> n�nii. nnnnr.sc rnon�
<br /> i.iE'ciin.v�rnicor+��incro�i - �
<br /> - , MAIL AUUR�S`.- PNONE� LICC�:it NO I
<br /> PI.VIAO���G WNf HAC70I7� i
<br /> PERA7IT CLASS OF 1YUPK I ^ � P , I
<br /> �C h101NATlON ' 3 r/\ ��
<br /> �ILDING []PIUMPIhG [�ti!ECHANICAL NE" ❑/�DUIiIUt� ❑AL1CIiATION ❑�1EPI�111 _\ '.
<br /> VALUATIONUI'WOfIK .—��-_ - _.._-'_— . ���5 ) I
<br /> s �,�,�,j C� - �U+h1ULiSM ❑FlNCF. ❑SIGN ❑iWiA1�11NG �UOI � I
<br /> DESCItI/�qftY. �
<br /> METflL LE 'F31
<br /> Ni�uPoseo ust ' ��1LCHANICnL . .
<br /> T\'PE' Of� CNEpf.Y ELEC.
<br /> LC:GALUGSCRI�TIONOFPROPERiYl5HOYJOLL(1WON11T1ACH �C�S — ❑� FCF.
<br /> FOV H COPIESI ' ' NO.� � TVPG OF EOUIPA�CNT__ __. .___—
<br /> s L�Lb CY_,,,.,r ��uisio►J C -- - —'15 '
<br /> �oT-�.-� e�oeK oF -- ' _tnincoi�ri-ur�iis-u.e. r:n..--,------ ---t--
<br /> ._�...__.. . ._ --• -
<br /> ...I.ItFI'PII:Lf�l.71nt1VNRG .II.P.Ln.'._'_"_ '_J_'__
<br /> Vbl � ' _' ❑OIIFJC: H.P. F.A. _ __ " ' _ __ � —
<br /> � P9._� - —T--
<br /> � 1'OIlCfD AIII SVS�ER15. II.LU_h1EA__ _' L.,__
<br /> "� '__"..._—_-.__'_— 1
<br /> C3 0- 29-s� ---- -- '-- -- ... ---- ---,----
<br /> JOQ AOC�RB55 _ :�ACk F. N'hLL HFAIER$ - fi.T.V. __ �__—.
<br /> �•�i1NIT11EnTCR: II.T.0 ___ '_"_. 1
<br /> ?,92 Boud sr. �v,a.r�iT -- - --- --- � --------- --7—
<br /> i t vnrcuiai iv t cuu�c r.!:
<br /> _._...._._... ._..__..---. .... . --- i
<br /> PLUM6ING c�onn:c,nnvens —�—
<br /> . - v[Nn�nno.�i rrini -- ----_t'—
<br /> -�---- -...._-� ---- i
<br /> � I i Hnr.r.[. �i��un ---'-- --i---
<br /> NO. TVPC OF fIY.7URC OR Il'EA1 " --FF.E _._..�n1111ii�Nhli�+f.UKl1'__-'-c.F.L1. __
<br /> 5 __ . ___"`"_ �
<br /> tinTfi iiie:: — �- --- --� - �- -�---.—. ...- -- - —r---
<br /> ; wnic� n�enlr� __ _�
<br /> CLU'IHf;\'L\i!IER _ _ " . . _._"._....__'
<br /> p!$11 Y:A::11".ft$ ._ � -- FAC. HV�LT FIpLCLnCC Y. C�II�..iNC�'_' _'___,�_
<br /> Uf11tJv1�Jli fGUiVL11P:5 � Cl�::. SVS7Eht: NO OP OUilEiS_..... {
<br /> (IOOR DN!dN$ - __ � '- " --'�'�-"'-"-..-. •. --__ SUR_TOtAL 5�� I
<br /> j�` '_____ �_
<br /> I;I1C��Cf� ;,INr:SF. UiSf� ' '__ .� -- _ "-'- �Fn�.�ii _5
<br /> � "__"__"_�'__ _"__' . __i_-_
<br /> A�H6INKS _ _----t- TOIAt fCE n �
<br /> IIUOF' Uf:AINS.. IIAtN L6ADER: _ _ � _ " . �- - "- -'--
<br /> 511019°fl [ �TIIS TIICi PUt^d1T I4CCOfAfS NVI L M1\fl VOIO IF 1YQItY On C01:5i f:UC
<br /> �� TION I�VTI�ORIZCf� IS N<lf CCtdr.fCNf.CD C:ITHIN 1:0 :�A\'S. Oi: If
<br /> $ki<VIC_:INK$ --� f.UK$TRJCIIUN 0I2 tVOPr: Ii .`.11$r4NPCb OR Alli�h�ONt.0 �'O�: n
<br /> g�j;!p;�- ;.-�w��ce t=uni�� _ ��— ri r�ion ur� iao nnvs AT ANY T141G AFTCR VJURC 15i CU'dA1Ct<CEO.
<br /> UiiliJP,L$ -_ � ----J---- I HEHLIiY CCtITIfY THAT 1 1!AVL f:E:.�1 l�::O E%A\�I?1CU �111.^, AP.
<br /> WAIt II ClnSET$ __ —��-- PI.ICAT1.N ntvD Y.h04V TH( S�L1C T�f lll 1 fiUF A:`D CGR1,M$rTVCE
<br /> 1 U'�iCR N::A7Ci7:_ ELC.CTRIC_,_. _' ____.� P(IpVt51OR5 Of lnnS AYO f�lt[1tkf�.�lCC� GqVF
<br /> j 17A5H [:�1$INS � _ Ofwnnr. .•nuf+bCnlu9iLUNtn� Y��i`-���CP ::�`[b���ED ��L��OIN
<br /> -i-' qH NUI. 1�11! (iliAhfW�: OF A VfNWi U(16' �:OI P�tt.^•VbiE TO
<br /> I./�UiVORI' TRA\'$ _ _ .__i (iWl AU7117R�7Y TU VIf11.ME 0�1 Clu:CFl 'IHE ('�:O�"-�Ut:S OF
<br /> _ ` - -� ON TIIC PEIt1�OfVdnf:C! (� CVNS1f,Vl'��UN•\TIRG CONS111UCTIUV
<br /> H
<br /> �- 1
<br /> �U�� �nTnl �_�� ' �•�
<br /> Fer.�.�ir s �/�',�7£��
<br /> — —I�-- x�y;��=� �--
<br /> Tcjirii. rEc � �-- �
<br /> WATERS��VICESIZE__ SIGNATVtCUFCOtJIRi\GTOfiORt�UTILI�Cl.NT lnT�
<br /> � ai.oe.surr�v size__ •—
<br /> . P�i�N C��lCK i FF
<br /> SID[ YAIlU SEIUACK STHE6T SET6ACK HEAR�'A!InSLTiIAGM. I`LAW CHI GY. NU�dlttR FCE RECLIPi VO.
<br /> :. ;, ; -. ; , � �6 ,– 3,� `= 3� c 3 v
<br /> USC 20\C
<br /> lOT ANEA VACANT SIiE
<br /> ,_/ (]vEs ❑NO FEES Vl.LU:�T':•�l FE[
<br /> i. . -- _-_-- �
<br /> TYYE Of' CONST. OCCVPANCY Gf10VP NO.OF IJ'.VEIUNG �
<br /> UNI1S �
<br /> � ' - �
<br /> t4AX.OGC. IOAU fl:11LDltlG 5 : . . . 1
<br /> 512EOFOLnG. NO.OFSTOfUCS _____
<br /> PI.UPdIlING � I 1� ��
<br /> FIHEZONE ❑A^uCMENT I�INLtiPfUl:ALLTIS '_'_- �
<br /> flEf1VINED AtECHANICAL �
<br /> - ,� j;�' , ❑��. ❑No �
<br /> specin�corvo�nous: onicn � �
<br /> I , -- .T s[c.ao�i+� �
<br /> F �� , PENALTY - I
<br /> U �
<br />� - �-._ �' T�TA�. i.'� ' �: �
<br /> ! �
<br />�I�I ' ���'�� .���'.�l ( (� ' ... . P:FINI f VALIDATI(1N .
<br /> %i :
<br /> ,�// i ' u - _`___-- WRt N PHUI•I fllY VAl If1AT@I111N TIII?:tl'\CG Tlllti IS YOI�R�CRAt17
<br /> i '
<br /> �'� �` �
<br /> <,l; ' -� '
<br /> r �nti.�l�'�iUlb nPi�nnviOnvn Unmluv �'
<br /> I�M'lilAlu�ry�N.IPIIU�I� 1 ••
<br /> I }J.C�,I^.�___"_ R
<br /> L�.-- --
<br />� nuunr.ss Fi�.r_
<br /> �9 1`S`I 1!•n N T•r. ••,���••
<br />
|