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. -� <br /> CONSTRUCTION c�vcrett � <br /> "'� °` PERM17 <br /> everet� <br /> ; �in�� zo�e�as � . MECHANICAL • PLUMBING <br /> � �_i_raE��, wn qazci COMBINATION BUILOING <br /> uw�r.cra Mni�nooAtss ziv v�+orve � <br /> Slid. 7AQ�'iT 23�2 SI�lAixliAlC � <br /> AFCHIi[CT OH�[SIGNCR MA:L ADDRE55 PHONE UCENSE tJO. 3 <br /> � <br /> GENERALCONTP.ACTOF MAILADDRE55 9NONE LICENSENO. Z <br /> LVh'RE1T Su�1 OD 259-94i3 � <br /> ME[HANICALCONTRACTOR MAILAODRE55 pNONE IICNSENO. � <br /> „ m <br /> v�UMF3INGCON7RACTOR MAILADDRESS PHONE LICENSENO. . . � <br /> VEFMIT CLASSOFWOIiY. ' � . <br /> ❑CJMBINATION <br /> ❑6UiLDING ❑VLlY78iNG ❑MECHANKAL <br /> �r�ew Onooiriva ❑n���wnnoN Un�Pari � <br /> VALUAT ION OF WORK <br /> ❑DEMOLISH ❑FENCE �' ]SIGN ❑SWIIAMING POOL <br /> 5 60Q 0�_ � <br /> UESCFIf3E WORK <br /> �-+�C.�.r .clIQ1 <br /> vnovosEo �se MECHANICAL <br /> TvrE or ENEacv � <br /> LEGAI. DESCRIPTION OF PROPERTV ISMOW BELOW OR ATTACH ❑.A$ ❑EIEC. �, <br /> FOURCOVIE51 - -- --- <br /> LOT--BLOCK—OF NO.�_ _TVPE OF EQUIPMENT PEE <br /> _ �AIP COND.UNITS� H.P. EA. S I <br /> _j fiE�.Ffil!_ERATION UNITS__H_P_EA. <br /> l101LEfii 11.P. EA. I <br /> FORCED AIR SYSTEMS-B.T.U. MEA. � <br /> -_�---_ _-- <br /> __—_ -�--_ � <br /> JC9 ADORE55 PACE & WALL HEATENS - B.T.U. <br /> UNIT HEMERS-�9.T.U. � <br /> _�—- <br /> - VAPORATIVECOOLERS _ <br /> PIUMBING ��c�oriies onvens � <br /> V[NTILATION FAN -��� <br /> - -.. .R�JJGC HODO � <br /> NO. TVPE OF FIXTURE OR IiEM fEE � �nita 11ANDLING UNIT- QF.M. <br /> [iATH iUFiS " S - -�- �- � <br /> CLOTHES WnSHEH � WATER HEATER -� <br /> UISH WASHEHS � FAC. BUILT FIFlEPLACE d CHIMNEV I . <br /> DRINKING FpUNTMNS � ,AS. SYSTEM: NO OP OVTLETS <br /> _�- ' <br /> FLOOR DF�AINS "- -------'-- -"---- <br /> - _ ____ SUR TOTAI 6 I <br /> Y.IiCHEN SINKS & DISP. i -- - -.-- <br /> 13Afl SINK$ � � PERMIT S � <br /> ____... _. . ___-_'— _ <br /> ROOF DRAIN RAIN LEADERS To7nL FEE 5 I <br /> SHOWER 0ATH5 -�i+�`: PLft�dl1 6lGnMES NVII AND VOIp Ii' WOPK OR coNSTRUC <br /> $L��VICE SINKS �����J AUTHpR12CD IS NpT COMMFNf.ED WITHIN 120 DAVS. OR IF <br /> SUMPS SF.WAGE PUMP �-��'�"�tfiUC11UN Gn WOFK IS SUS�LNDED OR AftANDONED FOR A <br /> PLlIIOD Of t+0 OAVS AT l�N�' TItdE Ail[fi WOAK IS COMMENCED. <br /> UNINALS <br /> 1 HEf1fJi1" CLRTI�Y 7MAT I HAVE READ ANO E%AMINCD iH15 AP i <br /> WlaTCFi CLOSETS _ pL�CMtON ANf� KNUW T4E SAME TO [3[ TRU[ AND CORFECT AL1. <br /> Wn7ER HE�TERS - ELECTRIC __.�. PnovisioNs oF �nws nNo onoiNnNces cov[nrviN� THis rvve I <br /> WAiH RASIN$ � OP tVURK WILL 9E COMPUED WIT11 WHETMER ;PECIFIED HEftElfa <br /> LAUNDflV TflAV$ Oq Npf, TH6 GRANTIIJG OF !� PFPMIT [�OE^ NOT A(iESUME TO � <br /> (iIVE AUlHOR11V TO VIOLATE OR CANCEL 111E PpOVI510fd; uP <br /> . ANY OTHER STATE Ofi LOCAI LAW R[GVLAIRJG CDM1ST�+IiCliD41 <br /> _ _ _�_ � OP THF PER�RMl1NCF Of- CONSTf'UCTION. <br /> 1 <br /> SU9TOTAl �� <br /> PERMIT S / e/�j � <br /> T 7AL FEE X � Lv//�. ��,//^'" ✓, �� 4-ZS-�B . .. <br /> WATEF SERVICE SIZE OLDG. SUPPLY SIZE sic; unern Gd7vtt ionoanUn�.n eNr on1[ <br /> 9UE YAROSETBACK STREE7 SE�fiACK FEAR VAROSETB/�CY PLAN CHFCK NVh9HCR �LAN CHECK F[f . <br /> FEE PEC°_IPT NO. � <br /> :1;E ZONE lOT AREA VACANT SITE 1 <br /> ❑�Es ❑No pEE6 VALUATION FEE <br /> TVPE OF CONST. OCCUPANCV GiiOUP NO.OF UWEI.LING � <br /> UN1T5 <br /> SIlEOFBLDG. NO.OFSTOAIES Mq%.00C. I.OAD BUILOING SGOO�OO 6�d� <br /> - t- _-_ <br /> PLUMRING � <br /> FIREZONE ftASEMENT FIRESPFlINKLER.^. _ <br /> REOUIRED <br /> ❑VES ❑NO MlCHANICAL � <br /> I <br /> SPECIlIL CONDITIONS: UTH[fi � <br /> — PENALTV SEC.J031n1 � <br /> I _ <br /> - I <br /> . . - "- TOTAL G. O i <br /> � PERMIT VALIOATION �(�'� � �� a� ' � <br /> wr+cN rwoi�rni.r vnuun'rev n m rncE . � � i r't:'ati+�� <br /> - YQU;R RECEIP7 ' <br /> ---- THANK 1F�O.U'. <br /> -i.— .-i ,.. -.� .�rinqSCMlcY.lour: amrtnvtnrnmcsunqf.rrrv . . ` ` •.. ,. <br /> 1 � <br /> , ; R 1 <br /> -- ---� <br /> �� ��� �rR 7 R <br /> � <br />