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rn. y.q� lY�v,.� <br /> lv1�i[!1 N<9uNp�04 <br /> '°" °' �'"""'�`"' gUILDING MECI-ANICAL PLUMBING <br /> '11�1111V41N� <br /> OWNER MAI� �D�RESS [�i` YHUNL <br /> ^fen A'l3r.Ar C�Of.S :'a�y 'm� 43Eo3 <br /> l�RCHITECTORO[SIGNf�, 1dA1LA00RESS PIIONE UCFN;CNU �� <br /> GENERAL GONiRACiOH MNL AODRC55 PHONE L�CENSE NO. <br /> MECHANICALCONTRI1CTOq MAIL �DORESS PNONE LICENSE NO. <br /> I�SQ �C.C�' i� �i� 3J�j'�J:�� Gtf1f�1'A! .''h318 � � <br /> PLUMpIN(i CONTRACTOR MAIL ADDNESS PHONE LICENSE NO. W <br /> m <br /> PERMiT CLASSOfWORA � <br /> Z <br /> ❑�Uli_OING (]PWMBING �MECIIANIC�L �NEW ❑ADOiTION ❑�LTEFI1T10� ❑REPAIR ~ <br /> _--- _" � <br /> �VAWf�T10NUF WORK � <br /> S ❑DEM�rL1511 ❑FENCE ❑SIGN ❑SWIMMiNq PODI. a <br /> . _. -_- .__ .___ _ _.. .__ __"'__"-'_'_'. <br /> �ESCHIBf WORK ���� <br /> raoroseo us[. Y MECHANICAL <br /> TYPF OP FUfi �OiL �NAT. �LPQ �ELLC. <br /> LEGAL DESCRIPTIONOf PROPERTV ISHOW OELOW OR ATTrCH Gl�S <br /> i OUP COPIE51 <br /> �07 _ m_ocK-_oF_ _ NO. TYPEOF EOUIPMENT FEE ___ <br /> AIR CON2 UNIiS- 11.P. EA. S I <br /> _____ ___."____.-"'______.__-_ _ <br /> RffRIGEP�TIONUNITS H.P. EA. � <br /> - AOILERS II.P. EA. ��-- �- <br /> u45 FIREO A.C.UNIlS-TONN4GE EA. <br /> �URCEO AiR SVSTEMS-B.T.U. M EA. I <br /> J�Of3 ArDU/R��E55. W�LL HLATEi1S- H.T.U. M <br /> ��7 ��Y/ � UHIT HIiATENS-�A.T.U. M 1 <br /> EVnPO{IATIVE COOLERS <br /> PLUMBING c�orH�s oRreAs i <br /> VENtll.ntlON fAN <br /> RANGE HOOD 1 <br /> nlq HANOLING UNIT- C.F.M. <br /> NO. TVPE OF FI%TURE OR ITEM FEE — <br /> WATERCLOSE*ITOILETI y —T � TD I <br /> l3ATMTUB <br /> ��VATORV (N'ASH BASIN) _�_ ___ � <br /> _-- SIIOWER ----- � <br /> KITCHEN SINN Po DISP, I � SUfl TOTAL S � <br /> DISHN'�SMER ---- —� -' '--------"-'---- PERMIT S <br /> � �AVNDHV TRnV —�-�--- <br /> - - --�-- TOiALFEE E � <br /> CLO7NES WASHER - iN15 PERMIT BFCOMFS NULL ANp VO�p IF WORK OR f.ONSTRUG <br /> _ WnTFR HEATER � TION nUTMnR17ED IS NOT COMMENCE�WITHIN 1�0 DAVS, OR IF <br /> UFINAL —f �ONStRUCTION OP WORK IS SUSPEN[JEC OR �BANpONED FOii A <br /> OPINKING FOUNTAIN I PERIOO Of 1�0 DAVS AT ANV TIME AF 1ER WOFK IS COMMENCEO. <br /> FLOOR-SiNK OR ORAIN �— � IIERFOY CERTIFV TNnT 1 IIAVF. Hf.nD AND [%AMINEO tHIS AP- <br /> VACVUM BRFAKEPS � —� PLICATION AN[] KNOW THE SA�tE 10 BF. iPUE �NO CORRECT. ALL <br /> ROOF DRAINS-RAINLEAOEflS --� ��OVISIONS OF �AWS ANn ORDINANCES GOVENNING THIS TVPE <br /> OF WORK WILI pE COMP�IFD WITII WHEiHER SPECIfI[D HEREtN <br /> I SINK (SERVICE BAR,ETC.I _ ---� Oq NOT, TME GRANi1NG OF A PEPMIT �OES NOT PqESUME TO <br /> - GIVF. AUTIIORITv TO VIOl41E OP CANCEL THC PROVISIONS OF <br /> ANY OTHER STATF Ofi LOCAL LAW REGULATING CONtiTPUCTION <br /> . OR TH6 PE�FORMANC[ OF CONSTRUCTION. <br /> SUNiOTAL <br /> _-_ ______-.---__ . .._ _._ . .._.__—{-- <br /> PERMIT E <br /> -___'__-_._"__ ____--________-_- - _{__ <br /> TOTAL FEE E ��� <br /> _-_.. .___..__ ._ __ .. .'___ .._____ _ - _-_. <br /> X <br /> SIGNAiURCOFCONTRnCTUROfiAUfH.AGENT DATE <br /> SIUE ��HD;E1Pl�CK STRF[l ,^.F.i11A(K f1fAf1 Vl1RO5FTRACK PLAN CHFCK NUMftER PLAN CHECK JFE <br /> fEE RECEIPT NO. <br /> USE 20NE LOT AREA VnGANT SITE <br /> ❑vEs ❑No FEES VALUATION FEE <br /> TVPE OF CONSi. OCCUPANCY tiROUP NO.OF OWELLIIJG <br /> UNI TS I <br /> SIZE OF BWG. NO.OF SIOf IES MA%.00C. L04D 9UILOING { � <br /> I <br /> --1 <br /> PLU��BINO � <br /> lIRE20NE IiASEMFNI FIH[SPFINKL[RS __ __�_ <br /> REOUIPFO <br /> �v[5 ❑NO MECHAfUCAL I� <br /> SPECIAL CONDITIONS. OTMEF � <br /> I <br /> _— _�— <br /> "'-------- "- PENFLTY SEC. �OJIeI I <br /> _ _"--'__—— "__I <br /> —___ ---_ _ TOTAL — — — � �I� <br /> PERMIT VALIDATION <br /> --- -- -- — wiirN rnore ni v vni innTen iiN nus srncri rras is voun reannn <br /> �, <br /> ePinnli�^:n��if��IPirv �tN�in[���IOPv �PPRO N 1541�N�Ibv <br /> �� � <br />