|
. � . . .. . ...
<br /> ,,,v,��,. �,�„ �,,,,,�, ,: , ,.,�,:,
<br /> �', , . r� i�r�.• :'. -!�� -:!. 3 3-t^2n7. TF':�-T_'•
<br /> AHClill[CT Ofi DESIGNER ------ �'---- MI11L ADDHLSS�----'-------�PIIONF. -'--"-----LiCt_NSL fll) �
<br /> GENERAL LONTRACTOR - MAIL ADON555 PIIONE L�CENSE No
<br /> „�-li• S' '_t��.�J_�l� :i��.P�' n� �i��
<br /> MECIIANIC4L CONTRACTOR MAIL AUDRESS .�( /��P�N/O�NE LICENSE i..i.
<br /> i� 11 �.�... ....�., rr,1' :'1H'_ l�T�.�f.61
<br /> __._ �
<br /> I �LUMf11NGCONTR�ICTOH ----- MAIL AODFfGS --- -'"----P��ONf -�_- f iCEN:f. Nn W
<br /> ti• "�r-� ." • 3�J7A m �
<br /> � he'�rnii -- � ---__..--- . . . - - - - �
<br /> _ _. __. - __ ._. _ __. . .__ ._
<br /> i c�nss or� wcii+� � ]
<br /> Z
<br /> �[3UILUING QYI U�dI11NG �1CCHANICIIL �
<br /> Qn� v ❑aninnnN ❑ni uriniin� �w.rnn� �
<br /> - - -.. - ..----
<br /> . ._ � _ _----� - ------ . . . �
<br /> VA WAtIOyN�OFryWyC�..1���. . . .. . .... .
<br /> E 1�/w�+M+�� ❑n<ken ��.i� ❑iLNCl. ❑s,N ❑s�v�,.��.air��, r��oi �
<br /> __.----------- ----
<br /> . __-- -� �-------
<br /> orscnmr wonK --- .. __ . ___ .. . _ _. . . . 1722
<br /> t (:" �f ° A":w
<br /> PHOfJSEU US[.
<br /> 1AECHANICAL
<br /> -----
<br /> �ecni. uescairrior�or �•aoaEarvisHowne�o�vunni4ncn rYv7i�i�iui � -� ��n�� II"i;: i�i_re []ciF.c.
<br /> F�������,�E,� Y
<br /> �S'�.T� �' �t"L( j;� NO i TVPE Of F:OUIPMENT FEE �
<br /> iL?T -__ 9LOCK-.OP _ - - - AlnruNU. UNIIS I�l`. fA.� -�""_- S 1
<br /> �rtµ,� i,i Hn�ii�ry uvil•. MP. E11. ��
<br /> I
<br /> _���-.° 3 �� O! rO'C 3C �1� r ���� T' `���At�� , ��� i �. --- � -
<br /> �GnS1iVlUnC UNiS iONNAGE !A
<br /> � _��'}� � {7 ���T���_�_y_'�'�_� _ � �nl�f.! I� niR SVSTF.MS B.T.U. M EF- I
<br /> J03 �[]Ufi[5� '^ Nnt I n[ntf RS- O.T.V. --M -
<br /> {y� �P� C��,�j� ��:� - A �U�ii HLMER -B.TU. M �-
<br /> _._�._ '
<br /> PLUM8ING t�.��'cnnrivecooi.ens _ ___y__
<br /> �CL('TRCS ONVERS I
<br /> -- -T - .bLry�IiI �TIONPl1N _ -_���
<br /> nnNr,[ ��uoo- - - i -
<br /> nIR ��ANp1.ING UNIT- C.F.M. �
<br /> TVPE OF FI%TURE OR ITEM FEE - - -�----�----
<br /> .—_- _ ._ ___._.-
<br /> ---- --�---- ir�arvu�: ron
<br /> WnTF� :LOSE7 ITrILETI = �
<br /> .. . _. . .. _'_____'_. __._ �{-. �_._
<br /> OATNTUN __----_'. -_- .._ .-- __�-_ _ ... __--_ -_---� _...
<br /> - _ 1 ."_
<br /> _ -_- _ —_..-___ - __
<br /> Ll�V ATf 9`.' IWASH BASIN� I
<br /> _ .. ___ . —_-_--_ _ '__.._ __ .. . _ .___-
<br /> SIIOWE. '�__ - .. _ _ _ _1-"-_.
<br /> KITCME J SINK !4 OISP_ � SUFl TOTAL E �+�Y^
<br /> DISIIWf:NEH .. . __,_ ___+_ - -- - PERMIT $ M� �
<br /> LI�UN�I.VIRIIY ---- -�' TOTALFEE 5 -�� _�����
<br /> _ � CLOtHE;WASHER {__ THIS PERMIT (iECDMES NULL AND VOIU �F WORK oR rpNSTRUC
<br /> WATEF HEATffi ___ TION �U"HORIZEp IS NOT COMMENCED WITHIN 1]0 OtVS, (tR iF
<br /> UHINf.L � � C:d�STfiUCTION OR WORK IS SUSPENOEn OR ANANpOKCD {�Ofi A
<br /> OFi1NKIhG fGUNTMN I - Pf.illDp OF 1�0 D4V; Ai AN� TIME AFTER WOPK IS CO�IMLNCEf�.
<br /> f1.00R 31Nv, pR�UP.11N � ��EREIIV f.FR�I�V TNAT I IIAVE �EAO 11N1] EXAp11NED TIIL': AP
<br /> VACUUA� H111 AKF�15 �- ���C�i104 I1NO KNOW�NF SAMF TO 1'�E iRUE AND CnRfiLCT. .��_l
<br /> --- -- PROVISIONS OL ��WS nNp OPpIN�1N:F5 �OVFNNING THI'• fVPf.
<br /> NOn� U�tAIN, ��A�NLE40ERS { OF WpqK \VIL� pF C0�9Pli[f) WIT11 WN[iMfP SPCC���ED I�E REIN
<br /> . . "' "'_ _._ ._ __..__ _ "_ --_____ _ - -
<br /> .`.iNK ':F.HViCF ❑AR, ETC.) t O!i NUT, T�E GRANTIhG Of A PEP6L1 D<1[; NOI PLt£t� �E T�
<br /> ------ --- -------"-'-- �-�-- -� - �- GIVE (\U"I�ORITV TO V�OIATE OR CANCFI. i��[ PNI�b:VLI�S Of
<br /> --- -- '- -----{---- �Nv p�HER STM'[ OR I.00/�� L�W RCGUI f�liNtV CUNSTN�CI IJN
<br /> ON TNE PENFORMANCE OF CpN51fiUCli<�N.
<br /> SUB TOTAL `{
<br /> - __"_
<br /> PERMIT S
<br /> _ _.__ .-'_- _-'-- _ _ _-
<br /> TOTAL FEE E __ � _
<br /> _-_._ . .. _-_ _ -___'" . _ . _ _. .
<br /> I x __ _ 1 /'I6
<br /> .;IGNntUnFUr Cr,NrRnCIpRUh ..1,iH.nGEv1 f1niF.
<br /> SIUEVANUSETII�CK ;iRFE15E1PACY. REARVA{tU[ElO�CKPLl�NC11[C�'. NUAIHfH P�.qNCHECI: FEE
<br /> 5� �� �� --- 7G•t,9¢ �E� ]LU.�)5 �,E�:��'
<br /> USE 20NE _ LOi AREA VACANT Si�E -'_ "_ - -_-_--'__ _ -----__- ---___-- _
<br /> [f 7 f�
<br /> '�� pves ❑No FEES VALUATION FEE
<br /> TVPE OF CONST. OCCUP4NCY GR�UP NO O( UWCI LING �
<br /> UNi15 � -_-_-_-_'--___ _ __ y��I/y�
<br /> -1
<br /> I 512E OF OLOG. NO. Of STONIES MA%.UGC. LOA❑ BUiLUING 5 7`' - K��W
<br /> 2 __ _ __ _-__- _ _ i___
<br /> i . . ._ __ PIU�1pING ���
<br /> � 1 IR[ ZUNF----� ❑n;f MI Ni FIRPSPliINKLEfiS _ __ . _. I..._._.'-
<br /> ' � �A ROVESED �O MECMIINICAL ���
<br /> __ _ "__1__""__. _
<br /> ,� tiPFCII�Lf'ONDI11f1H5 OTHE9 �
<br /> . ... . .__. . . .__—_ _— -- I I
<br /> � — - -- _
<br /> 1_—___
<br /> I .___. _—__ _____ _ Pf.�at 1 1 . bf f. .il.11 ial I I
<br /> I . _ .. —_ . .. _ ..__-_- f -.—-- 1 _...
<br /> . _- '_-. _ _ . TOTAL i I � I
<br /> 377�o�
<br /> __ _ _ I
<br /> P[RMIT VAIIDATlO��
<br /> � _ __- �yi�! `�i�unriiuvv.:iionnn �nitinsSr�rli ��m. ir, �nnui�Enatn
<br /> I _ —_ �
<br /> � . ^-__.. __
<br /> i _.._ _-_-____ '___-__- -_ ___.
<br /> � �al'ii�a�in• n��lr•!l�xr rinNS�l�l�nll�r�.� ..._ �'��n�rn��pr,.i,n�nrV� �
<br /> �, � C• 14 l"� � C.� �
<br /> � p I
<br />
|