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j �.�:; .. .. . . � <br /> j ,. BUILDING MECHANICAL PLUMBING � <br /> i� uwNF�� ,,..� �'W :;� ., minii_�oui���:s rm r��nrai. <br /> r::`�'. ? � '•r� 2.79�'.a.7Li I <br /> - --- , <br /> � � r�anlvtr on i��sii;r�[r-_---__.-_. -____.__ _. <br /> ' �InIL ApDRI`{5 ---�---"- ... PnciNl. .- ..-..- --'�-'- IJCI.Ntit Nii-- <br /> OFNCRALCOFNTqACiyO�R M41L ADDqE55 VHONE LICEN;E NU <br /> .. ..� Y.r�•Y <br /> � MECHqNICAL CONTRACTOq MAI� ApDRE55 VHONC �_ICENSE NO. <br /> I M"'-,r, '?�^vI'lr' ?*10 <br /> IPLUMpINGCONTRACTOR MMLAOORE55 PHONE LICENSfNt� � <br /> �.T ..T�., t� • w <br /> m <br /> ��'EA^"�' c�nssorwonn --- - � <br /> � <br /> 7 <br /> [1UIL�ING ��UMBING �MECHANIfAL F <br /> __ _ �MlW ❑ADpITiON ❑ALTEPA710N ❑fiU'AIH � <br /> VALUATIONOFWO/qRK� M --- -'- -""'"--- <br /> S ��1ALr���v �]DEIdO1I511 ❑FENCF ❑SIGN ❑SWIMMING PpqL W <br /> DESCRIHf WpHK -'---- � - -- <br /> --- ---- _ __ --- a <br /> , : - �„; � �a�;; �. 1723 <br /> PROYU,LD USE <br /> MECHANICAL <br /> -- --_.____ ii�i�i i�i iiiii �-��oii �Nnr. �i.rc. �t�ec. <br /> �rcnl.pEscnivnorv or rnovERTr �sHow Petow oH nr incn �;q; <br /> . �OURCOPIC51 . <br /> ��i__ �LocK__oF _________ NO.� --� � TVPE JF EOUIPMENT FEE __._ <br /> 1 Alq CON❑. UNIT^v II.P. EA. S I <br /> �! � � 1�tf�� �/1 ♦� y� � P �y�� � � � I R11 RIGL�n110N UNITS_IP. Ef�. - -�Y-- <br /> ir7 V¢ :NY TI '•V �IlOI I L R'. H P F A. �-- <br /> � J N/, I �: � � Ii y,/r� � O .� �S�I� � � -I�•AS rv iNf D n C_UNITS TONNAGE EA. _ — <br /> ._ _ -_ _ ._ _ ____ <br /> ��»����/��� .�STEMS (3.T-U. M EA. � <br /> JOOAODfiE55 �WAII H[nT[PS-A.T.U. M <br /> 7A3 W. r� .�- :. n -- � -- -- I <br /> �UNiT �1EnTEPi fi.T.U. M � <br /> PLUMBING I ���^�'�>��^ti��E coo�ens <br /> __ �.1CLOTHLS f)fiVERS � <br /> VENTII.�TIOry FAN � <br /> � NANGC /IOOD � <br /> TVPE OF PIXTURE OR ITEM FEE __ AOi ���N[I�ING UHIT- C,F.M. <br /> WMERCLU;FTITOILETI � s -' . INCINERATpq � <br /> HATHTUB� - -'-_ -"-----'- � — <br /> _ LAVATORV IWASHBASINI -"' _- ----'�---" � — <br /> SNOWER--_- — _ __ --'— - <br /> __T <br /> KITCHEN SINK 6 DISP. ��— � - -- SUB TOTAL E <br /> -- " " - __ <br /> DISMW�SHER ____' .-__'__._'--__ <br /> - --' PERMIT § <br /> l_nUNDRv TRI1V - ---"-"----- '_ <br /> CLO7HF5 WASNFR 1 - TOT�'. rEE S � <br /> WATfR MEATER T TI11S PF.RMII fl[CORiES NULL AD O ��OID IF WORK OR CUNSTRUC <br /> - TION nUTHOR12E0 IS NOT COMrvIENCEU WITHIN I]0 O.1v5, OA IF <br /> __ URINAL ��— CONSifiUCT10N OR WOf1K 16 SUSVENOED OP AOANDONED FpP A <br /> _ �RINKING fOUNiAIN —� �'EfiWD Of VO pAVg AT ��NV IIME AFTER WORK ISCOMMFNCEn. <br /> _ FLOOq SINK OF DRAIN_ � I HEREHv CERTIFV TIIAT I HAVE REAO ANO EXAMINFD 11115 AP <br /> _ VACUUM OREAKERS ��-�-�-- �IJCnT�UN 4ND KPiOW tME SAMC TO ItE iRU[ ANO CORRECT. ALL <br /> FOOF ORAINS-RAINLEADEHS --I -- -- �ryOVI!ilONS Of L 1W5 ANfI OROINANCCS GOVERNING THIS TVPE <br /> --- - _.___..' O!' WORK WILL pE COMVLIEO WITI�I WHFTH[R SPECIfIED HEREIN <br /> SINK (SERVICF-- III1R, FTC.) _ OR NO�, TIIE GRAWIING OF A P[qh111 DOES NOi PRESUME TU <br /> —��- -� - GIVF nlrt11U(iITV TO VIOLAT[ Ofl CANCLt. THE PROVI;IJNS Of <br /> �- ANV OTIIFR ST�T[ OR LOCIIL I AW flFtiUI.ATING CUNSiRUCTION <br /> ...��-��� OH T�It P�NFpRMANCC Of CUNSiRUC1iON. <br /> SUBTOTAI <br /> --- __ __ . .___ _ __ . __ __ <br /> PERMIi 5 <br /> — "____-____'_____ ' <br /> _ <br /> TOTALF[E S _ _ � I <br /> - __.___- __ _ _ '. __ <br /> x 21/it�/7d � <br /> ^IGN�iVN[OfCONIRl1CTORORAUTII.AG6NT DATE i <br /> lilflG YAFpSFlIIACK $iRFET ;ETPACN RPA1iY�I1pSFTItACK PLANCNECN NU�'qER PLANCMECK FE[ ' <br /> t�i �+� FEE RFCEIPi NO. I <br /> USE 20NE lOT I�REA VI�C�NT SITE I <br /> ❑vEs ❑No FEES VAlUAT10N fEE <br /> 1 vPf: OF CONST. OCCUPANCV GROVP NO.OF DWELLING - - - �- <br /> UNIlS � <br /> -1--__- <br /> ';iIl. OF BLDG. NO. OF^iOftIES Ml�%.00G LOAD ❑UILDING = �����ia' <br /> VI UMIIINO <br /> ��`N <br /> IIIiF20NE ----�� IIA`If-NIN1 ...--- - FIlILSPfiINKLEliS ��� <br /> R[pUIRED . .. . .. <br /> ❑vF5 ❑NO �•�FC1�4�lICAI <br /> . _. ___. _. !_- <br /> ':Pf CInL CONDITION:. _.. _ .. . OTMEq '�-_ I <br /> — I <br /> _ � <br /> -.' --�--- .._ ---'- --- PFN6UV SEC. 80JIn1 I <br /> . _.__."_'_ . __. .._"_ __.__ _.__ _--___ --. <br /> ..-_ — TOTAL ��� I <br /> � P[RMITVALIDATION <br /> - - - �vnrrv rnnvr r��v vni it�nT[u nni nussancei n��s is vnur�r�� ivnnit , <br /> _ -__ - I <br /> � nrrirnhnym�ti�tiLev rinYsnqivJl�nr nnrPf)�r0 I�ii!I�n���� �i� <br /> G <br /> � <br /> i <br /> a � <br />