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EVEflETT_ WASNIMGiOM <br />95201 <br />°`", °"`'""°"`" BUILDING MECHANICAL PLUMBiiJG <br />oevsavn[r�t <br />L <br />IL ADOR <br />BUILDING ❑ PLVMBING � �':IECHANICAL I <br />[�NEW ❑ADDITION �AI.TERATION ❑REPI��R <br />LVATION OF WORK — <br />5� ❑DFMOLISH ❑FE110E ❑SIGN ❑SWIMMING PODL <br />I <br />SCF�BE WGFK -- <br />ra�u a.a �+c.a�! � <br />OPOSED USE --""— <br />� �� MEC4ANICAL <br />- TVPeOFFUEL �OIL �NAT. �LPG. <br />3AL DESCFIPTI:JN OF PliqPERTV (SHOW DELOW OR ATTACli GAS <br />LOT '�'� 6LOG�. <br />JOE3 AODRESS <br />��� <br />PLUM8ING <br />V <br />SPECIAL COC�OITIONS: <br />035 <br />NO. TVP[ OF E(1UIPMEN7 FEE <br />AIR COIJD. UNITS-H.V EA. $ � <br />REFPIG[RATION UNITS-HP. FA. —t <br />i <br />. OOILERS-H.P. EA. � <br />GAS FIPE� A.C. UNITS-TOKNA�.e EA. � <br />FORCED AIR STE1.15-6.T.U. M EA. � <br />WALL MEAT[ � -e.T.U. AI i <br />UNIT HEATEPS-B.T.U. M I <br />EVAPORATNECOOLERS —� <br />CLOTHES ORYERS ----j <br />VC-NTILATION fAN —� <br />flANGEHGOD � <br />AIR tiANJLING UNIT- C.F.M. <br />IPICINEPATOR , � <br />� <br />W <br />m <br />� <br />7 <br />Z <br />�'-' <br />_1 SU�TOTAL 5 � <br />_�_ PERMIT 5 <br />TOTAL FEE $ � <br />THIS PERMII' DECOMES NU�L AN� VOID IF WORK OR CONSTRUC- <br />_I__ TION AUTHOft12ED IS NOT COMMENCEO WITHIN 120 DAVS, OR IF <br />CONSTRUCTION Oq WORK IS SUSPENDED OR A�ANDONEO FOR A <br />� PEqIOD OP 12f1 OhVS AT ANV TIME AFTER WOFK IS COMMENCE�. <br />I I1ERE�V CERTIFV THi1T I HAVE FlEP� AND EXAMINEO THIS AP� <br />FLICATION AND KNOW THL 5l�ME TO BE iRUE AN� CORRECT. ALL <br />j PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE <br />—_.t_ OF INORK WILL PE COMPLIED WITH YJHETHEF SPECIFIEO HEREIN <br />OR NOT, THE GRANTING OF A PFftM1T DOES NOT PRESUME TO <br />GIVE AUTHORITY l'O VIOL4TE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OF LOCAL LAlN REGULATING CONSTRUCTIUN <br />OR THE PERFORMPNCG OF CONSTRVCTION. <br />x � <br />SIGNATUflEOFCONTRACTORORAUTH.P.GENT DATE <br />211R VARDSETBACK PLAN CHECK NVMBER PLAN CHECK FEE <br />FEE + qECEIPT NO. <br />4CANT Sll E �� ��1� <br />❑vES ❑NO � FEES VALUATION FEE <br />].OFOYIELLING ,.�r_�� I <br />VITS �NW <br />nx. occ i.ono BUILOING �� $ . � . <br />� <br />PLUMBING �� � <br />RESPFlINKLERS <br />°�UIREO � <br />❑YES ❑NO MECHAHICAI � i � <br />OTHEFi i I <br />1 <br />PENELTY 5[C. 3�S la) I � <br />TOTAL �c+v j . I <br />PERMIT VALIDATION <br />WHEN PqOPEflLY VALID,4TED IIN THIS SPACE) THIS IS VOUR PERMIT <br />�'.�'� I �.C• I 9�.f. <br />