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u,c Evr,n�cen <br />��„ �, <br />eve�ett <br />��r.�:,�� ,�,����, <br />[vEll[ti.'da:rll^If i11N <br />oum <br />ucat nr [or,n,���r�i�r <br />utvuorr.i�xr <br />NER <br />�r �u 'i��nr�..�ii <br />if":�'!��1�.} :'t.�::`.��,�.:r <br />CONSTRUCTION <br />PERMIT <br />BUILDING <br />r�'�yp Ml�IL AD <br />r,.�.0 . . _ ii:::'' �`; � -'.j <br />L <br />MECHANICAL <br />.�..�a <br />PLUMBING <br />F'HG <br />3✓.i�?I;irj <br />��UILDING �PLUM�ING � MECHANICAL <br />❑NEW �qOOITIOh ❑qLTERATION ❑REPAIR <br />/ALUATION OF YJe <br />5 ��f��� ❑DEMDLISH ❑F;_.VCE ❑SIGN ❑SWIMMING POOL <br />)ESCFiIB[ WOFK — <br />i�GCri; %rt' � �'7^'-:+, <br />''-'d'� _: u:, t z:,,c_ <br />P <br />�-�GAL DESCftIPTION OF f <br />FOUR COPIE51 <br />LOT—__ OLOCK_ <br />JOB ADDRE; <br />PLUMBING <br />0 <br />A <br />Y <br />`1't::.'F;'•�Z r�Y <br />MECHANICAL <br />� <br />LL <br />� <br />� <br />G <br />F <br />� <br />� <br />W <br />a <br />348 <br />TYPE OF EaU1PMEN7 FEE <br />Alq COND. UNITS—H.P. Eq. $ I <br />REFRIGERATION UNITS—H.P. EA. <br />BOILERS—ry,P. Eq, � <br />GAS FIREO A.C. UNITS—TONNAGE EA. � <br />FOFCEO AIR SVSTtMS-6.T.U. M Eq, � <br />4VALL HLqTEFS—B.T.U. M <br />UNIT HEATERS-6.T.V. M � <br />EVAPOFATNE COOLEPS <br />CLOTHESDRVERS i <br />Alfl fiAND�ING UNIT- C.F.M. <br />INCINERATOR <br />SVdTOTAL 5 � <br />PERMIT 5 <br />__ � <br />TOTA� FEE 5 � <br />THIS P@RA11T 6ECOMES NVLL ANO VOID 1,'- WORK OR CON3TRUC� <br />TION AUTI10H12E� IS NOT COMMGNCED WITHIN I20 DAVS, OR IF <br />CONSTRUCiION OH WORK IS SUSPENDEO OR ABANOONED FOq A <br />PERIOD OF 12U DAVS AT ANV TIME AFTEF WORK IS COh1MENCED. <br />I HERE9V CERTIFV THAT I HAVE READ AN� EXAMINED THIS AP� <br />PLICATIO�' AND KNOW THE SAME TO �E TRUE ANO CORqECT. ALL <br />PROVISION3 OF LAWS qND OqDWANCES GOVERNING THIS TYPE <br />OF WORK WILL CE COMPLIED IVITH WHCTHFR SPECIFIED HERGIN <br />OH NOT, TFIE GflANTING OF q p[qpqlT DDES NOT PRESUME TO <br />GIVE AUTHORITV TO VIO�ATE O(i CANCEL ThIE PflOVISIONS OF <br />ANV OTHER STATE OFl �OrpL LAW REGULATING CONSTRUCTION <br />OF1'HEPFRFORMANCEOFrpNSTNUCTION. <br />Y. � 4/t'J•d. <br />OSETFIACK STFlEETSET�ACK {iGApVARDSETBACKPLANCHECKNI. <br />LOTAREA VACANTSITE i��"� <br />❑YES ❑No FEES <br />SPECIFL CONDITION�: <br />9v: <br />PLAN CHECK FEE <br />fEE RECEIPT NO. <br />�.4�5l1 3�:� �G <br />VALUATION FEE <br />I <br />_ � <br />.00^.. LOAD BIqL�ING 5 �1.�'�'�41� 9h � <br />A+ <br />PLUM��NG � <br />'SPqINKLERS � <br />UIpEO <br />YES ❑NO ti�ECHAP�ICAL � <br />I <br />OTHl:R I <br />— I <br />f-- <br />PENELTV SEC. J031a1 I <br />I <br />TOTAL � <br />.: � <br />PERMIT VALIDATION <br />WHEN PqOPERLV VALIDATED 1 W �HIS SPACEI THIS IS �OUR PEFMIT <br />.,�a,/O <br />