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CIir KAI( Jt)1!�} <br />l'YI III 11. Yd:�4510Y <br />'YMI BLIILI)ING <br />VIM In (tTr•v1r <br />LI II I'19 M( <br />ME'CIIANICAL PLUMBING <br />UVOILI( NMI.Al1U1tLS5 ZII I'l1U(JL <br />14, <br />A t'CIIITLCi Oft Gi 14NLR 1dA1L AUUII (iL:: -- P11ONL LICLNSI: NO. <br />U <br />G(i —L'FA COili RAC1'OR MAIL ADURLSS VDQNE LICENSE NO <br />D <br />MLCHANICAL CONTRACTo off MAIL AUDRLSS PHONE LIDEN$I!iJo. <br />• <br />a <br />PHONE LICF:NS11 NO <br />PLUMBING CUI17 RACTOIl MAIL AUDIttiSS <br />UJ <br />PERMIT _ <br />✓[ BUILDING rj PLUMRING ❑LIECHANICAL <br />I___�._ <br />CL115^+OF-WODK <br />NEW ❑ADDITION ❑AL7E RATION ❑IIEPAIII <br />7 <br />r <br />1� <br />VALUATION OF Y:OiIR <br />GCI. ❑DHMOLISH ❑FC-NCE ❑SIGIJ ❑SVA1.1fdING POOL <br />S 4.I4- 11)00 <br />D EC H I DET•:O 11 Y, , <br />I <br />0. <br />W <br />CL <br />PHOVUSLU USL _ <br />LCCAL DESL PIP ION OF I, ItOPE HTY (SHOW UC LOW 011. ATTACH <br />FOUR COPILSI <br />"• - <br />LOT -' -- Rl-OCK—OF <br />MECHANICAL <br />TYPE of PULL pOIL ❑cns. 0LPG, ffeLrE.' <br />NO. <br />TYPE Or EQUIPi.1ENT _ <br />FEE. <br />I <br />AIR COND. UNITS-H.P. EA.3:000 ,1,7V <br />REFRIGEBAT ION UNITS-t1.P. F.A. <br />1 <br />DOI LERS-H.P. CA. <br />I <br />• <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />I <br />FORCED AIR SYSTELIS-R.T.U. M EA. A-- <br />JOB ADDRES5 G `/ <br />/ �/O Lrll.bQj� OJAy <br />- ��/�-C�t+'� (///��Q <br />WALL HCATERS-0.1'.U. M <br />i <br />UNIT HEATERS-B.T.U. :.7 <br />EVAPORATIVE COOLERS <br />PLUMBING <br />CLOTHES DRYERS <br />_I <br />•- <br />VCNTI LAT10N FAN <br />J_T_ <br />RANGE HOOD <br />I _ <br />AIR HANDLING UNIT- C.F.M.- <br />r <br />f!O. <br />_ <br />-F,E OF FIXTORL OFI IT Etas <br />Ft r <br />-- <br />INCINERATOR <br />-I <br />I <br />1'lAI ER_C LCf•. (TOILET) <br />S <br />— <br />- <br />BA11t fUi< — <br />L 7VA 1OltY pJKS LLASINI <br />4-1— <br />SHUIV[:R <br />— I — <br />_ <br />DISIf::'ACI:ER <br />LAUNFiRY TRAY <br />1 <br />i_- <br />SUBTOTAL 5 <br />PERMIT 5 <br />1� <br />__ <br />TOTAL FCE S <br />1 <br />CLOTIIf.S 7: AS] IE11 <br />THIS PF..RMI'f BECOMES HULL AND VOID IF WORK OR CON3TRUC- <br />TION AUTIIOI31ZCD IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />C014STIlUCTION OR WORK IS SUSPEODED Oil ALANDONED FOR A <br />OF 120 DAYS AT ANY TIGIL AFTER WORK IS COLILIENCED. <br />I HEREBY CERTIFY THAT 1 HAVE RFAD AND EXAMINED TIIIS AP. <br />PLICATION AND KN0514 THE SAtAE To RE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED KITH WHETHER SPECIFIED HEREIN <br />OR NOT, THE GRANTING Of- h PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY 01 HER STATE UR LOCAL LAY! REGULATING CONSTRUCTION <br />OR THE PERFORMANCE 01: CONSTRUCTION. <br />- <br />WAT11.11 HEJtTER <br />URINAL <br />_--I <br />D I;I IJla tf l; FOUNTAINPERIOD <br />FLOOR-, OR DRAIN <br />_ ~ <br />VACl1 U.'.t Af ERRS <br />I <br />_ <br />fici F ORA-NS-RAI N LC AIDE RS <br />_ <br />SINK (SEK\'ICE-BAR, ETC.) <br />�' <br />_ <br />SUBTOTAL <br />_r Eltt.51T <br />FEE <br />S�" <br />S <br />CITY <br />-TOTAL <br />USE BELOW THIS LINE <br />SIGNA'I' U It L 01: C014 T RAC O R O EAAU T 11. AG pJT UATB <br />SIDE YAB SLTBdCK <br />,f <br />USL LfO E <br />C -/ <br />TYPE OP CO NTT—.- <br />UI HI LI -LI BACK <br />LOT AllF^ <br />OCCUPANCY GROUP <br />HEAR YAR7 SETBACK <br />VAC N'i <br />[]YES[]NO <br />No. oP UWE LUNG <br />UNITS <br />PLAN CHECK NUMBER <br />�•-/Y7 �//� <br />4O Y-' <br />FEES <br />PLAN CHECK <br />I°ERG <br />/ 2/• <br />VALUATION <br />FEE <br />RECEIPT NO. <br />pL 3 s/ <br />FEE <br />T- <br />_ <br />BUILDING <br />$ C) <br />/ ,/ 1` <br />! G I-� <br />I— <br />SILL OI' ItLUG,_> <br />WO. UP 7U1i1 F.S <br />_ <br />MAX. OCC. LOAD <br />PLUMBING <br />22 <br />I <br />I <br />IIIRE 7.ONL <br />UA5[ MENT <br />A7 0106 <br />REOUI%IINKt. F:I1U <br />f1(jYE LD [ONO <br />MECHANICALa-- <br />__ <br />SPECIAL CONDITIONS: <br />— <br />OTHER <br />PCNCLTY <br />SEC. 100(n) <br />— <br />TOTAL <br />i <br />' <br />IlAVALIDATION <br />6VILN I`II(J �'I: It1.Y Vnll0 A71iJ .IN THIS SPACF)TAIS 1.^. VOUiI l'C Il A11'f <br />W1 <br />--/-��_------- <br />nll Ul.AliUll dll li'4 '0�' �'l nu: {.Illl 1.1 RliY: Al'tl1PIVl B IIliIIV.tINpa IIY <br />; I I I WA::I •.. I'(li'i <br />