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_ . : � <br /> IthC cvergrecn <br /> � CONSTRUCTION <br /> ��T��F <br /> �verett evere#t <br /> PERIV�IT <br /> [IiY IIAII ]54NBfi5 <br /> EVFN(T1.RWSNIM1GION � <br /> 9B}01 <br /> °`°' °�`E`:",�":`r BUILDING MECHANICAL PLUMBING <br /> I OWNER MAIL ADD,iE�S I <br /> Su't�.�'.�'"J vT� e^'"'^" ^{ CIP PHONE I <br /> y Ji.._ � � �..°�2 1£;'F 99 SC:. ?.t201� ,�r�y.Q,�,r•� `,��� <br /> AflC111TECT OR DESIGNER � <br /> iIdAILA�ORESS PHONE LICENSENO. <br /> f 'EiJCNHLCOVTRACTOR MAILADDfiE55 — _ <br /> � PHONE LICENSE NO. <br /> MLCH �NICALCONTHACTOR MAILADDqESS — <br /> PHONE LICENSE NO. <br /> :�`.. �.�i a�."L• '�..,Sl:�IJ <br /> i.' <br /> PWMBINGC0IJTRACTOR MAILAD�RESS — � <br /> PHONE LICENSE NO. <br /> �� r^�+f+l`.L F�.�:'�3� �31 <br /> PEfiMiT CLA55 OF K'ORK � � <br /> � <br /> �OUIIDING �]] PLUMBING (�MECHANICAL z <br /> �NEW ❑ADDITION ❑A�TERATtON ❑REPAIR F <br /> VALUATION OF WOfiK /�ry � <br /> 5 �'�`� ❑D[MOLISH ❑FENCF ❑SIGN ❑SWIA+� .J3 POOL �J,J <br /> OESCRIUE WORK a <br /> r���� ;; � �?:;�:�F -:;..�,s �,K-,� — <br /> PROPOSED VSE �� <br /> J"�' 8 3 9 <br /> MECHANICAL <br /> LEGAL DESCRIPTION OF PROPERTY (SHOW �ELOW pq qTTACH T��E OF FUE1. UIL GAS � <br /> ❑ ❑ �PG. ELEC. <br /> FOUR CQPIES) ❑ <br /> LOT {' BLOCK_pF �tin'������ ��-+��J _ NO. TVPE OF E�UIPMENT FEE <br /> '_ AIR COND. 1 `IITS-N.P. EA. 5 I <br /> REFRIGERATION VNITS-H.P. EA. <br /> COILERS-H.P, EA. � <br /> GAS FIHED A.C. UNITS-TONNAGE EA. <br /> JO�ADORESS FpRCED illq SVSTEMS-B.T.U. M EA. <br /> � � q�� -y.� WALL NEATENS-�.T.U. A1 <br /> -.� L..a..r _ �.• <br /> UNIT IiEI�TERS-6.T.U. ,�q � <br /> PLUMBING EVnPpRATIVECOOLERS <br /> _ CLOTHESDRVERS � <br /> Vf.NTI1.l�TION FqN -- <br /> RANGEMOOD � <br /> TVPE OF FIXTUHE OR ITEM FEE A�R ��ANDLING UNIT- C.F.M. <br /> WATC-q CLOSET(701L�cT1 g INCWERATOR ' <br /> BATHTUD — I <br /> LAVqTORY1WASH8ASIM <br /> � SHOWER __ � <br /> KITCHEN SIWK& D�SP. � <br /> DISHWASHER �— SV�TOTAL $ —,J' �---- <br /> LAUNDRY TRAV PE{i".11T $ <br /> CLOTHES WA£;1ER TOTAL FEE 5 <br /> _ WATEF HEATER THIS PERMIT BECOAIES NVLL AN� VOID IF WOFiK OR CONSTRUC- <br /> URINAL TION AUTHORIZEO IS NOT C0�1MENCED WITHIN 120 OAVS, OR IF <br /> CONSTRUCTION pq yy0i1K 'S SUSPENDED OR A�qNDONED FOR A <br /> �RINKING FOUNTAIN P'cRIOD OF 120 OAYS AT q�JY TIME AFTER WORK IS COMMENCED. <br /> � FLOOR-;INK OR DRAIN 1 HERE�V <br /> I \'ACUUId 0liEAY,ER$ CERTIFY THAT I HAVE READ AND EkAMWE� TNIS AP. <br /> - � ��CATION ANO KNOW THE SAME TO DE TRUE nND CORRECT. AL� <br /> ROOF DRAINS-NAWLcADERS F'-- PROVISIONS OF LAIVS AND OFl�INANCES GOVERNINO THIS TYPE <br /> � SINY. ISCRVICE-�AR, ETC.) OF WORK WIL� BE COMMLIE� WITH WHETHER SPECIFIED HEREIN <br /> OR NOT, THE GqAfJTING OF A PERMIT DOf-5 NOT PRESUME TO <br /> GIVE AUTHORIT� TO VIOLATE OR Cl�Nf;EL iHE PROVISIONS JF <br /> ANV OTHER STl1TE UR LOCAL LAW qEGUL:�ING CONSTRUCTION <br /> SUO TOTAL OR THE PERFORMANCE OF COk&iqUCTION. <br /> � — PEqM1T 5 <br /> __ TOTAL FEE $ <br /> x r <br /> SIGNATUqEOFCONIflACTOFORAUTH.AGENT UATE <br /> SIUEVAFDS[TUl�CK STR[ETSETCSACK REARYAqDSETOACKPLANCHECKNUMB[R PLANCHECKFEE <br /> b' Yqq 2p� <br /> '�'�' � FEE �lr nf! RECEIPT NO. <br /> USE ZOIyF LOT AREA VA�qNT SITE .�N�7 <br /> 1� z <br /> L7YE5 ❑NO FEES VALUATION FEf: <br /> � TVPE OF CONST. OCCUPANCV GRDUP UMTS ��E��ING � � <br /> � I <br /> SIZE OF ULCG. NO.OP STOflIES M11AX.pCQ LOAD BUILOING 5 x�*'� 7sy�� M <br /> �� <br /> ��� w <br /> FIqEZONE BASEAIE_NTL� FIRESPRINGLERS PLUMBING � <br /> � • R ❑1'GSED �NO MECHANICAL <br /> SPECIAL CONL`ITIONS: � � <br /> — OTHEfl � <br /> -. I <br /> �{C � 9 � �J PENELTV SEC.3071a: � <br /> 7 <br /> TOTAL �� I <br /> — PERMIT VALIDATION <br /> WMEN PROPE(:l,Y VALI�l�TFO UN THISSPACEI TH1515 VOUR PERMIT <br /> nPPlICN10NACCCPTEpOY: PLqNSbI(CR[OBV�. Arpq���FOFUR4'SII�NCC9Y. <br /> i� li• ��C• ��� �.'� <br /> � � <br /> L�L <br />