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G �n aT <br /> �.aY�����°`� nr�,� � CONST'RUCTION � - �- <br /> r��i, ��� PERMIT • �; �rett <br /> --i� .� a <br /> o�'�jt��,H,.,,, 58�i <br /> ri�eHeir, w�, �,��o� COMBINATION • BUILCING • MECHANICAL • PLUMBIN�y <br /> OWN61t MML AOONES� � <br /> cli' NII()NE QQ <br /> JIId JODOCK 5324 COLLEIGE 98203 35�-3967 NARK 259-97G7 ^'+ _ . .m . <br /> ql�Cb iTECI Uft D[SIGN6H MAIL /�DDRES JJ <br /> PHONE LICENS[ NO. <br /> � <br /> GENERAL CON7'qqCTOR MNL AODRESS - ' '"'� <br /> �� PHON[ LICENSE NO, Z <br /> MECHANICALCONTRACTOq — C <br /> MA�L ADDRE55 PFIpNE LICENSE NO. � <br /> W <br /> PLUM[11NG CONTqqCTOR m <br /> �1AIL ADDRESS PHONE LIC[NSE NO. � <br /> PERMIT CL�1SS OF WORK <br /> ❑COMOINATION -' <br /> ❑DUILDING �FWMOING �M[CHANICAL <br /> �N�W �AODITION ❑/�LTERATION ❑REPAIR <br /> VALUATION OF WORK ' <br /> 5 IY OOO.00 ��EMOLISH ❑f6NCE r];IGN ❑StYIM1tAUNG PUpI, <br /> DESCRIHE WORK ----- -----__ <br /> APCING 842.5 SQ FP ApP2TI0N TO HOfJSE I2�C �S4 p?ASTER gEpgM W/BATH <br /> PqOPOSEU U5� <br /> MECHANICAL <br /> LEGAL DESCFIPTION OF PROP[RTY ISHON 6El.OW OH MTnCH TVPE OF [N[FGY <br /> FOURCOPIESI ❑�AS ❑ELEC. <br /> Lo7—.3S�3LOCK_oF_FAT7IVTT�W�-g',IGI�TS_I�SS�Z___ N�• 7V�ECFEQUIPMENT FEE <br /> AIR CONU. UNITS-�H.P. Eq, � � <br /> _ REFfiIGEHATIDN UNITS 1i.P. [q. --�' <br /> __ ffOILERS HP. Eq. I <br /> _ FORCED AIR SVSTEMS-�.T.U. MEA. <br /> JOU ADURE55 ------- � <br /> _} SPACE R WALL HEATERS - �.T.V. <br /> >324 �� A�'' _ ', JNIT IIEATEFiS- FS.T.U. � <br /> PLUMBING �vn��o�nrivE coo�er�s --'r <br /> CLOTNESDRVEHS � <br /> I <br /> _l. VENTI�I�TION Fqry �TD <br /> 4 <br /> FiANGE HO00 � <br /> NO. TYPE OF FIXTURE OR I7EM � FEE AIH IIAND�IN, UNiT- <br /> BATH TU85 � - -._ C.F.M. <br /> CLOTHES Wl�SHEH - i _- _-_-______ � <br /> DISi' WASHFRS -��� i _ _ �'�'ATER IIEATER ��—�- <br /> DRINKING FOUNTAINS �� � _ _ ��1C.�eUILT FIPEPLACE & CHIMNEV � <br /> FLOOR DItAIN$ � GAS. SVSTEM: NO OP OUTlETS <br /> KITCHEN SWKS R I]ISP. — � _ ` SUO TOTAL 5 Z <br /> ❑AR S! S _ _—__— _-_ el <br /> N;;' <br /> ROOF ORAINS -- NAIN LEADEHS � - � -- 7orrn�TFEE 5 —����- <br /> SHOWEH HATHS � - -- --- _I�(,jQ <br /> t ERVICE SINKS T���' �'�°��M1��T ��COfdES NVLL AND VOID IF WORK ON C�P7S�T77UC <br /> • TION AUTHOfi12EU IS f�OT COMAIENCFU WITHIN t?O DAVS, OH If <br /> 57MP5 � SLWAGE PUMP -I CONSTRUCTIUN OR WpRY, IS SUSPENDEn Ofi AI;ANDONED FOq /� <br /> UitINALS � PERIOU OF 120 DAV, AT ANv TIME l�REH WpqK IS COAIMENCED. <br /> WArEH L'LCSETS --Z� � i ��eqEt{v cE�n�r n�ni i Hl1VE fiEAO nND L%I�MINEO iH15 AP <br /> WA7cR HEATERS_ELECTRIC � �LICMION l�ND KNOW TIIE SAM@ TO E3G TRUE /�NO CORf1ECT. ALL <br /> WASH (3ASIN5 — ��nVISION9 Of LAW$ ANf) OqDINANCES GOVEHNING THIti T'VPE <br /> ��O Oi' WOHK WII.L UL COMVLIEI� WIT11 WHETHEH ::P[CIFIE[J HEREIN <br /> LAUNDRV TRAVS OH NOT, THL GRl�NTING Of A PERMII' DOFS NOT PR[SUndB TO <br /> j- GIVE AUTIIORITV TO VIOf.ME OR G1NCGl tHL PqpVl$ION$ pF <br /> - - � - �---_ ANY OTHER $TI�tE OR LOCAL LAW qEGULl1TiNr. C�)N6TfiUCTION <br /> - --�- _.. _ � ON THE PEHFORMANCf rf (;pN51ltVCTION. <br /> —�_ -_ <br /> 1 <br /> _ SUB TOTAL - � <br /> _P[RMI7 5 _ --��$— <br /> TOTAL FEE X / ^ ,�/l O-�j� �]-2$-]$ <br /> Wl1TFft SERVICE 512E l3LCG. SUPPLY SIZ[ sic- - Ui�[or-a n , izoqnur�i.AceNf nriT-- <br /> SIU[ VARD SET(JACK STRL[T SETBl�CK REAR yl1q0:ET[3l�CK P. CHECK Il <br /> � PLANCIIECK FLE <br /> �`<<- H[CEIPT NO. <br /> VSL ZONE LOT AREA VACANT SITE �1 /�i�2 - �/ ���, � � <br /> ❑VES ❑NO 7 J I�, • <br /> FE[S VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY GROUP NO.OI'UWELLING <br /> UNITS I <br /> 512[OF OL�G. NO. OP STORIES MAX. OCC. LOl10 liUIL�ING 5 14 ��0.0� 1 <br /> _ 68j0� <br /> PIflF ZON! f3ASFM[NT FIRCSPqINKLERS PLUM�ING � <br /> HeauiHeo — — ----9.i00_— <br /> ❑YCS ❑NO MECHANICAL S �OO <br /> SVECIl1L CONDITIONS:_ OTHER � � <br /> I <br /> -_- —I---- <br /> . --------�--"—' PENALiV SEC30:{I.d � <br /> _-_ �—__ ___ TOTAL __- -___.__-_ . .____.-____-__—_L-__ <br /> 82��0 <br /> � PERMIT VALIDATION <br /> �.-__-� — WIIfNPNOPCHIVVI�IJf).1iF:UIIf�yTA��$1'AC&WJ/ly.�' /,yHP=_RA111� 1 <br /> ____—�-�, � 3 r, 5 ;U o v U <br /> —�---- <br /> --�.x_�_ ; . <br /> �' � ------ YQUR REC�tPT <br /> 'IILAIION f.t t )Irv NSI�IIi.M11�P.�.�� rd9'I�Vvlbinur'(u,d:J !+ <br /> m r��� �:�,� <br /> � ,+ � ' <br /> � �1 � � � ' i�%� •, � <br /> H � � . i'�.. � f (' { i <br /> � � �� �' <br />