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<br /> �6UILDIf�G�.,,MOING �MECHANICAL � • �
<br /> — ❑NEW ❑/�DDITION ❑ALT[flATtOtI �TiGPAIR �
<br /> VALUl.710N U: Y:Of51;
<br /> %� 5 OO ❑D[h7011511 ❑FENC[ ❑5!'N ❑S�Y2NIAING POOL W
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<br /> • ��C� -1YT��;¢�; . irreoi�ue�poi� ��vnr. p;"Pc. p��ec.
<br /> l@Gnt.DESCfs:?t1UN OF PfiOP[R7 Y iSHOIY 6EL01'J OR AT7 ACH GI�S -
<br /> roun cori[5� n�.r .
<br /> UT�fIGCY�OF N�� . l YPE OF 80t!IN;SCW7 FE[
<br /> ��J NNCOND.VI:ITS-H.^ FA. $ �
<br /> O.//v/C.L�I�+c,dl�/ • _ _ _7
<br /> � REffiIGERATION UNITES--i1.P. EA.
<br /> 7U '�(X �OILER$-f1.P. EA, �
<br /> �G��� � , G.:S fIP;D A_C. U>11TS-7"ONtJ1GB CA. ��
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<br /> FORCF7 AIIt SYST[l.15-II.T.U, td flA. �
<br /> J06 ADI7RE55r �-/ ^� 4VALL HF.Ai[Fi5-O.T.II. RI --�-
<br /> ::li� ! 1T.-aillf-C� �.Ll�'; �.7,`fi[-C.t,L . ZC. .t+�•.v. __� 1 �
<br /> Y UNIT H[M'Ef15-O.T.U. A1 �
<br /> cVAFUR:.TIVE CObLEFcS
<br /> PLU(t981i<G tl ciorries nr�rEns j
<br /> VE:JTIIATION FAN �—�
<br /> HANGE IIOOD �
<br /> N0. T'PF OF FIY,TUHE OR I7Ehi FF,E ' nIR HnkOLING UNIT- C.F.h1. ___�___
<br /> lYA7EFClGSFT(TOII.ETI 5 T— INCIh[RATOfi _ � �
<br /> ' IIATItTUC �� � �-
<br /> LnVniUFr_::n5H 1tA51N1 � . I
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<br /> I:ITCHEhS+CY,f. DISP. ___ SUIlTOTAL S j
<br /> L•I:.N:Y:.ci,,n . '
<br /> -' LAUCGRY;P.AY "---'{-- . VEft1A1T 5 �—
<br /> _ � �
<br /> TOTnL FEC 5
<br /> CL0711i5,:�i��EFl � � 7ji15 �'�(i`.11T OFCU�!ES NUL� .1KD VOID IF V:ORK OR CCN15Tf{UG
<br /> _ \VATC(1 K54TER —T— TiOt: �1UTHORI2EU IS IJOT CO\t\i[kCEO P:ITHIN 12U UAYS, OA IP
<br /> URINOL � CONS7RUC7'ION OR 170FiK tc g�i�pEDlUED OH .:EtANUOKEO FOft A
<br /> _ UI;INKi_;,^, pCU\TAIW � PEf7tG0 UF 170 DAYS AT AfvY TIf.7E AFTERY:ORK IS C01.:LfENC£D.
<br /> FLOOR-51;�; pq�)HAIN 1 HLHF.gY CERTIFI' THAT I HnVE REnD A�tU EY.AA7INEU THIS l�P�
<br /> \'nClll�•.! _=i,�KERS —� PLICATION ANO I;f20CJ T11F:T:,'.�C.i0 C[ TINE AND CO�RECT. ALl
<br /> -- ROOF GRa j-RAIi:L[AOL(i5 ' I �'�OVISIONi Of L:.IVS AND [)RO�kANCES GOVEHNItJG THI$ TYI'E
<br /> — �' OF u'ORI; 171LL 0[ COL!PLICL \YITH Y:HETM[R SPECIFlEp H4RtI,J
<br /> FINI: ISi:'dICF-pI�R,ETC.1 OR NOT, l'HE GFll.A'TI�:C 0�- !. VCf1A711' OOES NOT PR[SU•.7c' TO
<br /> � GIVG AUTNOR�I'Y TO VIO�l.TE OR CANCEL THE PROVIiIUt:$ OF
<br /> --� ANY OTHEfl ST.11 f OR LOC:+L Lt.l7 �EGULA7'IteG CO\STitUCT101J
<br /> 04i THE PFI1fOfit.7ANCF OF CUNSTfiUCTION.
<br /> SUC TOTAL
<br /> r[«rair s , .
<br /> TOTM_ FEG S —�— ' �
<br /> � 7
<br /> . — x '� �y• L ) , �_ �
<br /> CITY USn u .� r. , t �,:. ,. . :h_Z/ ^ z 'r-•,.. � -'% 77
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<br /> FG13 (1LCEIPT NO.
<br /> USE ZUNE LUT AREA VACANI'SITE •
<br /> - • � ❑Y[5 ❑NO FCES VALUMION FFE
<br /> TYPL OF CO\ST. OCCUPANCY GRUUI' �,p,Of OY�ELIING ' �
<br /> UN�TS �
<br /> _ �J
<br /> � 512L OF ULOG. NU.OP 51UFlIliS h1A%.00C. LOAD OUILUING $ �
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<br /> ` ` �� 1"OTAL ' �
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<br /> --�— ......___ �
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