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011 <br />CITY tlALI 2!0(Ii46. <br />[VLIU 1I. WA 9HJ0i COMBINATION <br />vvivo I nuts I IUIV <br />PERMIT <br />• BUILDING Q :MECHANICAL PLUMBING <br />Cverc% l <br />C'NNFH ., _ MAIL AU014Lt:i LIP PHONE. <br />ARIIiITk GT Ur( DELIE.NER MAIL AODLI ESS P)1pNE LICENSE N'1 <br />• ��-::�- 2cY2a . <br />GENERAL CONTRACT011 MAIL AbURGS TI)'ONE .. LICENSE N( <br />�y�zfl _ foss 0c;_zQ c- . o an 6 _._0 L-v is>o _DSO <br />MECHANICAL CON I1LSS PHO <br />l�..TTRRACTO11 MAIL ACi0NEf- LICENSE N' <br />PLUMBING CJNTRA - V-4 -Z23O MAIL AOURE55 PHONE T\- 1DLI A S!XZ7�/--�_ <br />SAME <br />PERMIT <br />OCOMBINATION <br />❑ BUILDING ❑ PLUMBING ❑ MECHANICAL <br />CLASS OF WORK <br />..�t...// <br />L7NEW ❑ADUIT IO tJ ❑ALTCF{ATION ❑nEPAIn <br />VALUATION Of WORK 00 <br />r O- - ❑DEMOLISH ❑F ENCE. ❑SIGN ❑SWIMMING POOL <br />S 710 <br />/ 1 / <br />DESCRIBE WO G <br />PROPOSE E MECHANICAL <br />ET� oe - - <br />�• TYPE Of ENERGY ❑GAS ❑ELEC. <br />LOEGA <br />COPIES)IP ION Of PROPERTY (SHOW OELOT!'OR AT 1'ACH _ <br />LOT BLOCK— OF - NET— TYPE OF_E_O_UIP_h1CNT_ FEE___ <br />- FAIR CULJn. UNITS-H.P. EA. - S l <br />_ <br />_ RE1,E11 ..111!;E it f•T If1N UNIT,^. ILP. CA. 1 -..- <br />FORCPD AIR SYSTEMS• 11.I.U. MEA. - --�T-' <br />JOB ADDRESS'7 <br />�0 G. S C <br />SPACE f. WALL HEATERS - H.T.U. <br />1 <br />_ <br />_ <br />lIN1T_ IIEnTLRS• B.T.U._A-_._-.___ <br />VArO R O AT I V E COL E it,% <br />coo <br />JENTR.AiIUN FAN <br />PLUMBING <br />�~ <br />RANUE ROOD <br />nllt /lnnlDt ING UNI_T • <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />BATH TUGS <br />_ _ <br />_ <br />_ <br />WATER HEATER - -------� <br />_ . _ <br />FAC. f1V ILT FIREPLACE Y. CHIMNEY _ <br />GAS. SYSTEM: NO OP OUTLETS - .__ <br />- - ' - -- - svn iotnl. 4 <br />CI.07HFS WASHER <br />_—�^_ <br />i-- <br />DISH WASI IERS <br />_ <br />_ _�_ <br />ORINKING FOUNTAINSylL <br />FLUOR DRAINS <br />t <br />; <br />1 <br />N& LISP. <br />I:ITCMEfJ $IY. <br />--�— <br />t <br />{IVOF DRAINS - IIAIN LEADERS <br />1 <br />__.._._ <br />PF: ani IT __S <br />TOTAL FEE S <br />_--7I—_ <br />SHOWER CATIIS <br />TOM PL'n M1T BECOMES NUI L AND VOID IF WORK OR CONSTOUC- <br />TION AUTHORIZED 15 NOT COMMENCED WITHIN 120 DAYS, On IF <br />CONSTRUCT ION On WORK IS SUSPENDED OR ATIANDONED FOFt A <br />OF 120 DAYS AT ANY TIME AFTCRWDRK IS COMMENCED. <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED till!: AP. <br />PLICATION AND KNOW Tfir SAMV TO BE TRUE ANO CORnLCT. .ILL <br />PROVISIONS OF LAWS AND ORDINANCES GOVE FINING THIS TYPE <br />F NJOnK 1YIL.L RE COMI't ILD WITIt VJIIE111EP SPPCIFIED "Eli- IN <br />I NOT. 1(i11E ANTIN11 OF A PEH.VIT DOES NOT PRESUME TO <br />I it IOLATE On CANCEL l'IIL PROVISION:'- OF <br />OTHL G1A O CAL LAW REOUL AT INC CONSTRUCT ION <br />Of F.PE1t Oil C' INSTRUCTION. <br />SIGNATURE ONTRn u 1. AGENT nTF( <br />_ <br />SERVICE SINKS <br />t <br />SUMPS - SEWAGE PUMP <br />URINALSPERIOD <br />--1— <br />WATER CLOSE iS <br />I WATER H_zATERS_ELECTRIC <br />4� <br />1 <br />_ <br />WASH BASINS -__ <br />--�-'�-- <br />A-1 <br />LAUNDRY TRAYS <br />- <br />1 <br />-_ <br />1 <br />SU11 TOTAL <br />Z.1 <br />PERMIT S <br />- <br />TOTAL FEE <br />WATER <br />SERVICE SIZE BLDG. SUPPLY <br />SIZE <br />SIDE YARD SETBACK <br />- <br />STREET SETBACK <br />HEAR YAROSETRACY. <br />PLAN CHECK N <br />1 '',;>- <br />HE LAN CCK FEE <br />EE RECEIPT NO. <br />I `� 1, DS <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO.OF DWELLING <br />UNITS. <br />1 <br />BUILDING <br />5 (•-�I I� ( (� <br />L,�J I (J C� <br />SIZE OF BLDG. <br />NO. OF STOW ES <br />MAX.00C. LOAD <br />PLUMBING <br />TIRE ZONE <br />BASEM NT <br />"�• <br />t <br />11i�E tiPf11NK LEAS <br />REQUIRED <br />WES ONO <br />-_ <br />161EC1iANICAL <br />r' 1 <br />SPECIAL CONDITIONS: <br />OTHER <br />1 <br />I <br />PENALTY <br />SEC. 101(a) <br />TOTAL <br />c) <br />- -- <br />PERMIT VALIDATION <br />WHEN P1101'1 RLY VAL IDAT F:D (IN THIS SPACE) THISIIS. YOUn PERMIT <br />AN'lILA 1111N ALLI I•ILIt 11T <br />MI ANLIAII ('FIUIIY <br />AIY'l1UVIR10111Nd1AfA1IIT <br />ADDRESS FILE <br />APPI 1F`n rl rr• nnnv <br />