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lhc Ei���rqrr.�:n <br />CI'iY pF <br />e��erett <br />LIIY NALL 898985 <br />cvenctr,r;nsnrvcrox <br />reloi <br />o[vr. o� can�nu��rtv <br />cn�nnv:�.[rrt <br />NER <br />, ��,.. , .�....._ <br />:� � r <br />GENERALCONTRACTOR � <br />;�J'.;�'{ �, t,'+'��F.,�."�� �c'..�'�'>F � ii��a <br />co�vszRuc�-�oN <br />PERIi�IT <br />MECHANICAL <br />PLUMBING <br />I �'`^"" CLA55OF'NOHK <br />� �-� <br />�j�dUILDING � PLUMBIfvG � MECHANICAL <br />I I_ _ ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />LOT pLOCK <br />�U6 AUDRESS <br />PLUMBING <br />r <br />�� ❑OEMOLISH �FENCE ❑SIGN ❑SWIMMING POOL <br />i''S?Ti..n •��� ..i:4 �'i:'rc'• .�.2•,T ['��t "n;, :�!'.t,j",-.^ rnt.� :.T.i��c' a <br />MECHANICAL <br />TVPE OF FUEL �OIL �NI�T. �Lf'G. <br />)F PROPERTY ISHOW 6ELOW OR ATT/�CH Gl1S <br />—oF_ NO. TVPE OF EQUIPMENT <br />A�R COND. UNITS—Ii.P. EA. <br />REFRIGEHATION UNITS-H.P. EA. <br />DOILERS-Ii.P. EA. <br />GAS FIRED A.C. UNITS-TONNAGE EA. <br />_ FORCEO AIR SYSTEMS-B.T.U. M EA. <br />� F.:��` "' ?� ��(�' :";+ WALL HEATERS-�.T.U. M <br />UNIT HEATERS-B.T.U. M <br />EVAPOfiATIVE COOLERS <br />CLOTHESDRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />FIXTUPE OR I7EM FEE AIR 11l�hOLING VNIT- QF.M. _ <br />TOILETI c WCINEFATOR <br />DISHWASHER <br />LAUNDRVTFAV <br />CLOTHESWASHER <br />WI�TER HEATER <br />URINAL <br />DFINKING FOUNTAIII <br />FLOOR�-SINK OR DR41N <br />VACUUM11ItflGAKGFiS <br />�verett <br />\ / <br />5?6�fi� <br />'x°t?-7, <br />5 <br />_ I SUBTOTAL 5 j <br />PERMIT S <br />TOTAL FEE 5 � <br />THIS PERMIT F3ECOMES NULL AND VOID IF WORK OR CONSTRUC- <br />TION AUTHOFi12ED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />CCNSTFiUCTION OR WOqK IS SUSPEN�ED OR ABANDONEO FOF A <br />PEFIOD OF 120 DAYS AT qNV TIME AFTER W09K IS COMMENCEO <br />I HEFEF3V CERTIFV THAT 1 HAVE READ 4ND E%AMWED TFIIS AP� <br />PLICATION AND KNOW THE SAME i0 BE TftUE AND CORqECT. AlL <br />PROVISIONS OF LAWS AND OR�INANCES GOVERNING THIS TYPE <br />Of 4VORY. WILL 8E COMPLIED WITH WHETHER SP[CIFIED HFREIN <br />Ofi NOT, THE GRANTING OF A P[qM1T pOES NOT PHESUME TO <br />GIVF. AUTHORITV TO VIOLATL OR CANCEL THE PROVISIONS OF <br />ANV OTHER STATE G^. LOCAL LAW qEGVLnT�n:(; CONSi'aUCT�ON <br />Ofi Tl1E PERFORMANCE OF CONSTRUCTON. <br />x t�7PT C°+IFlC� <br />SIGNATUREOFCONT <br />vARDSETBl1CK STREETSETf3ACK qEARYAROSET6ACKPLANCHECKNUMBER <br />:ONE LGTAREA VACANTSITE � <br />_ ❑vEs ❑No FEES <br />SPECIALCONDITIONS: <br />PLAN CHECK FEE <br />FEE RECE�PT NO. <br />VALUATION FEE <br />OAD �UIL�ING' $ ��'J �lS � <br />Psh7 <br />PLUMBING � <br />LERS � <br />❑NO MECHAfJICAL � <br />I <br />OTHEfi i <br />PENELTY SEC.3031a1 I <br />— TOTAL .t � <br />PERMIT VALIDATION <br />WHEN PROPEftLV VALIDATED (IN THISSPACE) THIS IS VOUR PERMIT <br />f <br />