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<br />COMCINATION • C3UILDING • M[CHANICAL • P�UMC3ING
<br />MtAIL AUUILL55 AY 1'IIUNL
<br />•ERMIT
<br />❑ COM91N ATION '
<br />❑ [iUIIDIhG ❑ PLUMOING � MLCMANICAL
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<br />LCGAL UESCRIPTION Of P
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<br />❑NCW . L)�1DOITION ❑ALTLfiAT10N ❑RLPAIR
<br />❑D[MOLISH ❑FENCE [�SIGN ❑iWIMMING POOL
<br />ATl'(1CH
<br />L
<br />9/5���
<br />3 ZZ3
<br />n��c�iarvicn�
<br />— TVFE OF ENCRGY
<br />❑GAS ❑ELEC.
<br />NO. ___ TYPE OF EOUIPMENT -�--
<br />AIR CONp. UMTS-H.P. FA. —T-
<br />RCFRIGERATION U(JITS -H.P. EA. I
<br />— OOILERS- 11.�'. [n. �
<br />� FO�CL� AIR SVSTEMS-U.T.U. M�EI�.
<br />SPACF & WALL. N[AlERS - P.T.U.
<br />UNIT IIEATEf1; �.T.U.
<br />�___—_
<br />— hVnPOf1ATIVBCOOLFf�S
<br />CLO1H@S OR�EP
<br />VFNTIL/1TiUN PAN
<br />fiANG[ 1100�
<br />AIR Hl�NULING UNIT - C.f.h1.
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<br />�( � CI.U1HCti�"Jt15MLt5 — 1VATER IIEATEFi I l
<br />UISFI l'L�SII[flS � PAQ [tUILT FIREPL4CE P. CHIh1ME1' �
<br />DRINlilil(i FOUNTlUD15 — '- ------
<br />FL.00R Uiil11P�5 '— GAS. SYSTLAI�. NO OP OUTlC�S _ �-- ���—
<br />� SUO TOTAL 5 'LLl �
<br />Y.II!:NCiJ SI"!KS Y UI51•. 1� PCRq�1T 5 ��
<br />❑!�R SIPJKS !
<br />� �
<br />_I�OOF Di��L'v5_HNN L[AUEHS � 'IOTnL FEE 5 ��jl ---
<br />$HObVfli 6N�H$ THI; P[fihtlT R[CO�dES NULL l�ND VOiO IF IYORK UA COflSTRUG
<br />$ERVIf.;=SIfJI:S �1 TION AUTMOItIZ[D IS NUi CON".tENCCD V.'ITtuh �-0 OnYS. OR IF
<br />$Uh9P5 - SL'�YAGE PUM19P �I CONSTPVCTIOPI O(i WORY, I$ $lJ$PCNpEU OR A[1AfvOON[D FOR A
<br />YERIOD OF 170 �nVS AT ANY TIidE hFT@fi WOqK L C0�1'JENCED.
<br />URIfJ/�L.`i � � ���[RE6Y CCRiIFY 7HAT I IIAVE PEA[] ANO E%A\11t�'[D THIS .",P�
<br />WM�fH CU)$E1 i �� PLICl.TION I�NU Y.Npl4 TH@ 5.1\1E TO FSL ���V[ AP:D CORPLCT. ALL
<br />Wl�T[N I1LAT[ftS - GL[C7HIC 7J "' ��i+OviSio�:G O� LAV:: AtJU Oi�uitvnNCES �:��vtnwiwc nii5 ivvC
<br />. WAShI IiA$INS OF NOHI: �91LL 6E CONPLICn WIT11 R'll[THCii $PECIfILD H6R[IN
<br />LAUNUHY liiAYS OR NOl'. lHC GRAlJIIN[i Of n PLRMIT OOC; NOT PR[;U'.1[ TO
<br />� GIV[ hUT110RITY 10 VIOI.ATE U� C/�NCEL TIIG PROVISIONS OF
<br />l�NY 0111GR STATF. GR LpC.1L L.1V111F:OUl.ATING CChSTPUCTION
<br />� Ufl TII@ P@RfOHMANCC OI' CONSTRUCTION.
<br />_
<br />♦—
<br />SUU TOTAL � --
<br />PCRMIT $ ' � �
<br />� TOTAL F[E X
<br />1VATBHSC-RVICESIZF. �i.oc.surr�v51ZF tiIGNNUNF'OfCONTfIAGTORORAUTII.AGENT Ol�TL —
<br />SIU6Vl1RUSGTUl�CK SiNLLiSlTl1AC� NEAItVNlU5L1'UAC�:PLl�NC11CC�NVh1itCR PLANCIIECY.PEE
<br />/ �� ��O r� �GoF � F�E PECE.IPT NO.
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<br />VSE ZON[ LOT AR@/1r ' VACANT 51T[,�/ I I7,) ��'-� ,
<br />2-i ❑v[S IL7No F[ES VALUATION FEE
<br />1'YPB OF CONST. OCCUPANCY GIIOUP VNITS ��w�LLING ' �
<br />1
<br />�' I /�/� I.. arL.^.�� �,�o
<br />51'CCIAL CONI11110N:::
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