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e�ere�tt PEI�MIT <br /> UFP7. Of COMntUnl7Y DEVELOP,�tENT SERVICES <br /> CITY HALL:59-117�i <br /> EVERe77.wn4a:nt �COMBINATION ❑ QUILDING ❑MECHANICAL ❑PLUMBING PERMlT NO. <br /> / pyl <br /> O\\Kf6 �d.Ut ADf>H[SS CIiY ZIP P•� <br /> Ver� . Tc�i�Ow�:..t / tic�• '�i�� r- �..�,.,'Ei %72t3 <br /> n�anncroaueven�a .+�nnnnosus arr nr rr�ove — <br /> li.�'�-h�r Nlare7_ M� n,.�l.eY �J�re-}t �yY2u ') 2S�'1'-S�bk <br /> GMEHMCOViRACtOR �UILADORE55 ❑iY 21� PHOs[ llr��.5F1 <br /> �E'L2opc�l��a-+ P .:w. t�_.�• �() .:��V !LY1" �1t�z�.' `j&'2o y 1' Cf-S/F/ � <br /> m[a�nutulm�tunCtoa mnnno0a[55 aiv ❑P p��o�[ uCtNSea <br /> r�� <br /> ��.3'[1/'r7'�7e-[+c-3`7i'NO <br /> ruaminc rortan�tou mu�noon[=, cnr zie r���t uc[n5e a <br /> ❑-��5 Of N00.K <br /> ❑NfW ❑ADU�110N ❑ALTfRATION CJi:YAIR �DEMOLITION ❑FENCE ❑SIGN ❑GARACE ❑BUILDINGRELOCACiO`; <br /> tlAlU51ION Of N'ORA <br /> S <br /> Uf SCNIflE N'ORK <br /> ��n ILLi _ r..� [ ✓u.e:�- �YL '�'�ldtiL�_— _ <br /> reorosrouse or 9unoive I HEREBY CERTIFY THP,T I HAVE READ ,1ND EXAMI�:ED THIS nP- <br /> PLICATION AND KN ' � THE S�ME TO 6E TRUE AND CORRECT ALf. <br /> ucn�n�sceirnovofPaorcarvis4ow�iuFv���.oea�:runro���,� ;�s PROVISIONSC- LAt�, VDORDIPIANCESGOVERNi'IGTHISTI'PL <br /> UF WORK WIL E3E COhIpLIED WITH\1'HETH[R SPfi.�PIED HERf_i�V <br /> ioi _oiocK_or __._._ OR NOL THE C'4NTINC OF A v�RMiT DOES NOT PRfSU��tE Tp <br /> GIVE l�UTHORII . TO VIOLniF OR UNCEL THE PRO\'ISIO`�i Ob <br /> ANY OTHER STATE O:; LOCAL LAW REGULP;fING CONSI KU(.i ION <br /> OR THE PERFOR.�IANCE l.�F CONSTRUCT;ON. <br /> SIGVATUNE OF CONTRACTOR OH nUTHORILlD AGCNf DAiI <br /> ionnuoutss ----- '�,n-t.Z�v.p.-.G.`4-- C.l.vf �G:.� , f� 5. ..� . <br /> S���'J� Hti-�.� D X O. �' /�-�zl��- Y <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURF � FEE NO. iTPE OF EQUIPMENT FEE <br /> \VATFRCLOSFT(TqLiFT7 �IRCOYI) Uhlln-HP IA <br /> ffATHTUI3 RIFNIGI RATION UNRS-H.P. EA <br /> UVAIONV 6A'ASH fl/.AV) ��� ISOILI RS-11 P FA <br /> cH0\VER - --'� GAS IIHLD A C.UNITS-104hAf,E [A I <br /> KITCHEN SIhK h DISi� .__._J IOR(.I D�IR 51116�15-OSL. ��t FA <br /> IJ6WASHER \A\LL MfATI NS-67.0 A1 <br /> I�WNDRPTRAY ""_"' UnITHL\TtNS-R.7.0 h1 <br /> CIOTHES VVASHER 6l'APOHTTIVL COOL[RS <br /> VVATtR HCATtN CIOiHLS CftYCRS <br /> URINAL �'l NTIL�iiJv fAN <br /> DkIMJKC FUUNiAIN RANGI HOOU <br /> FLCOR DRAIN ,41R HqApLI1:C UNIi- C F�V <br /> VTCW�V OftEAKENS $i0\'F <br /> NOOF DHAl1:5-ftAINLEADERS n1LTAL FlNfPLACf ft CHIMNEI' <br /> 51NK 6ENVICE-17AR.f TU <br /> SUBTOTAI SUO TOTAL f <br /> PEPMIT f PENMIi S <br /> TOTAL(EE S TOTALFEE S <br /> SIDF YARD SETI3ACN S7RLIl 51 IIIACK REAR YAHI?SFTIIACK Plnu('HICK NU��tilEft PLAN CIICCK FLF <br /> itf N:CEIV7N0. <br /> USE LONE 1.01 AHIA ��pUNi Sllf. <br /> -��.�5 ,,. h�� FEES VALUATION FEE <br /> rvrF or covsr. occurnncr ceour n�o oi owc�.ur�c u�ns <br /> uuinn,ur, � <br /> SIZC OF 11LDG � NO OF SiORILS h1A% OCC LOnU <br /> I'I Uh1HiNG <br /> IBC7.ONL 11ASEMfM ❑IOkOn�6 fINl51'HINKLIHS <br /> H(QUIRFO n1�C��nMCA1 <br /> ❑175 '.7N0 <br /> APPFOVAlS BY DATE p1HfH <br /> 1 I NtlIItONAfINTAL CHFCK IIST <br /> Pf NAL7Y U I{C. <br /> : IIUII.UWG PLAYS SkC. 3031.�) <br /> f IIRI: IIYI)ftANI TOTAL <br /> i I INf PhnTCCTIOR SISTEN P[RMIT WIIUATION <br /> 1Y11fN PIiOPi filY'V'AI IDiATI:U 11A 7H15 SPACF)lNG IS YpUk PlRMIi <br /> 5 I;RAUINf�f%CAV�710N h Cl I ANING)G8UI11lINC <br /> G UHAINAf.I <br /> � r�u�-ieavn+tNtnun�rncr si�unitNr <br /> n r�rnt7�i nisTflicr <br /> 4��ri.icnnoH+cc nv rir:.�saerKrouv nrru iouiss�:nNct u�,� f <br /> � i , <br /> —�L—�� -- �----� <br />