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'� fh�. r... un..�,� ..� <br /> ���� �,� CONSTRUCTIQN evereY� j <br /> i eve�eLt PER�tIT � <br /> � ��,� ,.<< .��_- <br /> '� [pFNCil.:tqSrvPJf,lp'. I <br /> 9P]�1 � <br /> � °E" °� �°��°°,,,,� E3UILDING MECHANICAL 'LUMBING ; <br /> � o[v[�ovin[xi , <br /> ��I OWNEF M.AILADDPE55 ZIP P�,Ch:C I, <br /> j '.JY'..-�f �`• -�tvf: '_ ' � <br /> ARCHITECT OF DESIGNER A�t�IL ADDRE55 PHONE LICLNSL tJU. <br /> GENERAL CONTfiACTOF MAIL ADDRESS PHONE LICENSF NO. <br /> I 'P'_'C$L 1TtliI�� � <br /> IMECMANICALCONTFACTOR MAILAODflE55 PMONE LICENSENO. <br /> � <br /> PLUM8INGCONTflACTOR MAILAO�FESS NHUNE LICENSENO. �J <br /> m <br /> � I <br /> I PERMIT CLASSOF WOFK z I <br /> I ❑ pUILDING ❑PLUMBING ❑��ECNANICAL ~ <br /> ❑NEW ❑ADDITION ❑ALTERATION �REP/�IH � i <br /> VALUAT�Oj7�.Qr RK � <br /> jj(4�'� ❑DEMOL�SH ❑FENCE ❑SIGN ❑SW�MMING POOI W <br /> a <br /> j 5 - —� 2�4J <br /> OESCRIB, kN�OLfC <br /> � Z:� <br /> raoaoseo use pll[CNANICAL <br /> "e•�. — ' <br /> fYP[ OP FUEi_ �oIL ❑GnS� ❑LPG. �ELEC. <br /> IF.GAL�0E�5CRIPTIONOF FROPERTV ISHOW EIEnOW OH ATT�ChI <br /> FOU9 ��_51 =�� '�$j'({�� � NO. TVPE GF E�UIPMENT FEE <br /> LOi OLOCK___OF AIP CON0. UNITS-H.P. EA. 4 � <br /> REFRIGERnT10N UNITS-H.P. EA. <br /> � �OILERti-ii.P. EA. � <br /> IGAS FIRED A.C. UNITS--TONNAGE EA. <br /> I FORCED Alfi SVSTEMS-0.T.U. M EA. � __ I <br /> � �nA ���pR�.C��, .e. WnLL HEATERS-B.T.U. M � <br /> J�J.L-� %.�l.XJ'Y UNIT HEATCflS-6.T.U. M � 1 <br /> - _�EVAPORATIVE COOLERS I <br /> � PLUMBING _ CLOTHES DRYERS � i <br /> � --� VENTILATION FAN , <br /> II RANGEHODD � 'I <br /> I _ AIF HANDLING UNIT- L.F.M. <br /> NO. TVPE OF FIXTlJRE OR ITEM FE� INCiNEftATOR � <br /> I WATER ClASET ITO{i.ETI 5 --- — - -�-- - -' — � <br /> I pATHTUB � I <br /> LAVATORV (W65HBNSINI I <br /> SHOWER — �' <br /> � KITCH[P:51NK& �ISP. +_ __ SUB TOTAL 5 I <br /> �� pISL'::„OIIER PERMIT S <br /> � l AUNDRV TRI�Y TOTAI FEE 5 I i <br /> CLOTHES WASNER THIS PERMIT OECOMES NULL AND VOID IF WORK OR CONSTRUG <br /> �� WATER HEpTEfl + TION AUTMORIZFD �S NOT COMMENCED WITHIN 170 �AVS, Ofl IF I <br /> � CONSTHUCTION OR WOPK �5 SUSP[NOED OR A�ANDONED FOR A <br /> UiiINAL pER10U OF 120 DAVS AT ANV TIME AFTER WORI. IS COMME�lCED. <br /> �'�I ORINK.ING FOUNTAIN <br /> FLOOF-SINK 0(i OFAIN I HEREO� CEFTIFY THAT I HAVE REAO AND E%AMWED THIS AP� <br /> - PLICATION ANp KNOW THE S�ME TO 6E TRUE AND CORfiECT. ALL <br /> VHCUUM �RBAKERS pqOVISIONS OF LAVJS l�NO OFi�INANCES GOVEFNING THIS TYP[ <br /> ROGF DRAINS-RAINLEADEFS OF WOIiK WILL BE COMPLIED WITH WHETHER SPEGFI[D IIEFEIN I <br /> SINK ISERVICE-�AR, ETC.1 Ofi NOT, THE GHANTING OF A PERMIT �OES NOT PRESUh1E TO <br /> -- GIVE AUTHORIT� TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> j ANY OTHER STATE OR IOCAL LAW FEGULATING CONSTflUCTION <br /> OR?HEPFflFORMANCEOFCONSTRUCIION. <br /> � _ SUBTOTAL i <br /> PEHMIT 5 f_ .�y <br /> II - TOTALFEE 8 4��1 <br /> I9f.;NAiUREOFCONTiinCTORORf�UTH.l�UF.NT OATE I <br /> �I SIDE ��+RDSETOHCK STREET SET6AGK REAR YnRDSE"tAnCK VL��1 CHECK IdUMO[F PLAN CHECK FEL i <br /> FEE RECEIPT N(� <br /> I U;[ LONE LOTAPEA VACANTSITE <br /> ' ❑vEs ❑No FEES VALUATION FEE � <br /> II TVPE OF WNST. OCCUPANCV GROUP VN�ITS OWELLING � � <br /> - f I I <br /> SIZE OF BLDG. NO.OF STOFIES MA%.00G. LOAD �UIIDING 5 I i <br /> PLUMB�hG � I <br /> PIqE20NE �ASEMENT FIRESPRINKlERS � <br /> REnUIRED � <br /> ❑YES ❑NJ M[CHANICAI i <br /> — I <br /> SP[CIAICONDITIONS: OTHEP I � <br /> — 'T <br /> _ PENLU'Y � SEC. 3071c1 � <br /> � TOTAL ---- CLI C� I <br /> — PERMI7 VALIDATION I <br /> WHEN PfiOPERLY VA1 IpAiLO (IN THP.:SPACEI THIS IS YOUFi PENI4IT I <br /> ___ — I <br /> _'"— i <br /> I I <br /> I — <br /> nl'PUl:n110NFLLI�TC00Y- �I.ANSCNECY.EOOV' I'hPp�(IJIp'�I'_W:J!(tiv � <br /> I I <br /> � I <br /> � <br />