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d:rh\rr�rt�v: . ���V��������� <br />�VO.��l.6. P�Rl1�IT PERMIT NO. -�� ; �i`` <br />c„v �,�:._� a: ��,us �. �� <br />E�'�"`T� ��- ��'�' '. ,' CO�dBINATION X': BUILDINC, — MECHANICAL _ PLUMBING <br />.`':NEq �� IAxiL 0.DDRE55 <br />arr ziu =�or.t <br />IM�4ACULATE CO��.rPTIOt� GhLIRru 9Fo1 HfIYT Fv��7��_982 �„ ,.„�,+E <br />FNCMrtECi OA GEWGNEF ilnlL AO�HE..S <br />— MNII AODPE55 LiiV ZiP PHONE LILENSE � <br />°ENr"" CONi"'��oA 14ENZER1820S <br />MENZEL ROOFING 1408 WALNUr cr FVFUFru�A on�nt <br />MECHANICAI. CONIRAGTOR IAAIL A�DRE55 <br />CITV ZiP PMONE LIGENSE • <br />V� ulAp14G CONiflACtOR <br />-- MAR ADORE55 CItY ZIP PHONE LIGENSE � <br />Cio55OF WOFN <br />� NEW ❑ ADDITION ❑ ALTERATION ❑ AEPAIR ❑ DEMOLITION ❑ FENGE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSER <br />Vu��n110N OF NO��R <br />�19,SOO.UO ____ <br />Reroof - hot built-up <br />ii :,,.i. u�����.�,��.......,,,.. <br />�,,,1-8 e�ocK 561 aF <br />.'08 FIJUtVLSS "---. � �— <br />PLU�IBING <br />NO. TYPE OF FI%TURE <br />17AT [ R CLOSET �TOILEn <br />BATHTUB <br />SHOWER <br />KITCNENSINK6 <br />LAUNOFYTRAY <br />CLOTHESWASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />� FLOOR ORAIN <br />VACUUTA OREAKEHS <br />ROOF DRAINS — RAINI <br />SINK (SERVICE — BAR. <br />DE <br />USE <br />iiP <br />lE <br />�TEM <br />TOTAL <br />TOTAL FEE <br />t. ENVIRONMENTAL CMECK L15T <br />2. BUILDING PLANS <br />) FIREHVDRANT <br />: FIREPPOTECTIONSYSTEM <br />5 GRADING <br />6 DRAINAGE <br />;. ENVIRONMENTAL IMPACT STA' <br />a HEALTHDISTRICT <br />APFiICAT10N ACC. BY PLA <br />eb <br />I HEREB'! CERTIFY THAT i HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PflOVI510NS OF LAWS AND ORDINANCES <br />GOVERNII:G THIS TYPE OF WORK WILL BE COMPLIED 1h'ITH <br />P RM T DOES NOITIPRESUMEI TO GIV�AU HORITYNOIV OLAT(: <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE O�� <br />IOCAL LAW REGULATING CONSTRUC710N OR THE <br />PERFORMNNfE OF CONSTRUCTION. qr <br />SiG'�FTtiPE OF GU1119ACTOR OA AUtH�11ZED PGEN1 <br />X.(� '�-�-.,-:tT <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENI <br />FIR C0�+0. UNITS — H.P. EA. <br />REFRIGEFATION UNITS — H.P. EA. <br />BOILERS — M.P. EA. <br />GAS FIflEG A.C. UNITS — iONNAG <br />FORCED AIR SrSTEMS — B.T.U. <br />VlALI HEATERti — B.T.U. <br />UNIT MEATERS — Ef.T.U. <br />EVAPORAiIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />� qANGEMUOP <br />AIR MANOLING UNIT — <br />� STCVE —'NOOC <br />MEfi.L FIREPLACE 5 CHIMNEY <br />FIREPLACEINSERT <br />MEAT PUMP <br />�S <br />REAR <br />YES NO <br />BY <br />APPR. <br />NO <br />DATE <br />BY <br />EA. <br />ME <br />M <br />M <br />C.F.M. <br />SUB TOTAL 1 <br />PERMIT S <br />TOTAL FEE f <br />. NUt: BER PLAN C <br />FEE <br />FEES VAIUAiION <br />BUILDING <br />✓LUMBING <br />h1ECMANICAL <br />OTMER <br />FEE <br />RECEIFT NO. <br />FEE <br />PENALTY SEC.303181 <br />TOTAL �4� 5� <br />PERMIT VALIDAI'ION <br />1'1HEN PRGPERI.� VAIIDATED QN THIS SPAC� THIS IS YOURPE%NIT _ <br />I � <br />