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C11YDI�;ar1'JTRUCTION event( <br />PERMIT <br />CITY "11 )511M <br />trlel ll. 6l:x.rSICN <br />°"'°'I"°"" BUILDING MECHANICAL PLUMBING <br />m rUVVIIT1 -r <br />UWNLI{ MAIL AUUHLSS Z11 PHUNL <br />( CITY DF EVC-2E ( '500'2 WETMaM 99wi 232 $46( <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />off T OF L'u--YLc7 i 610. <br />GENERAL CONTRACTOR MAILADORESS PHONE LICENSE NO. <br />GIt`( oF� eve12E"LT do <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. u) <br />co <br />PERMIT CLASS OF WORK <br />j <br />❑ BUILDING ❑ PLUMBING ❑ MECHANICAL 1- <br />0NLW ❑ADOITfON ALTERATION ❑REPAIR <br />VALUATION OF WORK � <br />S 200 ❑DEMOLISH OFFENCE ❑SIGN ❑SWIIHMING POOL d <br />OESCRIBF. WORK. (LF_MOVF_ A G.91L'tw*z OF A WCOO PA2Tt7tolU ea FIMOT L.OA16" 55TVzol <br />S-raArn aA, . ca-uL Or - <br />PROPOSED USE <br />pG1�RW.s.Y <br />MECHANICAL ' <br />TYPEOFFUEL ❑OIL ❑NAT. ❑LPG. <br />GAS <br />❑ELEC. <br />LCOAL DESCIIIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR �C1O,�.P.,IEa) <br />LOTd— LOCK,�CF �RryS p'=rll&J' <br />NO. <br />TYPE OF EOUIPMENT <br />FEE <br />_ <br />At ONO. UNITS-H.P. EA. <br />S I <br />REFR.'ERATION UNITS-H.P. EA. <br />BU ILER .P. EA. <br />) <br />CAS FIRED .UNITS-FONNAGE EA. <br />FORCED AIRS EMS-B.T.U. M CA. <br />I <br />JOB ADDRESS <br />a2C}O.L <br />_ <br />WALL HEATERS-B. U. M <br />UNIT HEATERS- .T.U. M <br />I <br />PLUMt31NG o-r <br />EVAPORATIVE COOLERS <br />CLOTHES ORYEBS <br />VENTILATION FAN <br />i- <br />RANGE HOOD <br />I <br />NO. <br />TYPE OF FIKTURS OR ITEM <br />FEE <br />AIR HANDLING UNIT- C.F.M. <br />I <br />WA RCLOSET(TOILETI <br />g <br />INCINERATOR <br />--- <br />BATH BLAVAIU <br />YIWASHHABIN) <br />1SHOWERKITCHEN <br />NI'Z <br />SIN DISP. <br />SUBTOTAL <br />DISHWASHER <br />PERMIT S <br />LAUNORYTRAY <br />TOTALFEE S <br />CLOTHES WASHER <br />WATER HEATER <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC. <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />URINAL <br />1 <br />_ <br />DRINKING FOUNTAIN <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />_ <br />FLOOR -SINK OR DRAIN <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <br />PLICFTION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WOPK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />VACUUM BREAKERS <br />ROOF DRAINS -RAIN LEADERS N <br />S114K (SERVICE -BAR, ETC.) <br />( <br />-� <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />• <br />SUP. TOTAL <br />PCIIMIT S <br />TOTALFEE $ <br />_ <br />x( z APtuc. 77 <br />CITY USE BELOIV THIS LINE <br />SI TURE CONTRACTOROR At AGENT DATE <br />SIDE YARD SETBACK <br />STREET SLTUACK <br />FEARYARDSCTBACK <br />PLAN CHECK UMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. OCCUPANCY GROUP NO. OF DWELLING ' <br />UNITS I <br />�/� <br />SIZE OF ULOG. NO. OF STONIES MAX. OCC. LOAD BUILUING g -200 d I 6r! <br />PLUMBING I <br />j FIRE ZONE BAOEMENT FIR@SPRINKL-RS <br />REQUIRED <br />OYES ONO MECHANICAL 1 <br />SPECIAL CONDITIONS: OTHER <br />I <br />-- PENELTY SEC. 0001°I I <br />-- <br />TOTAL 1 <br />I -- <br />PERMIT VAI.IDATION <br />----- WIILN I•Illa'I. HLY VALIDATEI, (IN THIS SPACE) THIS IS YOUR PERMIT <br />nli'IIIM IIM AU. h'IIPIIY IRAM.1AII. I.I n11Y: nn'IU — VLD IOA K-MA Ltly <br />flr <br />aI PL11,141l", (OPY <br />