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� ��m Etar��ir.... <br />����, ��� con�srRucrioN <br />ederet� PERMIT <br />� �iT 4.:1L . ...°v5 <br />� e..:i1.�..:.5�11!iGlp'1 <br />9d)lil <br />I "" °�E°�;oP;;E�; BUILDING MECHANICAL <br />i��VNER„ ,. r.ry '� �V Mfd�LADOHE55 lIP <br />f • �s `. .-_` „`%t:..a '�' _ :.�• iT��� .JS� <br />�+RCHITECT OR DESIGNEH MAI� ADDfl65S PHOI <br />l� <br />R <br />PLUNIBING <br />�U2 <br />�BUILDING �PLVh1pING �MECHANICAL <br />❑NEW ❑ADDITION ❑ALTEFATION ❑REPAIH <br />V.ILUATIONi OF WORK x <br />S �i�� ❑n�r.�ousr� uvervice ❑sicN ❑swin���i�:c roo� <br />DESCRI�E WORK ------ <br />";�"� P'O�fii : �'t�� .. . :J <br />aaoaos�o use <br />MECHANICAL <br />LEGALOESCNIPTION OF PROPEflTV (SHOW BELOW OR qTTACH i���" ��F FUEL �OiL �Gn'. ��_Pp, - <br />I FOUR COPIE51 <br />I�oi oLocK—or _NO. iVPE OF =1]UIPMENT <br />JD6 ADDRE: <br />PLUMBING <br />iill: <br />�iJW � Mn� <br />I USEeZONEu �e i un�-R `OT AREA T`iACK VACANT SITEET�. <br />❑YES ❑NO <br />� SPECI,IL CONOITIONS: <br />I-- <br />i <br />AIR COND. UNITS-H.F'. EA. 5 <br />REFRIGERATIIiN UNITS-H.P. EA. <br />DOILERS-H.P. EA. <br />GAS FIREp A.C. UNITSI-TONNAGE EA. <br />FORCEO AIR SVSTEMS-�.T.U. M EA. <br />IYALL HEl�1ER5-B.T.II. M <br />UNIT HEATERS-B.T.U, M <br />EVAPORATIVECOOLERS <br />CLOTHESDRVERS <br />VENTILATION FAN <br />RANGEHOOO <br />AIR HANOLING UNIT- C.F.M. <br />INCINERATOR <br />ev�rett <br />? ;'Jt.7:'. <br />� SUBTOTAL 5� I <br />PERMIT 5 � <br />TOTALFEE 5 ll <br />TIUS PERMIT 6ECOMES NULL AND VOID IP WORK OP CONSTRUC- <br />TIO� I�VTHORIZED IS NOT COMM[NCE� WITHIN 120 DAVS, OR IF <br />CONSTFUCTION OR WORK IS SUSPENDED OR A[3ANDONED FOR A <br />PEflIOD OF 120 DAVS AT AiVV TIME AFTER WCRK IS COMMENCFD. <br />I HEREpY CERTIFV THAT I HAVE REAp .4ND E%AMINED THIS AP- <br />PLICATION /1ND KNOW TME SAME TO 6E TRUE AND CORfiECT. ALL <br />PROVISIONS OF LAWS AND OFOINANCES GOVEflNING THIS TYPE <br />OF WOqK WILL 8F COMPLIED WITH WHETMEii SPEpFIED HENEIN <br />OR NOT, THE GRANTING VF A PERMIT OOES NOT PRESUME TO <br />GIVF AUTIIORITV TO VID�AT[ OR CANCEL THE PROVISIONS OF <br />ANV OTH@ii STM[ OR LOCAL IAtV REGULATING CONSTRUCTION <br />OR THE PEliFOR�d,9NC[ OF CONSTRUCTION. <br />X �`� � / v <br />SIGNATUREOFCDNTtiACTOF{ORAUTH.AGEYT OI�TE <br />�'LAN CHECK NUMI3ER PLAN CHECK FEE <br />FEE RECEIPT NO. <br />FEES VALUATION FEE <br />OCQ LOAD �UIL�ING �Wy 31� <br />�— <br />PLUMBING I <br />'PRINKLERS <br />IREO � <br />ES ❑NO MECHANICAL � <br />OTh1ER i <br />PENELTY F{EC. J031a1 I <br />TOTAL � �� <br />i <br />PERMIT VALIDATION � <br />WHGN PROPER�Y VALICATED (IN THIS SPACEI THIS IS VOUR PERMIT <br />C� <br />