Laserfiche WebLink
V ,J ! V <br />PEruvirr <br />IIII I„I! 1:111!1 ' <br />tons <br />0irl.of "'''r'to BUILDING � MECHANICAL PLUMBING <br />ONN :!rlrl <br />UY/NLII MAIL AUDIIL:, <br />% .IICI III LCOR 111SIG14LR <br />"+ <br />MAILAUUNLSE <br />LII 1'HUNL <br />PI'IpNE LICENSE NO. n <br />GLHLHAL CUUTRACTOR <br />Id LC11lWI— (.4L[ONTRACTOII <br />MAIL ADDRESS PIIUNE /� <br />LICENSL NO . (/ <br />�ffc l���rFL 7 sz -7ii4 r� 1-17 <br />MAIL ADDRESS PIIONE LICENSE NO. 5 <br />PLUMUING CU:lIRACTOR <br />MAUb/IESS <br />IL A <br />PHONE LICENSE NO. �/I K <br />Ui <br />PERMIT <br />CLASS OF WORK <br />03 <br />5 <br />❑BUILDING rjr-UMDING EIMECHANICAL <br />7 <br />Z <br />VALUATION UFWOHK <br />❑NEW <br />---"---'-- <br />❑ADDITION 01ACT ION OREPAIR = <br />} <br />� Imo_ <br />SDESIDEYIORK <br />DEMOLISH <br />❑FENCE ❑SIGN ❑SVIRMMING POOL U) <br />0. <br />P I7p1.OSEU USE �'�L-�=- <br />MECHANICAL <br />CEGAL DESCRIITIDN OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COFIESI <br />TYPE OF FUEL ❑OIL ACAS, ❑LPG. ❑ELEC. <br />LOT —CLOCK —OF <br />NO. TYPE OF EOUIPMENT FEE <br />AIR COND. UNITS-II.P. EA. S I <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS-H.P. EA. I <br />' <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />JOO AODRlE55 / <br />FORCED AIR SYSTEMS-8.T.U. M EA. <br />WALL HEATERS-B.T.U. M <br />UNIT HEATERS-B.T.U. M ) <br />PLUMBIPIG <br />a <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS I <br />' <br />VENTILATION FAN <br />RANGE HOOD <br />I <br />NO. <br />TI'7E OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT- C.F.M. <br />I <br />ILIA I EF. CLCSET(TOI LET) <br />S <br />INCINERATOR <br />LAVA"IOF 111YASH UASIN) <br />SHUIYER <br />KITCHEN S,%K & DISP. <br />_ SUBTOTAL S <br />_ <br />DISH:1•�Sf-EA <br />LAUNDRY TRAY <br />PERMIT S <br />OLOTHES::ASHER - <br />TOTALFEE S <br />_ <br />WATER KEATER <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC• <br />TION AUTHORIZED IS NOT CO-MMENCED WITHIN 120 DAYS. OR IF <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />I HEREBY CERTIFY THAT 1 FJAVE READ AND EXAMINED THIS AP - <br />PLICATION AND Y, NOW THE SA LIE TO 8E TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND R'1ROINANCES GOVERNING THIS TYPE <br />OF WORK 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 />ANY OTHEJI STATE OR LOCAL LAG REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />X Ire,'7 <br />/'7 <br />SIG TUHEOF CONTRACTORORAUTH.AGENT OATS C•�_ <br />PLAN CHECK NUMBER PLAN CHECK FEE <br />URINAL <br />--i <br />DIRNKING FOUNTAIN <br />I <br />FLOOR-S": Y, OR GRAIN <br />VACUUM Al;E=EERS <br />ROOF G:t".5-RAINLEAOERS <br />SINK (SEXeICE-OAR. ETC.) <br />�-{ <br />SUG TOTAL <br />PERMIT S <br />TOTAL FEE S <br />• <br />CITY OSE BELOW THIS LINE'' <br />51UEYAROSETS4CK STRELTSET8ACK HEAR YARD SETQACK <br />•_ <br />—ZONE <br />FED RECEIPT NO. <br />, <br />USE <br />LOT AREA <br />VACANT SIT[ <br />' <br />- <br />❑YES ONO <br />FOES <br />VALUATION <br />FEE <br />TYPL OF CONST. <br />OCCUPANCY GROUP <br />NO.OF UIYELUNG <br />UNITS <br />I <br />SIZE OP "LOG. <br />NO.OF STORIES <br />MAK.00C. LOAD <br />BUILDING <br />s <br />1 <br />1 <br />PLUMBING <br />1 <br />1 <br />17-1HEZONE <br />'OASGMCNT <br />PIIIESPRINKLCRS <br />REQUIRED <br />OYES ONO <br />MECHANICAL <br />SPECIAL CONDsf IONS:' <br />OTHER <br />I---- <br />1 <br />PENELTY <br />SEC. 000 (a) <br />_---I—_ <br />TOTAL <br />1 <br />1 <br />PFAMIT VALIOAI ION <br />WHEN PRUPL RLY V ALIDATIZO (iN 11110 SPACE) 71115 IS YOUII I•LIIAt;I' <br />niiuiniiU4 sl!1!d!, <br />rIAN; LiRu—i liW. <br />Arlirrvltt I —CA MMIAI..I sir <br />