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rhe E�.":.y�,.en <br />��, � �, <br />�verett <br />�,�. , _, �_ <br />"��„_,, �::,..��:'��.�: <br />����� <br />f1EPI Ci LC"'.:�'llll <br />ocrE�ov��rsr <br />n�Fq <br />�...'-:Y�:� I�11Y.::1�: <br />BUILDING <br />Ih <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />L:.DDRESS <br />I. A <br />LA <br />PLUMBING <br />UCENSE HC. <br />LICENS[fJO. <br />� 6UILDING � PLUM�ING � MECIIANICAL <br />❑NEV.� ❑ADDITION �lLLTERATION ❑HEPAIF <br />VALUATION OF �WyO�R�K <br />5 G'JW�� ❑DEMOLISH ❑FCNCE ❑SIGN ❑;�viMMINGPOOL <br />DESCRI6[ WORK H� — <br />.�.... � � »��� r'..�i !:�."�.'� <br />aa�Poseo use " — <br />MECHANICAL <br />rvaeoFruei. �oi� ��Nnr. ��Pc. <br />LEGAL OESCRIPTION OF PRO�ERTV ISHOW 6ELOW OR ATTACH GAS <br />FOU9 COPIESI <br />�r,r BLOCK_OF NO. Tl'PEOFE�UIPMENT <br />AIR COND. UNITS �II.P. [A. <br />_ fiEFRIGERATION UN1T5- H.P. EA. <br />—� ROILERS-H.P. EA. <br />GAS FIRED A.C. UNITS-TONNAGE EA. <br />_ FOFCED AIR SYSTEMS-B.T.U. M EA. <br />J06 ADDRE;S �y�y ..�..� WALL HEATEflS-�B.T.U. M <br />)uu:c A�;si <br />UNIT HEATERS-B.T.U. M <br />I EVAPORATNE COOIEFS <br />PLUMBING ICLOTHESDFVERS <br />VENTILATION FAN <br />RANGEHOOD <br />NO. TVPE OF FIXTURE OR I7EM FEE A�R HANDUNG UNIT— C.F.M. <br />wnTFn ci ncer rrnn Fn e INGNERATOR <br />FY: <br />YARD SE <br />SPECIAL CONDITIONS: <br />STFiE�T <br />arvr.orccKto or <br />❑VES ❑NO <br />everefit a <br />I •X���� <br />i <br />� <br />W <br />m <br />� <br />� <br />Z <br />H <br />� <br />� <br />W <br />a <br />2ss <br />SU9 TOTAL S � <br />PERMIT 5 �— <br />. � <br />TOTALFEE 5 I <br />iF115 PER�dIT BECOMES NULL ANO VOID IF WUPK OR CONSTRUC- <br />TION AVTHORI2ED IS NCT COMtAENCED WITliIN 120 �AVS, OR IF <br />COhSTRUCTION OF WORK IS $USPErypEp OP. AUAhDOMED FOR !� <br />PEfllOp OF 120 DAVS AT nNV TIME AF'�ER WORK IS COMMLNCfD. <br />I NERE�V CERTIFY THAT I HAVE READ AND EXAMINED TNIS AP� <br />PLICATION AND KNOVJ THE 5�1h1E TO 8E TRUE AP�D CORRECT. ALL <br />PiiOVI510N5 OF LAWS AND OROINANCES GOVERNING THIS TYPE <br />OF WOFK IVILL BE COMPLIED VJITH IYHLTHEP SP[CIFIEO HEREIN <br />OR NOT, iME GRANTING Of A PEFMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PliOVISIONS OF <br />ANY OTHER STATE OR I.00FL LAW REGULATING CO?ISTHUCTION <br />OR THE PERFORM1tANCE OF CONSTRUCTION. <br />X <br />SIGNAiVftEOFCONTI <br />'LAN CNECK NUAiDEfl <br />FEES <br />lFOfiA'JTM.AGENT DATE <br />PLAN CHECK PEE <br />FEE RELEIPT NO. <br />VALUATION FEE <br />]AO �UILDING $ �� ��� <br />PLUMBING I <br />LEflS 1 <br />nN� MECIiANICAL j <br />OTFIER � <br />I _ <br />PENELTY SEC.7031a1 I <br />_ I <br />7oTAl � j{� <br />PERMIT VALIDATION <br />WIIEN V'qpP[RLY V�I_IOATED 114 iH155PACE1 THIS IS VOUR PEfiMll' <br />�.r L' • <br />n <br />