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ri��• t-��o�yrecn � <br />������ CONSTRUCTION <br />evereti f'ERMIT <br />��,.,,.,<< <br />F«��„ . ...::, <br />,_:,, <br />°`°` °' `°"„°''°' BUILDING MECHANICAL FLIiMBING <br />mveiavucxr <br />NER �q f4A�L AUDH[JS � LIP YMONE <br />l �'iT .r)+".J�c-D ... _ t r' � <br />�E: '?• Y,l� <br />:N17ECT OR OESIGNER MAII_ HDDHE55 PMONE LICENSE NO. <br />dEqAICONTRACTpR MAILAODftESS PHONE LICF.NSENO. <br />�� <br />]MANICALCOYTRACTOR p1qILAD�FE55 PI10NE LICENSENO. <br />�MBING CONTRAC7'Ofl MAIL ADDRESS PHONE LICENSE NO. <br />PEFMIT <br />�DUILDING �PLUMBING �MECHANICAL <br />VALUATION� �OyF� WO}{RK <br />5 iV�Jf411 <br />DESCflI�E WORK <br />w=r��'�� �.� <br />�- <br />�e�n� otsr.qiaTior� or rr,: <br />FOUR COPIE51 <br />LOT BLOCK_DF <br />JOB ADDFlE55 f.ry)j. <br />«1��� <br />PLUMBING <br />Is <br />'� I I�CL^OIcV' <br />ier.�a� � <br />» <br />SPKIAL CONOITIONS: <br />mWl <br />OF �VOFiV� <br />❑NEW ❑ADDITIpN ❑ALT[RATIpN uREPAIR <br />❑DGMOLiSH ❑F[NCE ❑SiGN ❑titVIM11MING POOL <br />HOW �f.LOW OF A <br />MECHANICAL <br />evere*t <br />�{�y� <br />� <br />W <br />m <br />� <br />� <br />z <br />F <br />� <br />� <br />LLl <br />C_ <br />106� <br />_ f�IR CONL. UNITS—H.P. EA. S I <br />REFRIGEFATION UNITS--H.P. EA. � <br />_I <br />f301LEFS- M.P. EA. � <br />,Ai F:P[D q.C. UP Ii5—TONNAGE EA. <br />FOfiCED AIF SVSTEMS-p.T.U. M EA. I <br />W4lLHEATERS—B.T.U. M <br />UfJIT HEATERS—�.T.V. M I <br />— EVAPORATIVECOOLERS —� <br />— —J <br />CLOTIiES ORVERS � <br />I VIiNT:LATION FAN _ —t <br />_� <br />RANGEHOOD I <br />--- AIP HANDLING UNIT— C.F.M. � <br />_�___I � Sl B TOTAL 5 � <br />PERMIT S �— <br />—j--- "OTAL F[f 5 j <br />—I—�— THIS PERMIT pECOMES NULL AND JOI� IF WOfiK OR CGNSTRUC� <br />TION AUTHORI2ED I,^. NOT COM1dEyCE� WITHIN 110 OAYS, Ofi IF <br />CONSTRUCTIOY OFl WORK 1!: SUSPEN�EO OR A�ANDONFD FOF A <br />PFFIOD OF 120 DAVS AT ANV TIM[ AFTER WORK IS COMAIENCEO. <br />I HF_FE6V LERTIFv THAT I IIAVE READ AND E%AMINED THIS AP� <br />� PLIGATION AND KNOW THE SAME TO f3E TIIUE AND CORRECT. ALL <br />PROVISIONS OF LAlVS AND ORDINANCES GOVERNING THIS TVPE <br />OF WORK WILL 6E COM1IPLIED LVITH WHETHER SPECIFlED H[REIN <br />CR NOT, THE GRANTING OF A PEfiM1T DOES NOT PRESUME TO <br />GIbE AUTHOflITV TO VIOLl�TE OR Cl�NCEL THE PROVISIONS OP <br />ANY OTIIER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OFTHEFERFOflMANCGOFCONSTPUCTION. <br />-}- x �/� <br />SIGfJATUFiEOFCONTIIACTOROPAUTH.AGENT OATE <br />EARVAROSETpqCKPLANCMECKNU4fAER PLANCHECKFEE <br />FEE flECEIPT NO. <br />FCANT SITE . <br />❑vEs ❑No FEES VALUATION FEE <br />DAD BUILOING $ '��' 7�:N <br />—1 <br />PLUM6ING I <br />lERS __ I <br />I <br />❑NO MECHAHICAL � <br />OTHER � <br />I <br />PENFLTY SEC.3031e) � <br />TOTAL �jjC�1 <br />PERMIT VALIOATION <br />WHEN PROPERLV VA�I�AT[D (�N i11155PACL1 THI$ I$ VOUli P@F�.A1!T <br />Q� <br />0 <br />�� <br />� <br />