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1Ne E��er�raen <br />CIl Y OF <br />eyer�et� <br />Li1V �IdLI .'9B2e5 <br />LVf FL ii. '.:ASrIP�fiO'1 <br />9:}01 <br />I1CC1 Of COt�Aip9iiY <br />UEVELOiM1IENI <br />BUILDING <br />vea rnni� <br />i4cGratl: t:er= <br />� <br />CONST�i'uCTION <br />PERMiT <br />MECHNNICAL <br />C �-�� <br />MECHANICALCONTRACTOR MAILAI <br />itc:lia'.,I:: w�l�Qt '"aC�:I <br />PLVMBINGCONTflACTOR MAILAI <br />Czrn.rn �ncioa Inc. <br />PERMIT CLAS: <br />Q�UIL�ING [�.PLUMdING �MECHANICAL <br />VALUATION OF WOFN <br />���,v3''.p� <br />s <br />DESCRI6E WORY. <br />^,i�s•:;2ce P.:ri1y R: si•�a.s::,} <br />PqOPOSED VSE <br />S rY7':C <br />LEGAL OESCFIPT�ON OF PROPERTY (SHOW BELOW OR <br />FOl'F. P ESI <br />f9�+ v�,�t��� v�.��.� <br />LOT �LOCK— _OF <br />2rt30 Lr.rlin llrivc <br />PLUMBING <br />H <br />m�ycee�a•: <br />PLUNIBING <br />ne <br />NE <br />h[�l <br />Lti:EW ❑ADDITIUfJ ❑ALTEFATION ❑REPAIR <br />❑oen+�usri ❑reNce [lsicrv ❑swir.�ronNc roo� <br />C"...1 <br />tJ - S'. 2 n �� <br />DEVAROSGTOACK STREETSET6ACK REAiV_�iqp5ETt3, <br />y� 2U' FC <br />>EZU�f: LOTAREA VACANTSITE <br />R�I i�S`�%�iS. ��. �YES ❑NO <br />(PE OF CONST. OCCUPAhfV GROUP NO.OF DWELLING <br />IUNITS 1 <br />�;�.y)n� <br />i <br />FIflE 10NE <br />ISPECIALCON�ITIONS: <br />� <br />OP <br />MECHANICAL <br />TVPE OF E�UIPMENT <br />AIR CON�. UNI fS-H.P. FA. <br />flErFIGERATION UNITS-H.P. EA. <br />601LEF5-H.P.EA. <br />GAS FIRED A.C. UNITS-TONNAGC EA. <br />FORCED AIR SYSTEMS-6.T.U. M EA. <br />WALL HEATEFS-B.T.U. M <br />UFIIT HEATERS-�.T.U. M <br />EVAPORATIVECOOLERS <br />CLOTHESORVEPS <br />\IENTILATION FAN <br />RANGEHO00 <br />nIFHANDLINGUNIT- C.F.M. <br />INCINF.PATOfl <br />everett <br />� � <br />E;,Y'�«� <br />� <br />W <br />m <br />� <br />� <br />Z <br />� <br />� <br />� <br />w <br />a <br />2�16 <br />E <br />SUB TOTAL 5 �'�" I" ' <br />PERMIT S —�T <br />TOTAL FEE 5 + �t '.� <br />THIS PERMIT BECOME$ NULL AND VOIU IF WORK OR CONSTRUG <br />TION AUTHGflIZEO IS NOT COMMENCED WITMIN 720 OAYS, OH IF <br />CONSI'RUCTION OR WORK IS SUSP[NDED Ofl {10ANDONcO FOR n <br />PERIOD OF 120 DAvS AT ANV TIME l.FTEP WORK IS COMMENCE�. <br />I NERECV CERTIFY THAT I NAVE READ AND E%AMINED THIS AP� <br />PLICATION AND KNOW THE SAME TO E3E TRUE AND CORFECT. AI.L <br />PROVISIONS OF LAVJS AND OliDINANCLS GOVERNING THIS TYPE <br />OF WOPK NJILL �E COMPLIED WITH WNETHEF SPECIRED NEREIN <br />OR NOT, THE GFANt:NG Of- A PERM!T DO�_'S NOT PFESUME TO <br />GIVE AUTHORITI TO VIOLATE OR CANC[L i�HE PF10�'ISIONS OF <br />ANV OTNEP STATE Oq LOCAL LAW REGULA'iING CONSTRUCTION <br />ORTHEPERFORMANCEOFCONSTRUCTION. <br />� <br />4TUREOFCONTFiAOTOROPAVTH.AGENT OATE <br />CHE:K NUh1�Efl PLANCHECK FEE <br />FEE :�3•���� RECEIPTNO. <br />7?/:,' � `?C:;�C2�ii i .�.�{� <br />FEES VALUATION ��EE <br />_ — �— <br />I <br />_ A 7 n <br />'STORIES IMA%.00QLOAD BUILDING $4�=I���•!'� ��U��`� I <br />S�'31� � ' _- �1. � � I� <br />__�_._ PLUMOING � <br />AEfJT fINESPpINKiEHS ___ <br />�nfaUlftEO ���i(3j� I <br />1�"' ❑vF5 ONO MECNANICAL •i <br />OTHER � <br />_______ _ I <br />-. PCNELTY SEC.9071a) I �� <br />TOTAL !+�' I !'.} �, <br />PERMIT VALI�ATION <br />----- VJHEN PflOF[RI.V Vi1LI�ATED IIPI THIS SP�10E) TFIIS IS VOUfl Pc RPdi f <br />IC.C,. � i.����r <br />