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ithc [vi�rr,iren <br />� ��„ �� CONS'T'RUCTION <br />� ever�tt PERMIT <br />�i nr� ua�.� u��ee�ti <br />I [v[a�ir.�vnou�,cin•i <br />! ez:;n <br />�, ""` °"`"".,"'^' BUILDING MECHANICAL <br />oEVELorn�F•;r <br />il OWNEq MNL�IDDRESS ZIP <br />�7i1.a2't �'. i5Z$fi�EA ?: .."3t 1CC::rG'1�i' ..`T�. <br />BING <br />I , Q�PUILDING �PLUMBING �MECHANICAL <br />IVALUATION OF WOr�FpK <br />i 5 :r��a'J'J <br />� DESCRI�[ WONK <br />� ;rarsc ih k:A.as:tr:ac; <br />PRO�'OSED USE <br />air.7lrs E'a�^.iL� <br />L[GAl DESCRIPTION OF PROPERiV ISHOW 3El <br />FOVRC PIE51 <br />�oT � RLOCK 6 oF I.'1t41Y�f'Z' <br />�op �oo�pesg <br />.. _ '.�?9L IAtCYL`f^�:• <br />PLUMBING <br />� nooREss <br />L AODFESS <br />PLUMBING <br />VHONE <br />?`... •,5$7� <br />NO. <br />N U. <br />❑NEW ❑ADDITION ❑AI.TERATION ❑REPAIR <br />❑oen�ousi� prerace ❑;icN ❑svnn+r.�wn voo� <br />Div. 1 <br />N SINK & �ISP. <br />SI1[q <br />iY TFqY <br />IS WASHER <br />11EATEFl <br />VG FOUNTAIN <br />-SINK Ofi I]RAIN <br />!I 9REAKEIiS <br />RAINS–RAINLEADERS �_ <br />?RVICE–DAR,ETC.1 �_ <br />�' <br />SUB TOTAL <br />PERMI7 5 --� <br />TOTAL 1"EE _ _ 5 <br />2T�ACK STREETSET[IACK HEARVAROSETB <br />LOTAREA VACANTSITE <br />❑ves ❑r:o <br />I TVPE OF CONST. <br />� SI2E OF BLDG. <br />IFIRE20NE <br />�� SFECIAL CON�ITIDNS� <br />I <br />i <br />i -- <br />OY: <br />BY. <br />MECHANICAL <br />AIF COND. VNITS–H.P. EA. 5 <br />fiEFRIG@PATION UNITS–H.P. EA. <br />ltO1LERS–H.P. EA. <br />Gl�S FIRED A.C. UNITS–TONNAfiE BA. <br />FORCEO AIR SVSTEMS-6.T.U. M EA. <br />wAIL HEATEPS–B.T.II. M <br />UNIT 41EI�TEFS–�.T.U. M <br />[VAPORATIVECOOLERS <br />CLOTHES�RVEflS <br />VENTILATION FAN <br />RI�NGE HOOD <br />AIR HANDLING UNIT– C.F.M. <br />INCINERATOR <br />� <br />W <br />m <br />� <br />� <br />Z <br />� <br />� <br />� <br />w <br />a <br />2974 <br />� SUBTOTAL 5I I <br />PERMIT :'I—�— <br />I <br />TOTAIFEE 5 � <br />THIS PERMIT �ECOMES NULL AND VOIO IF WOF'K OF CONSTftUC� <br />TION AVTIiOfil2Ln IS NOT COMh1ENCED V.�ITHIN 120 DAYS, OR IF <br />CONSTRUCTION OP WORK IS SUSPENDED OR Af3AN00NED FOfl A <br />PERIGD OF 120 DAVS AT ANV TIME AFTEFi WORK IS COMMENCEO. <br />I H[RE6Y CERTIFV THAT I HAVE flEAD I�ND E%AMWFD THIS AP� <br />PLIC .TION AND KNOW THE SAME TO pE TRUE AND COflFECT. �1LL <br />PFIOVISIONS OF LAWS AFO OROINANCES GOVERNING THIS TYP[ <br />Of WOPK WILL 6E COMPLIED WITH WHETHER SPECIFIE� HEfiEItM1 <br />Ofl NOT, THE GRl1NTING Of- A PEFiMIT DOES NOT PqESUME TO <br />GNE AUTHORITV TO VIOLATE OF CANCEL THE PqOVI510N; OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSI'I:UCI ION <br />OR THE PERFORMANCE OF CONSTFUCTION. <br />.::1�' ��1..`�✓�–G–¢� 7���i/-+� <br />SIGNATVqEDFCONTRACTORORAUTH.AGENT DATE <br />'LANCHE.KNUM,t3ER PLANCHECKFEE �— <br />FEE RECEIPT NO. <br />FEES VALUATION FEE <br />— �— <br />I <br />� _ <br />5 • . J� V �. <br />DAO BUILDING $ � <br />PLUMBING I <br />LERS I <br />❑NO MECHANICAL j <br />OTHER � <br />I <br />PENE�TY SEC.3031a1 1 <br />TOTAL •�� � � <br />PERMIT VALIDATION <br />WH[N PROPERLV VALIDATED (IN THIS SPACE) THIS IS YOUR PERM:T <br />