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I <br />CITYDT COPS (: RUV Y^iONI <br />evere PERMIT <br />CITY OnIt lit OR <br />PVT III 11. ISM"'11"ION <br />11701 <br />VITT, OF"V"111T' BUILDING MECHANICAL <br />OI YIIteV1 NI <br />N I:II MAIL AUUIILSS Z11 <br />GEN CIIA LCUN C nACTOR <br />MECHANICAL CONTRACTOR <br />PLUMBING <br />xz3..D1-¢u- <br />❑ BUILDING 0 PLUMBING 0 MCCHANICAL <br />[I NEW ❑ADDITION ❑AL7EBATtON REPAIR <br />VALUATION OF WOIIK <br />_' yee) — ❑DEMOLISH ❑FENCE ❑SIGN r VIMMING POOL <br />DLSCRIBE WORM. <br />Sf/,EF TXOGK 9 D90,CS D4WA/ST/3 /R 5 <br />LOT 'I 'I �BLOCK ✓v OFJ <br />7- O sy9s/- <br />JOB ADDRLSS <br />/ 726 <br />PLUMBING <br />NO.I TYPE OF FIXTURI <br />WATER CLOSET(TOILET) <br />U,1Ti{'fU6 <br />I ILAVAIUHY(WASH HASINI <br />MECHANICAL <br />E- S " II EFRnI <br />FORCED AIR SYSTEMS-U.T.U. M CA. <br />WALL HEATERS-B.T.U. M <br />RANGE HOOD <br />Ain HANDLING UNIT - <br />INCINERATOR <br />evereii <br />-,L- - "S, <br />HCHEAT SITEllI <br />—�— <br />TOTAL FEC Si <br />I <br />_ <br />1VATER HEATER <br />WATER <br />TI{IS PERMIT BECOMES NULL. AND VOID IF WORK OR CCNSTRUC. <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />PCRIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />1 IILHEBY CERTIFY THAT I HAVF. READ AND EXAMINED THIS AP. <br />PLICATION AND KNOW THE SAME TO DE TRUE AND COFIRECT. ALL <br />PROVISIONS OF LAWS AND OFIDI14ANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT, 1'14E GRANFING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTIIOnITY TO VIOLATE On CANCEL THE PROVISIONS OF <br />ANY OTHER STATE On LOCAL LAW REGULATING CONSTRUCTION <br />On TIIE PERFORMANCE OF CONSTRUCTION. <br />L_ <br />n /z_1 7 <br />S16NA�TIREOFVNT PACT 'O RORAUTH.AGEENI' DATE <br />_ <br />URINAL <br />_ <br />DKINKI✓G FOUNTAIN - <br />� <br />FLOOR -SINK On DRAIN_ <br />VACUUM BREAKERS <br />ROOF DRAINS-11AINLEADCRS <br />---� <br />SINK (SERVICE-BAn, ETC.) <br />--� <br />_ <br />SUCTOTAL <br />PEFIMIT S <br />---� <br />_ <br />TOTAL FEE $ <br />--� <br />CITY <br />USE BELOW THIS LINE <br />SIDE YARD SETBACK <br />Sl' RLET SET' BACK. <br />BEAR YARD SETBACK <br />PLAN 6HECK 06MBEll <br />PLAN CHECK FEE <br />FEG RCCCIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑YES ❑NO <br />FCCS <br />VALUATION <br />FEE <br />TYPE. OF CONST. <br />OCCUPANCY -GROUP <br />NO.OF DWLLLING <br />UNITS <br />(---- <br />1 <br />1 <br />BUILDING <br />S 09&)0 017 <br />--r <br />SIZE OF IILOG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />1°II1E ZONE <br />UASEMGNT <br />_ <br />FIRLSPRINKLERS <br />ALnUlnED <br />DYES []NO <br />MECHANICAL <br />::F'LCIAL CONDITIONS: <br />OTIICR <br />I <br />PENCLTY <br />SEr, 303 (al <br />I <br />-- <br />TOTAL <br />�T I <br />- <br />PEn1.IIT VALIDATION <br />WHIN PFIUPLIiLY VALIDATED ON TIIIS SPACE) T HIS IS YOUR PERMIT <br />---- — <br />In <br />AI'I'LIC/dil".: COPY <br />