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TOR <br />CONSTRUCTION <br />PERMIT <br />BUILDING MECI�ANICAL PLUMBING <br />MAIL nUDHL3:; -•II' 1'II��Nf. <br />b7 � �. i-�"'s} ".� . 9�"Q3 2w2-?37T <br />MML AOf)RESS PHONE � 1 ICI:NSL NU. <br />„[Kl��AD�RESS PHONE ��F�yL ryp. <br />1.58JVS �(� <br />MAIL ADnRB55 PNONL LICFNG6 N�). <br />L <br />- _....... l-Ln55 UP WOIIh <br />��UILDING �PLUM�ING �MECIIANICIIL <br />�NLW ❑ApUITIpN ❑/�LTEHA710N ❑R@pAIR <br />VAWATION OF WORK ---- <br />5 � ❑[lEh1pLISH ❑fLf¢CP. ❑SIGN ❑SWIM1IMING PO��L <br />DESCRIBE WOFK —"�""---- <br />f0`�3i^:iJ�GS� ilfs IS�'F'II:�.' <br />rNoaoseo usE <br />LFGAgL� OpES(�CRIPTION OP PHOPERTV ISHOW <br />LOT�"r" 56lOCK�OF ��f� <br />JOB AUORESS � AfV1�.t� -- <br />V �Ji �J <br />PLUMBING <br />NO. TVPE OF FIXTURE OR ITEM <br />WATER CLOSET �TOILETI <br />BATHTUO <br />IT <br />LF <br />__ _g � <br />SPECIl1L CONOITIONS: <br />/�CK <br />MECHANICAL <br />AIR CONO. UNITS-II.P. EF. <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS-H.i�. LA, <br />GAS FlfiEp q.C. UNITS-TONNAGE E/ <br />FORCL�l�IR S�STEMS-O.T.U. M LA. <br />Wl1LL NEATERS-O.T.U. M <br />UNIT HEATER$-�B.T,U. h1 <br />EVl�POiiATIVE COOLERS <br />CLOTHESDRYERS <br />VENTILATION FAN <br />flANGE f100D <br />AIqHI�NDIJNGUNIT- GP.M. <br />INCINERATOfi <br />everett <br />� <br />W <br />m <br />� <br />..�. <br />z <br />F <br />� <br />� <br />W <br />a <br />025 <br />SUB TOTAL 5 � <br />PEFMIT 5 <br />� <br />TOTAI FEE 5 � <br />TNIS PERMIT OECO�AES NVLL .1ND VOID If WORK Oii CONSTqUC- <br />TION AUTHORIZLO IS NOT COAtAtENCED LVITHIN 120 OAVS, OR IF <br />CONSTRUCTION OR WOflK IS >USPEN�EI] O!i A�ANDONED FOP A <br />PBR100 OF 120 OAVS AT ANY' TIME AFTER WORK IS COMMENC[D. <br />I HEflEBY CERTIFV THAT I HAVE READ AN� E%AMINED THIS AP� <br />PLIC.ITION ANO KNOW THE SAh1E TO PE TRUE AND CORRECT. ALL <br />PROVISIONS OF �qWS AND ORIJINANCES GDVEfiNWG THIS TVPF <br />OF WOFK \NILL 6E COA1P' �rD WITII WHETHEP SPECIFIED HEREIN <br />OR NOT. rHE GRAN7lNG nf A PERNIT DOES NOT PRESUME TO <br />GIVE AUTIIORITV TO VIOLATE Ofi CANCEL THE PROVISIONS OF <br />ANY OTryER STNTE Oft L000.L LAW fi@GUI.��TING CONSTRUCI ION <br />OH TME PE(iFOF�il�NCE OF �'ONSTRUCTiON. <br />n � <br />x <br />RDSET6MK PL <br />❑NO <br />�� ���.�� � <br />IE OF Cp AG F OR AUTH. nGENt DATE <br />L�' DER PEE aIJ�N N C!1 RCEfiF.IE�NO. <br />�Bf <br />FEES VALUATION I FEE <br />OCC.LOAD �UILOING 5 2r��'�' � � <br />PLUI.IUING I <br />'I'qINKLEflS _ � <br />IqED � — <br />E9 ❑NO M[CHANICAI. � <br />1 <br />OTHER I <br />_ I <br />— PENI3LTV SEC.3031u1 I <br />— i <br />— 70TFL I� � <br />PERh11T VALIDATION <br />WHIiN PROPLRLV VALIDl�TEp (IN THISSPACE) ilUS IS VOUIi PERM1IIT <br />