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�n<, E��-«�,������� <br />����o� <br />eve rett <br />fIIYIIAII ]p9N;t� <br />EVCN[i1.1'.ASfINf.1C'1 <br />96lJI <br />IIIVI pi CO�d�Ai:4pv <br />orv[iorx�tvi <br />NEN <br />�SX�"L� �SOSAY' <br />FACTOR <br />� <br />CQ�VSTRUCTIpN <br />PERMIT <br />BUILDING MECHANICAL <br />Ml11Ll�ODRESS 4 a,' ZIV <br />� � � � �V i'1iJ�G7 <br />� BUILOING � PLVMBING � M:CHl�NICAL <br />"ALUATION OF WORK <br />y Y.r�� • _i �_ _. J., � <br />LOT^ ` , L'ULOCK �OF_-'-"'-""' � ""'"- <br />J013�A�Oy��RE55�+�. <br />i71L ��N� <br />PLUMBING <br />�ATNTUp <br />LAVATOPV(WASH <br />SHOW[F <br />KITCNEN SINK & D <br />DISHWASHEF <br />LAUNDRVTRAY <br />CLOTH[SWASHER <br />WM[R NF.AT[R <br />PLUMEiING <br />� PHO�`N�L y <br />�� r <br />LI <br />NO. <br />❑NEW ❑AODITION ❑ALTERATION L'IREPAIR <br />❑I)@�dOLISN ❑f-[NCE ❑SIGN ❑SWIM1'IMiNG POOL <br />PERMIT § �_ <br />TOTALPEE 5 � <br />SIDE YnRn SET[3ACK STfl[[T SE'�BACK REAR VqRDSETt3, <br />USE ZUNc LOT AREA Vl.CANT SITG <br />❑'�CS ❑NO <br />F'eHt LONh <br />J <br />SPECIAL CONDITIONS: <br />v, n, � � <br />MECHANICAL <br />everett <br />�'� <br />._ ._cns -- — <br />NO. TYPE OF E�UIPMENT FEE <br />nIR CON�. UNITS H.P. EA. S 1 <br />_.1ti6FlilGEiiATIUNUIJlTS-M.P.EA � <br />�ooi�er�s�.��.r Ea. i <br />GAS FIf1EO A.C. UNiTS �TONNI�GE [A. <br />F-ORf.ED AIH Sv5TE�1S��fi.T.U. M EA. I <br />_ WALL!ICATEflS-B.T.U. M <br />_ UNIT HEATEHS�-[3.T.U. M � <br />EVAPOfiATIVE COOLERS ' <br />CLOiHCSDRV[PS � <br />VENTILATION FAN <br />FAYGENOOD <br />AIH HANDUNG UNIT- C.F.M. � <br />INCINERATOR I <br />� SUO TOTqL 5 � <br />PERMIT 5 T— <br />I <br />TfJIAIFEF 5 I <br />TFIIS PERMIT f3ECOM[S NULL AND VOID IF WOFK OR CONSTRVG <br />TION Al1THORl2[L` IS NOT COMWENCED WITHIN 12G OAVS, OR IF <br />CONSTRUCTION OR WOftK IS SUSP[NDED OR A�ANDONLO FOR A <br />VER!OD OF 120 DAVS PT AkV TIME nFTER WOfiK ISCOMMENCE�. <br />I HEREf3V CEfiTIPV THAT I HAVE READ AND [XI�MINEO TIIIS AP� <br />PLICFTION AND KNOVJ TNE SAME TO UE TRUE ANU COfiHECT. ALL <br />PRpVISIONS OF LAWS ANO OR�IIJI�NC@S GOVERNING TNIS TYPE <br />Of- WOiiK WILL HE COMPLIED WIiH WHETHER SPECINCO HEREIN <br />OR tJOT, 1'NE GRf�NTING OF A PERMIT DOEf NOT nNbSVLdE 70 <br />GIVE l�UTHORITV TO VIOLATE OR CANCEL THE PHOVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING COhSTRUCTICN <br />OR THE PERFORM�NC@ OF CONSTRUCTION. <br />x <br />SIGNATUf1fOFCONi�nCTOROfl/�UTH.AGEYT �ME <br />'LAN CH[CK NUA19Efi P�AN CHECK FE[ <br />FflE RECEIPT NO. <br />FEES VALUATION FEE <br />T <br />_�,� i� <br />OCC.LOAfJ DUILDING 5 3iLli.ii�� "� ��' <br />PLUh1�ING —� -- � <br />'PtiINKL[IiS � <br />IREO I <br />ES �NO MECHANICAL I <br />. J <br />O7HER � <br />I <br />PENEL�V SCC.907fa� � <br />I <br />I <br />TOTAL � <br />PERMIT VALIDATION <br />wiieN r•raor�Eivi v v,v.innTeo riN r�ns srncr� n+i, is vour: Pei�raiT <br />nivn.icinrm���scu�.r:-� �.-� <br />