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th�� Ewvyrrnn <br /> ��� � ��� CON�TRUCT[ON � ev�rett <br /> ��erett � � -� PERMIT <br /> i.�rq411 :59E0fi, ��. ' �'( �'� � � <br /> 1` t\I4ftt 14q5111Yf,tON � <br /> 9831i <br /> "'"' " `"""„',"' BUILDING MECHANICAL PLUMBING <br /> nf v.�Oe!•t V r <br /> OWN6R MAIL/�UDH@55 LIP PMONE <br /> .. �._ _, . �i]i.�:� ._L_�il.�r'.'L _ �L, . <br /> ARCHITECT OR D[StGNbq � A1AIL ADDRGSS• PNONE LICENS[ NO. <br /> GENERALCONTfiACTOR MAILADDRE55 PHONE UCENSENO. <br /> MECHANICA�CONTqACTOfi MAIL AODRESS PHONE LICENS[ NO. <br /> PIUMBIf�G CONTRACTOR MAII ADDFE55 PMONE LICENSE NO. � <br /> S?'L[' m <br /> P�R���T CI.FSS OF WORK — � <br /> ❑ llU1LOING �;P�UMBING �MECHl�NICAL Z <br /> �5 �-" <br /> �yNEW ❑ADDITION ❑I�LTERATION ❑R[P/�Ifl � <br /> VALUATION OF WORK <br /> 5 ❑�Eh90L1511 ❑PENCF ❑SIGN ❑S1NIAdM1V�; PpOL W <br /> a <br /> -- --------� --- ---� - —-- - --- --- - - -- -- ----- --- —� -- -- --- <br /> L[$CRIf;� WORK - <br /> PROV(,SED USE <br /> MECHANICAL <br /> ----- --- --- ----- <br /> rvr�rui i�iiii. �oi� �n;nr-_ �ii�c. ��ei.tc. <br /> L.PrnL OESCRIPTION OF PROPERTY ISNOW BELOW OR ATTACH GAti <br /> rOUfi COPIE5) <br /> NO. TYP[OF E�UIPMEVT <br /> �or a�ocK—oF .- ______ _. _ .___ FEE <br /> AIR COND. UNItS H.p. [A. 5 I - - <br /> REFRIGER�I lt)N UNITS- N.P. EA. —��— <br /> [tOILEl15 H.P. FA � <br /> G/�5 FIRED l�.C. UNITS-�TONNAGE EA. <br /> fOqCEO AIR SVSTEMS- A.LU. M EA. 1 <br /> __--__—_'_-_ _'---'_____ ___ _ _ — T_ <br /> JO� ADDRCSS IVALL HEATERS-U.T.U. M <br /> �('.I.�'�,� _'_ ..�I'' . . <br /> �UNITHEAT'ERS-6.LU. M I <br /> � EVAPORATNE COOLERS <br /> PLUMBING � c�onies oaveas � <br /> VENTILl�TION FAN <br /> FANGC F100� � <br /> NO. TVPE OF FIXTURE OR ITEM FEE ��� HANDLING UNIT- C.F.M. <br /> y ^SEP. CLC�CT ;TOILCT7 g INCINERATOR � <br /> � DATNTUp �� _ I <br /> LA V ATO RY INlASH DASINI <br /> __� — — � <br /> SHOWER <br /> __ K�TCHF.N SINK& DISP. SU6 TOTAL 5 � <br /> DISHWASMEfi PERMIT $ <br /> LAUNDRYTFAV <br /> CLOTHES WASHEfi <br /> TOTALfEE $ I <br /> WAT[R MEATfR THIS PERMIT �KOMES NULL /1N0 VO10 IF WOfiK OH CONSTFUC <br /> - - - _ TION AUiHOR12ED IS NUT COMMENCEU WITHIN 120 OAVS, OR IF <br /> _ URINqL CONSTRUCTION OR WORK IS SUSP[N�ED OG AUANDONED fOR A <br /> DRINKING FOUNTAIN PER10� OF 720 DAYS l�T ANV TIME AFTER WORK IS COA1MhNC[O. <br /> __ �LOOH-SINK OR OPAIN I HER@BY CEFiTIFY THl�T I HAVE READ ANU E%I�MINED THIS AV <br /> VACUUh1 UREAKEFS PLICATION AN� KNOW f�lE SAM[TO P[ TRUE ANI]CURRECT. ALL <br /> ROOF DPMNS-RAINLEADEflS PROVISIONS Of 1./1WS ANU OflfJIN4NC[5 GOV[RNING THIS TVPE <br /> — _ OF WURK bVILL [3E COMPLIEO WITH WHETHER SP@CIFI[D HFfiEIN <br /> _ SINK (SLRVICE-DAR,ETC.1 OP NUT, THE GftANTING OF A P[RMIT �ULS NOT PqESUM[ TO <br /> GIVE AUTHORITY TO VIOLATE OR Cl�NCE1. THE PPOVI;IONS OP <br /> ANV OTHER STMF Ofl LOCAL LAW R@GULATING CONSTfiUCTION <br /> OR THE P[NFORMANCE OF CONSTRUCTION. <br /> SU� TOTAL l�i,� <br /> _ PERMIT 5� n,t �, . _ <br /> TOTALFEE 5 i%�a'� j� <br /> � _ � � :{�- X�i�� _v ,��",,�- _ �_ 3 `�71�. <br /> 91GNATVNEOF'CUNT�RACTOROfiAUTH.AGENT D���- <br /> SIDF Yl1qD 5@TfIACK STpEET SETE1l1CK REFR YAROSETBACK PLnN CHECK NUA1A[R PLAN CHECK FE@ <br /> FEE PECEIPT NO. <br /> U;E ZONE LOT AREq VACANTSITE <br /> ❑vEs ❑No FEES VALUATION FEE <br /> TYPB CF CONST. OCCUPANCV GROUP NC.OF OWELLING <br /> UNITS � <br /> ;:IZ@ OF [3L�G. NO.(1F SiORIES MAX.00C. LOAD [3UIL�ING $ � <br /> 1 <br /> —_ r__— <br /> 1'LUM[31NG I <br /> flf9[ ZONE BASEMENI' FIFESPqWALEli:; Q �1�1 <br /> REQV�RED � — <br /> ❑YES ❑FO h1ECHANICAL � <br /> SPECIAL CONOITIONS: ��T11��j � <br /> —___—_ .— —_ _ . ._._ I <br /> — i"_N,LTV SEC.�O�la) I <br /> _ . _'—_ . l__ <br /> _ _� TO•�AI. I <br /> _ i . <br /> '_ . . "". _"___' _ , .. _ ._'"-_"___ <br /> r� r,�. r vni inm ion� <br /> — - ,. i �.�,r ,.. , . ,. ,u„� i .� .. ._.. .., � i � .,,i�ci�in•.�.n <br /> nrPt�Uilo4 ncctrT[o Bn aLANSC�rtcKcn P.v nrpqrn'�u�p�5 iGunuCt ur <br /> I I • � <br /> Q <br />