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„,, ,,,, ,,,,,,,,�„ <br />c i i r , � <br />e�e rett <br />��,, ..���.�„t„�,, <br />i_vrncri.�vn nn-oi <br />CONSTRUCTION <br />PERMIT ; , ; ;. <br />COM[iINATION • BUILDING • MECHANICAL • PLUMBING <br />E'VC'1'E'ti <br />owrvt:r, r,�nii_noor�e;s tu� riu�Nc � <br />1��-- J .�_..]l� ��. �� I I _.�. _ _ _ . _ _ _ ,�'J �_�. U � <br />ARCHIl4AT OH UESiGNLR NAIL AOOiiES$ PIIUNL LICLfH:L tJU. � <br />� <br />GENERALCONTRACTOR MAIL ADOflE55 PHONE LICENSL rc�� z <br />_�1�1� C <br />MECHANICA� CONTRACTOR MAIL ADDRESS PHONE LICENSC Nn � <br />T <br />_ � <br />PLUMBING CONTRACTOR MAIL ADOReSS PNONE IICENSE Nn. <br />P@NMIT CLASS OF WOflK � <br />❑COM�INATION <br />:p [1UILDING ❑ PLUM6ING � MECHANICAL <br />❑NEW ❑AODI710N ❑AL7ERATION ❑RI.PAIH <br />VALVATION OF WORK <br />5 �LOO�OO ❑DLMOLISH �']F[NCE ❑SIGN ❑SWIMA1INi, Pou1 <br />DESCPIBE WORK <br />co:��sr ucr ����r:�c� zr, T��c�� :��_�:� �a:J� -�n :.�,r. .���;z�:�r o_ `12�� <br />P{iOPOSEO USE <br />MECHANICAL <br />LGGAL UESCflIPTION OP PFOPEFTV ISHOW �EL(,W OR ATiACH � TYP[ OF [Nf-HGV <br />fOURCOPI[SI ❑f,n^ ❑ELEC. <br />Lor �.Z�� 3aLOCK r oF F.V1'•''C9''1 __ ��0. ____ _ TVPE OF EQUIPMENT __ FEE _ <br />AIRCOND. VNITS-M.P. EA. 5 I <br />fiEFRIGERMION VNITS H.P. EA. _�— <br />L-- <br />[lOILBRS H.R [A. I <br />FORGED AIR SVSiEMS-B.i.U. MEA. <br />"-._ __-_ ' - <br />JOf3 A'D(iE55 SPACG & WALL NtAT[FS - 9.T.LL T— <br />2��^S rr,"'�'C,�.i.��i �(�Q C.��� �PI” __ uwr uEntens n.r.u. � <br />-_ EVAPpqMIVECOOL[fi5 <br />PLUMBING - ci_oniEs o�v�as i <br />; VLNTILATION FAN T- <br />- � - <br />,HANGGHDOD � <br />NO. TVPE OF FIXTURE OP ITEM FEE � nil� unNouNG UNI7 C.F.M. �— <br />17ATH TUf35 $—r I <br />CLOTHESWASH@R � WATFN HEATER —T <br />DISH W�SHFRS � - --- ----- — - <br />- PAC. iiUlU FIREPLACE L4 CHIMNEY I <br />DRINKING FOUNTAINS � -� <br />FLOOH DHl�INS i ���s. svSi[M. NO OP OUTLETS _ <br />KITCHLN SINKS R UISR —j - sUu TOTnL 5 � I <br />_.. _ . ._______- .____ — <br />f:/1R SINKS � _ . Pf:RMIT $ <br />ROOF DRNNS HAIN LEA�ERS � TOTni_ F[E 5 I <br />$HOWER lil�TFl;i THiS P6HM11 Il@CUMI; NULL ANU VO10 iF W019K OR CONSTRUC <br />SEfiVICE $INKS ��ION nUTI1pHl2C0 IS NOT COMAI4.NCLD WITHIN 120 DAVS, Of± If <br />SUMPS � SEWl1GE PUMP —� CON31RUCtION Oli WOHK IS 3U;PLNDLD ON AL'ANDONED POR A <br />URINALS � �'[91CO OF 120 DAV; AT l�NV 11ML Af-lt R WUHK I; COMM[HCLn. <br />--- �---1- 1 11[RFCY CERIIFV THM 1 HAV[ IiF.AD AND E%AMWEU THIS I1P <br />WATER CLOSFTS i PLICI�TION AND KNOW iH[ ;N.aL TG 8[ iRUC (�NU CORRF.CT. ALL <br />Wl�TEN HEATERS - EI_ECTRIC � PROVI5lON5 OP �nWS AND ORC�INnNC@5 GnVEHNING THIS iYPE <br />1NASH UASINS --j OI' WUIiK WILL 6[ COMPLIbD WI1H WHCTIIEH SP[GFILU 11[HEIN <br />Ll�UNDRV TRriVS �- nH NOT, THE (lRf�NTINO OP A PEHMIT OOLS NOT PfiG3UME TO <br />� f3NL AUi110PITY Tp VIOLATB Ofi CANC�L THIE PROVISION'3 OF <br />-_-.-_ _ - I�NV O111Lfl ;TN[ Ofi LOCAI LAW llEGUl.f�tlNf, CUNSTHl1CTION <br />� Oli i11L PGR60RMANC[ OP CONSTRUC710N. <br />_-___ - _ _ � . <br />tiUl3_TOTAL � � <br />_-- reiamir — 5 �� ��,/. y� <br />TOTAL FEE ----$ ---- X� .-l�� "" fi�'• <br />� -_l: �___ <br />WnTER SEHVICE SIZE fiLOG.SUPPLv SIZE swNni Eni rrirai�.ncrcirsorvnuii�.nciNr unr� <br />i <br />$ D[ VAR�SETtlACK iTfiELT SETf)l1CK R(3AP v/�qDS[T13ACK PLl�N CHff.K NUMf1Hi PLANCHECK F@C <br />FEE RHCEIPI NO. <br />US@ ZONE l0T ARL/1 VACl�NT SITE <br />❑vEs ON� FEES VALUATION FEE <br />TVPE OF CONST. OCGUPANCY GROUP NO.OF DWELI.ING � --r <br />UNITS � <br />--- _— J _ <br />512@ OF I3lDG. NO. OF SiORIGS MAX.00C. LOA[] RUILUING 5 I <br />2��G��� � <br />i <br />PI_UMUING � <br />FIRE ZONE Bl�S[MENT FIRESPRINKLER$ __ � <br />raioui��o <br />�y�; �N� M�c��nwcnt. � <br />--�--- <br />srecin� corvoirroNs�. ��T���i� � <br />i <br />— —�---- <br />--- ------- — — rcNn�Tv sec 3oa�.,i � <br />-- �-- <br />- ,i <br />� TOTAL _' UO <br />� P[RMIT VALIDATION <br />-- - - --� WIIf.NPHI1PflilVV(�1�Di1IlUIINIII�I$SI`ACC1jIj'J1TI�.QI�iPfRAill <br />UD 'yU Uu <br />- - - �,ouR �ECEi�T <br />-� ��—�.�7nc�rnnoor ria�scrnr.r�oi�. �nrrnnv�nroni_•.unr.i� irc - ,. ,'�i�. �i�(1 �� <br />�.• C� <br />_ i : <br />