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CONSTRUCTION <br />COMBINA PION • BUILDING e MECHANICAL • PLUMBING <br />OWNt: IL T_ <br />bNEIL <br />MAILAtIlHil: Jli ZIP 1.11ONL <br />- <br />AN/ort>2(So.h<<ult <br />TECT Uf/ DESIGS.e <br />GENERAL CONThCTOII <br />MAIL ADDRESS <br />ASAIL AD U RCSS -� <br />PHONE LICENSE NI <br />PHONE LICENSE N( <br />Id FCI LAN IC AL CONTRACTOR �- <br />MA 171 IILSS <br />PHONE LICENSE NC <br />P,LJIUI Bi NGCONNtRRACCIOH MAIL ADDRESS PHONE LICENSE NO <br />3 2) J %%•YU 4 dey 4 c.5 <br />PC HAt I CLASS OF WORK-- <br />nCOMBINAIION <br />[]BUILDING C)42LUMRING []MECHANICAL <br />❑NEW ❑ADOIIION RALI(.IIATION ❑REPAIR <br />VALUAT IUN OF WOK ----- <br />bb CC.// <br />DESCRIBE WORK - <br />-_--•�------ <br />❑DEMOLISH <br />--- <br />❑FENCF. ❑SIGN ❑SWIMMING POOL <br />PROPOSED USE <br />rVILCHANICAL <br />TYPE OF ENERGY <br />0GAS ❑ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW <br />FOUR COPIES) <br />L07 BIACY,_DF— <br />13ELOW 1311 ATTACH <br />_ <br />___—_ <br />NO. <br />---REFIi1,}ERA7If1N <br />__ <br />_ _ _ TYPE OF EOUIPhSENT <br />AIIi GOND. UNITS-H.P. EA. _ <br />UNlT$� II.P. EA. <br />H.P. EA. _ _ <br />FORCED AIR SYSTEMS-It.1.U. MF.A. <br />_ <br />_-FEE <br />S I <br />_--i_--_ <br />I <br />_ --�—r� <br />JOB ADDRESS <br />SPACE P. W_ALL_H_EAIERS - R.T.U. <br />_ <br />UNIT IIEATE RS-R.T.U. <br />CVAP0HA7IVE COOL_E_R!;--- <br />I <br />---_—�—_ <br />PLUMBING <br />CLOiiiLS DRYERS_ <br />I <br />---HANLiE_IIUO_❑ <br />V_ENTILAIION FAN <br />�- <br />___ <br />Alit MANOR ING UNIT- C.F.M. <br />I <br />NO. <br />TYPE OF FIXIURE OR ITEM <br />FEE <br />_�__ <br />—_ <br />BATH TUBS ____S <br />'--' <br />-.___•�_.�_._ <br />T R HEATER '--'-� <br />-WA TF,R-IIEATER _-• <br />FAC. I/UILT FIREPLACE P• CII IhSN EY <br />---. S ---- -- - <br />CAS, SYSTEM: Np OP OUTLETS i <br />---- -� - -_--SUB TOTAL. 5 <br />I <br />_CLOTHES WASHER <br />I <br />--1-__ <br />—I <br />DISHWASHERS <br />-- _ <br />DRINKING FOUNTAINS <br />1 <br />T <br />I <br />FLOOR DRAINS <br />1 <br />KII CHEW SINKS & UI$P: <br />---1 <br />BAR SINKS <br />--7-- <br />PER\11T S <br />_ _ <br />_ <br />ROOF DRAINS - RAIN HS <br />--�— <br />70TAL FEE S <br />I <br />_ <br />_LEADS <br />SHOWER BATHS <br />_ —1 <br />__ <br />T1115 PERMIT L'ECO!d ES NULL AND VOID IF WORK OR CONSTRUC <br />TON AUT)10 RII.BD IS NOT COMMENCED WITHIN 170 DAYS, OH IF <br />CONSTRUCT ION Oil WORK IS SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 170 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP <br />PRIVATION AND KNOW THE SAME TO BE TRUE AND ING THIS ALL <br />II <br />POVISIO NS OF LAWS AND OHOINANCCS GOVERNING THIS TYPE <br />OF WORK WILL. BE COMPLIED WITH L•JHETIIER SPECIFIED HEREIN <br />OR NOT. TILE GRANTING OF A PERMIT GOES NOT PRESUMF 10 <br />GIVE AUTIIORI(Y (O VIOLAIE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW RLGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CO SI RUCTION. <br />x� _^ 2� -7 Y <br />SERVICE SINKS <br />SUMPS - SEWAGE PUMP <br />- <br />URINALS <br />1 <br />N'nIER CLOSETS <br />1 <br />1WATERHEATERS • ELECTRIC <br />) <br />/ <br />_ <br />WASH BASINS <br />I <br />LAUNDRY TRAYS <br />1 <br />1 <br />SUB TO T__AL <br />1 <br />S <br />_PERMIT <br />TOTAL FE I: <br />--� <br />WATER <br />SERVICE SIZE BLDG. <br />SUPPLY <br />SIZE <br />SIG NA TUBE OF CONTR CTO OR ALITH. AGENT DATE <br />SIDE YARD SETBACK <br />_ <br />STREETSCTBACK <br />REAR YARD SETRACK <br />PLAN CHECK NUMBRR <br />PLAN CHECK FEE <br />FEE RCCEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING <br />UNI1S <br />I <br />BUILDING <br />$ <br />I <br />SIZE OF CLOG. <br />NO. OF STOIRES <br />MAX. OCC. LOAD <br />PLUMBING <br />f IRE ZONE <br />BASEMENT <br />FIHCSPHINK LERS <br />REQUIRED <br />OYES ONO <br />MECHANICAL <br />I <br />SPECIAL CONDITIONS <br />_-- <br />OTHER <br />I <br />PENALTY <br />SRC. 000(at <br />-- -- <br />TOTAL <br />j <br />PERMIT VALIDATION <br />WtILN PRUI'1. III Y VAL IDATEO (IN 1111S SPACE) THIS IS YOUR PERMIT <br />nH'1LLnbIIh ,lLt.l 1.111I 11♦ PI �N'.1:I111'VI1l LIT nH•IUIVIRIOII 11hIlArlLl ilI <br />ADDRESS FILE <br />AW)l IF"Awrt, F`n01+ <br />