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ihe Ercrgrecn <br />CITV UF <br />ever�tt <br />Cliv �IntL lilqq¢5 <br />i ct P� n. ontrurv ,�nrv <br />9B:91 <br />�,to, o<<o,.,.�,���,. <br />n[vunrvtnr <br />NER <br />:.".x'i llr:'.Yi <br />�.i -� <br />...� :_ <br />BUILDING <br />MAIL <br />CONSTRUCTION <br />PERMIT <br />MECI—IANICAL <br />PLUMBING <br />'CHI.IIT CLASS OF WpqK <br />OpUILDING �PLUMOINii �M[CNANICAL I� <br />]N[W ❑ADDITION ❑ALTERATION 'LJR[PAIR <br />/ALUATION O� WOH]�K�5� ry� <br />5 {ja�µ� ❑�Eh10LI5H ❑PGNCE ❑SIGN CSWIMM�NG POOL <br />>EscAior: wonK - <br />37� ' :.r'i?r. ,_ ,k�'• (t's:� �;•? <br />nrv <br />LOT HLOCK_ <br />i, a �i�i <br />JOB ADDFESS ��y <br />�JI�c "��',%�! <br />PLUMBING <br />.TEF MEAi[R <br />INAL <br />INKING FOUN� <br />lOR-SINK OR <br />:UUM f3PEAKF <br />____ SUDTOTAL <br />P[RMIT — <br />TOTAI_P@[ <br />SN�fF <br />SPEd/�L CUNDITIONS: <br />MECHANICAL <br />R ATTACH TVPL OP 1'UCL �OIL ❑CAJ I <br />(� ���r or NO. TYPE OF E�UIPMENT <br />AI R CONU. UMTS- H.R EA. <br />� _ REFRIGERATION UNII'S_H_P, EA. <br />OOILEtiS II.P. EA. <br />GAS FIRGO n.C. UNITS-TONNAGI <br />f'ORCEDAIqSY5TEM5-B.T.U. M <br />WALLH[qTGfiS-A.T.U. M <br />UNIT HFAi[RS-B.T.U. 'd <br />[VAPOfiATIVECOOLERS <br />CLOTNESDqVERS <br />VENTILATION PAN <br />RANG[HOOD <br />FEE n�R Hl�NOLING UNIT- C.I <br />INCINENATOR <br />fiEARYnVaDS <br />❑VES ❑NO <br />everett <br />:1%�� <br />� <br />� <br />� <br />IU <br />a <br />2320 <br />SUOTOTAL 5 j <br />PERMIT 5 <br />TOTI�L FCE 5 � <br />THIS FEPAIIT �ECOMES NULL /1ND VO10 IF WOPK OR CONSTqtiC <br />TIDN AUTHORIZEO IS NOT COMMENCEO WIiMIN 120 DAVS, GR If <br />CONSTRUCiION OR WORK IS SUSPENOED UR l�pANDONC� FOR A <br />PERIUD OF 120 �AYS AT ANV TiME �FTBR WORK IS COMMENCED. <br />I IIERE�Y fERTIFY THAT 1 HAVE fiEAD !1N[] [%AMWEO THIS AP- <br />PL'CAl ION AND KNOW TH[ SAME TO f3@ TfiU@ l�ND CORRECL ALL <br />PF-uVISIONi OF LAWS ANO OROINANCES GpVERNING THIS TVPE <br />OF WORK WILI UE CD�dPLIED WITH WHF.TM[R SPECIFI@fl HER[IN <br />OR NOT, THE GfiANTING OF A PEPMIT OOES NOT PRLSUME TO <br />GIVE AVTHOflITV TO VIOLAT[ OR C4NCEl THE PROVISIONS OF <br />ANV OTHEfi STATL OF LOCAL L�W liEGVLl1TING CONSTRUCI ION <br />OP THL PCHFOPMANCE OF CON;TRUCTION. <br />�� <br />�FCONTRACTOf10R�U�H.AGENT pATE <br />NUh10[R � PLAN CHECK FEE <br />FC.E RECEIPT I;O. <br />ES VALUAiION FEE <br />.00G LOAO �UILDING S �� QIM <br />� W <br />PIUMBING I <br />SPF1iNKLEFS � <br />11lqEo � <br />V@5 ❑NO M[CHANICAL � <br />OTHEP � <br />T <br />PLNELTY SEC.30JIai I <br />7oTni �i00 <br />Pf.RMIT VALIDATION <br />WHfN PHOPERI.V VAIJpATf.D (I!J THIS SPl�CGI T111 i IS VOUR P[HAfIT <br />z.:•. <br />� <br />