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<br />CONSTRUCTION
<br />PERMIT
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<br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING 1:1 MECHANICAL ❑ PLUMBING ❑ SIGN
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<br />❑ �UIL�ING NELOCAIION
<br />uscoreuno��+a . I HEHEBY CLRiIFY THAT I HAVE READ AND E%AMINEO THISAP�
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<br />UUNDRY TR�Y ��_
<br />CLOiMES W�SMEN
<br />UPoN�L
<br />ORINKING FOUNTAIN
<br />FLOON ORAIN
<br />B�LKFLOW Pi7EVENTENS
<br />ROOF DRAINS - R�INLEADERS
<br />SINN ISERVICE - B�R. ETC �
<br />IISC
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<br />TOT�LfEE S
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<br />PLICATION AND KNOW iNE SAME TO BE TRUF AND CORRECT. ALl
<br />PROVISIONS OF I.AWSAND ORDINANCES GOVERNING THIS TVPE
<br />OF WORK WILL BE C01,1PLETED WITH WNETNERSPECIFIED MERE•
<br />IN OR NOT TIiE GRANT�NG OF A PERMIT DOES NOT PRESUME TO
<br />GIVE AUTHOHITY TO VIOLATE OR CANCEL THE PROVISIONS OF
<br />ANY OiIiER STATE OR LOCAI. LAW REGULATINGCONSTRUCTION
<br />UR 7H[ PERFORMANCE OF CONSTRUCTION.
<br />SIGN�IIINL 1 .:Ol11114(:iC�HU11RI1I11 IU1LIJaGLN� IIAIP
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<br />REiRIGEPATION UNITS - H P EA.
<br />DOII.ERS-OTU���P
<br />6ASFINEDAC UNITS-BTU
<br />FORLED A�R SYSTEMS - 0 T U
<br />WALL 11EATERS - B T V
<br />1�NIT HEATERS - 0 T U
<br />EVAPORATIVE LOOLERS
<br />CLOTNESORYERS
<br />`/ENTILATION FAN
<br />RAN6EH000
<br />WATER NEATER
<br />WOODSTOVE
<br />METAL FIREPLACE S C111MNEY
<br />FIREPLACE INSERT
<br />MEAT Pl1MP
<br />GAS PIPING
<br />E%��A��ST FAN
<br />SUB TOT�L
<br />pERMIT
<br />IR qN 1;MECN Nl1M0EN I FEE
<br />IiUILO1NG 5
<br />PLUMBING
<br />MEC1iANICAI.
<br />�—
<br />Oi1/EH
<br />5T4TE BUILDING SURCMARGE
<br />STATEENERGYSUNGIIARGE
<br />PUBLIC WORKS
<br />TOTAL
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<br />M
<br />M
<br />TION
<br />FEE
<br />RECEIPT NO
<br />1'70P[RIY IOINE LOCPTONS ANDNREBAT lOE SEMENTS1NG ALL
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