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L-ul :.3 I I<Ijf i`%' (`',eve PERIVAT <br />Fill" /a lHS - -• <br />(YI 11111 FA;Y.Aylpx + <br />BUILDING MECHANICAL PLUi!BING or fD nrvl xf <br />UWNUI MAIL AUUII/_6$ Zil 1-11UNI. <br />MICHIlLC7 UK UESIGNC IF MAIL Aljllflin. 1.1/DNI: LICIFISF. NO. <br />J 67/ y <br />GLN IIAL CV14/I5AC7 UR MAIL AOOIIF.S$ VHLINE LICENSL NO, <br />fU L352 �c,u <br />MECHANIC AL CON FRA FOR MAIL A[JU RIII.o 5S PIIUNE LICENSL NO. <br />l-'Al <br />1`LVM(UHG CURT RAC TOM MAIL AUDNE6$ PiIONE LICENSE NO. <br />rr <br />EO <br />"PE RMIr <br />�VILDING OPLUM61"ll OMECIIANICAL <br />-OF <br />CLASS Or WORK <br />VIEW ❑ADDITION ErALTERATION ORF,PAfR <br />VALUATIVN WU iIK <br />It000!. <br />Lim <br />-- <br />[]OF MOI ISIt Of I. NCF. `JSIGN ❑SWIMMING POOL <br />� <br />-'- <br />OEBC HIQF WORK --- - <br />PHOI•US/ U Usk <br />pp�(� <br />-� C..ay._ ._._-_ <br />i i lAI D IIP r10N OF PAOPEA I UY/OE LOW AT TAC/1 <br />1 UUR C�_O�P�IEIW <br />LOT /lJ_2- R!.00K I�OE S�N� _ <br />MEOHANICAL ' <br />1YPE VI f Vf t QOfi�NAr.- <br />GAS <br />_ <br />r`{U. <br />_ <br />TYPE OF EQUIPMENT <br />Air COMM UNITS-N. P. fr^. <br />FEE___ <br />_ <br />S I <br />RFFRIGERAT IVN UNITS - Pf.PEEA. <br />-�-- <br />_ <br />---- <br />RDFLERS-Wl' FA. <br />GAS F FREO A.C. UNITS -TONNAGE EA. <br />1 <br />-- <br />— <br />FORCED Ain$YSTFFAS--R.T.U. MEA. <br />WALL HEATERS-R.T.U. M <br />( -- <br />-�- <br />�_. <br />_ _______ <br />JOB AUU 1 - <br />SS <br />/2i <br />UN[T FIC ATF RS_--R.T.V. M <br />EVAPORATIVE COOLERS -- <br />1 <br />i- <br />PLUMBING <br />ELF) TRES tin YE RS <br />V ENTII ATION FAN <br />-. <br />-- <br />--- <br />RANGE HOOD <br />HU. <br />TYPE OF fIX TUBE OR ITEM <br />IVAi F R CLUCEI ITUILLTI - <br />FEE <br />^Ilt f[^NDI INGUNIT- C.F.M. <br />INCR![RATOq <br />$ <br />1'- <br />L AVA 1UnI IWAUH bnslNl <br />-- I <br />KITCHFN_INK, b OISP. <br />SUBTOTAL III <br />-_—� <br />__- <br />__ <br />_ <br />_ <br />_ <br />-- <br />L ISN4:A[llcp <br />PERMIT $ <br />LAUNURY TRAY <br />CL_O'1If51'1ASHER <br />Y/ATF.R HEA TE_R -� <br />—'+ <br />TOTAL FEE S <br />1 <br />I <br />TiRS PERMIT DF.CUNF.S NULI- ANO VOIO lE VfORK OR CONS n <br />TION AVTffORIZED IS NOT COb14OR 1F NCFO WITHIN 140 DAYS. it <br />CONSTRUCTION UP WORK 1$ SUSPFNDFD OR f.OANDONED FOR A <br />PER100 O! 110 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />f IiFHFRY CFRTIFY THAT 1 HAVE READ AND EY.AMINFD THIS AP <br />PI tCATtON AND KNOYf T1E SAIJE TO RE TRVE AND CORRECT. ALL <br />PROVISIONS OF I. AWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL OF COMPLIED tVl Tll WIfETHER SPFCIFIFU HEREIN <br />OR NOT, TNF GMANTRfG 01A PERMIT DOES PIOT PRrSL•MF TO <br />GIVE AUTHORITY 74 VIOLATF OR CANCEL THE PROVI`:IfrNS or <br />MIY OTHER STATE OR LOCAL LAW RFOULATING CONSTRUCTION <br />OR T11F PERFORMANCE OF CONSTRUCTION <br />Sl _iC U - 1 --� -� <br />':.lure r nFOFr.D ;nclono`riau�H.nceNl unit. <br />URINAL_ <br />--_-� _ <br />DHIfIK IKG FOUNTAIN <br />FI_OOH__Sr,V K, Ofl DRAIN �- <br />VACUVM �RF AKE RS <br />HOVE UF:.�tiS-Ii AINLF.ADERS <br />-- - <br />FINK ISERVICE lAR. FTC.1 _ <br />f - <br />-� <br />-_.�__- <br />-� <br />- { <br />_. <br />rrrF•aI7 <br />s <br />_ <br />TOTALL FEE <br />5 <br />CITY <br />USE BELOW THIS LIVE <br />- <br />SIUL YAl106[TSACK. <br />61 RLL1 SETCACK <br />HEARYARDSETQACx <br />PLAN CHECK NVI.Fto <br />PLAN CHECK F F E <br />FEE RECLIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SI IF. <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE Ur COPIST. <br />DCCUPANLY GIIOUP NO. <br />UNITS <br />OF UWLLLING <br />---- <br />--_ <br />4—_ <br />517.E jF ❑LUG. <br />NU. Fir STOHIFS FtA <br />%. OCO I.OAU <br />RUILUING <br />/!, - <br />4C) <br />PLUMBING <br />I <br />1 <br />I HE T5NF. <br />IIAGI I.II NT f <br />IRE SPRiNv.LIARJ <br />DYES ONO <br />FAECIIANICAL <br />' I I CIAI. CONDITIONS. <br />OT/ICp <br />1 <br />PENELTY <br />SEC. 303IFI <br />1 <br />- -- --- <br />TOTAL <br />--'-----�--- <br />PFRLOT VALIDATION <br />1'f11LNWIOPI. Fit VAI.IOATF')(IN T111:.SPACE) T IRS IS YOUR PL RM1T <br />,:miiuu�m luxTe7u•ni nna, uitrgnlw. enlnwtu In li.�unr.y xr <br />