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[lrc Erar9rcen � <br /> ��r� �� CONST'RUCTION ev�rett <br /> ev�rett PERMIT <br /> ,, . , <br /> �:<<;,' .. .. . . . <br /> ""' °' �°"„"°;' BUILDING MECHANICAL PLUNIBING <br /> o��F�a�-:��., <br /> o�vNer� �,.�__+_ 1�ni�nooa�ss zd= �y .��i��ioiN� <br /> � �C� F» �+�i�+v.RG ��� �1' ��''��. �7Y iJ.711 *� <br /> AIiC111TECT Oii IJESIGM1[H � 11AIL Af)[>ItESS PHONF. LIC[NSL NU. ��.y�_� <br /> GENERALCONIRACTOF MlULADUR[SS PHONE LICENSENO. <br /> � <br /> A1[CHANICAL CONTRACTOR MAIL ADORE55 PMONE LICENSE NO. <br /> PyLU�Mf31NG CONTFACTOR MAIL ADDRE55 PMONE LICENSE NO. � <br /> �i�i� 0� <br /> P[RMIT C�ASS OF WOFK � <br /> ��UILOING �JP�UM�ING �MECHANICAL z <br /> ❑NEW ❑ADDITION �ALTERATION ❑REPAIH ~ <br /> VALUATION OF WOfik � <br /> S ��� ❑DEM0119f ❑f[NCF ❑SiG>J ❑GWL11A1iNG POOL W <br /> o�5t�om�elv „-�3Lecra -- --- --- _ <br /> a <br /> -- ---- ---— — 314 <br /> r�rioros�o use <br /> MECHANICPL <br /> TVPLOI- FVEI. �OiL �NnT. ��.PG. �[LLC. <br /> LLGAL�ESCNIPTION OF PqpPERTV (SHOW DEIOW OR ATTACH GA; <br /> FOUq CO�IESI <br /> LOT OLOCK_oF NO. TVPE OF E�UIPMENT FEE <br /> AIR COND. UNITS-HP. En. 5 I <br /> flEFRIGERMiON UNITS �HP. EA. <br /> - [101LER5 H.P. Gn. � <br /> GAS FIRED A.C. UNITS-TONNAGE F.A. <br /> FORCEO qIR SVSTEMS-O.LU. M EA. 1 <br /> J�IjI..�lUP SS -�-�-�--- � -��'�-- WALLHEAi[RS--A.T.U. M � <br /> �,� , �UIJITHEMEPS-O.T.U. M I _ <br /> . 4Vl�PORATNE COOLERS <br /> PLUMBING c�on�es nnrta, i <br /> VENTILr1TION FAN <br /> RnNGC: NOOO � <br /> NO. TVPE OF FIXTURE OR ITEM FEE n�R H�NDLItJG UNIT- C.F.M. <br /> WATERCLOSET�TOILETI g INCINGqMOfi � <br /> ❑�THTU(3 i ___ ___ _ ' __ <br /> _ LAVATORY(WASH BASIN) _ � - � - <br /> SHOWER � <br /> KITCHFNS�NI( FOISP. SUBTOTAL S � <br /> DISHWASH[fi --�- <br /> VERMIT 4 T— <br /> LAUNOHVTqAY .. } TOTAIFEE I <br /> [LOTHES WASI+ER { ' - <br /> --�— THIS PEPMIT 6ECOMES NULI ANO VOID IF WOFK OF CONSTHVC <br /> hl�TEfl HEATGR TION AJTHOPI2LD IS NOT COMM[NCED WITHIN 120 �AYS, OH IP <br /> Ufi1NAL CONSTFiUCTION OR N'OFK IS SUSPENDLD Oq AF3ANDONE� FOfi � <br /> OHINKING FOUNTAIN P[RIOU OF 120 DAVS A? ANY TIME APTERINORK ISCOMMENCGO. <br /> FLOOq-SINK OR DRAIN I HER[!IY CE(iTIFV THAT I HAVE READ AND E%AMINED TIIIG AP <br /> VACUUM 6PEAKERS FLICATION AND KNOW TNE^.AME TO FtE TRUL �NO COFREf,L �,lL <br /> PROVISIONS Of- LAN'S AND ORDINANC[S GOVEfiNING THIS TVYC <br /> FOOF DRAINS-RAIN�EAOERS pF WpqK WILL �E COh�PLIED VJITH tltH@THER SP[CIFI[0 HEftCRJ <br /> SINY. (SEHVICE-L�AR, ETC.1 { OR NOT, THE GHANTING OF A P@RA91T fJOES NOT PR@SUM11[ TO <br /> � � � GIVE AUTHORITV TO VIOLATE OR CANCEI TN[ PROVISIphS pb <br /> �- -- .1NV OTH[li STATE OR LOCAI. LAVJ fiEGULATING COPISTfiUCTiOhI <br /> � a �)R THE PLIiFORMf�NCE OF CONSTRUCfION. <br /> SU� TOT/�'_ lp� <br /> PEHMIT 5_ G_ _ <br /> TOTAL FEE S y� `y���-,�.♦ <br /> " __ _ _ I . X i11 �� <br /> SI(3tJATUPEOPCONTRACIOHONAUTM.AGENT DATE <br /> SIU[ YARD SETf3ACY. STREET SETfIl1CK REAq YAHDSETUACK PLAN CHECK NUMPER GLAN CHECK FG[ <br /> FE[ RLCEIPT NO. <br /> US[ ZONE LOT AREA VACANT S17E <br /> ❑VES ❑No FEES VAWATION FEC <br /> T\'PE OF CONST. OCCUPnNCV GflOUP UNIOS DWELLING q _�^1 �1 1iC � <br /> .M qM• y� <br /> -- -� <br /> 51ZE OF OLDG. NO.OF STORIES h1AX.00C. IOAD 9UILDING � <br /> I <br /> PLUMOING � � <br /> I'�RL ZON[ �ASEMEIJT FIfiESPFIP!KLEIiS <br /> �fOUIRED �- <br /> ❑VES ❑NO MECHANICAL � <br /> �— <br /> SPECINL CONDITIONS: OiMEF � <br /> I <br /> 7— <br /> — --- — PLNtLTY . -" :EG 30:1 qil -- I I <br /> I <br /> TOTAL � j� <br /> PERMIT VALIDATION I <br /> PJHLM1�'HOPERLV VAI IDATED ILV 1H�,^-SP�f,I_I THIS IS VOUIf P[R�dIT <br /> A��IIC�lill�:nf:�.1.1n`lifll'Y {'I�f1`;C1ICCNC�IIY�. f.l`I'11fV.Ul�i+]III��.V�•!'ll�� <br /> �I�•Y ��\•• <br /> :� <br />