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_ I <br />v0r ut. <br />Cit. :.111 ,., It.i <br />I',, <br />VIMYLVY <br />3•nl r <br />DUN. DI ILY'I A:n <br />CL,IS•'4 YI <br />BUILDING <br />PE.II v i F F <br />MECHANICAL PLUNTING <br />W1NI.R MAIL AIJOHLSB II 1'RUNL-- <br />_ /%.%i -�i — _,_ D /H r_S - '�7" �AA /o � � 1o..Gv.-,',r -.SGb :53'ao _- <br />/•I1C1111 LG7 U,l DCPfGNLR MAIL AI)UIII-'•rP 1'I,:iNE LICIT ;t; NO. <br />2 a2s JAcr✓.,to <br />�/hi/�/�'csslon� 7�fyu C� c.fn Lw _. Z�S-3�7ad <br />G HLBAL/C UUIRACTOR MAIL ADDRESS I•IIONE LICENiB:NO• <br />I? r 3 Tle y io G lj. <br />A .0 s7- G p C . __5]/'tU A, x" : Ye, "Ireo A-F-7 - R60L,4 <br />/z / <br />LILCHAIICAL CW.TRACTOII MAIL AOUIIESS PHONE LICENSL NO. <br />FC <br />PLUMBING CONTRAC1OR MAIL ADDRESS PHONE LICENSE NO. <br />./�%C/ f/ if ,, i <br />ul <br />co <br />S <br />-CIiM1T <br />©BUILDING ❑,. MBIIJG []MECHANICAL <br />CLASS OF WORK <br />V�y <br />QpNEW ]ADDITION ❑ALTCRATION ❑Ii CF AIR <br />D <br />J <br />{- <br />VALUATION OF WORK <br />5 <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />[[ <br />LU <br />DESCRIBE PJOAK <br />PROPOSED USE <br />�- <br />MECHANICAL <br />TYPEOFFUEL Q'OIL CTCAT. ❑LFG. ❑ELEC. <br />GAS <br />LEGAL DFSCP:PT ION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COMESi - <br />LUT �I^-�--- ELOCY.OF_ a <br />NO. <br />TYPE OF EOtlIPMENT <br />FEE <br />_ <br />AIR CON;. UNITS-H.P- EA. <br />__- <br />REFRIGERATION UNITS-2/.P. EA. <br />--�_ <br />BOILERS-M.P. EA. <br />1 <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />---------- <br />J <br />FORCED AIR SYSTEMS-E.T.U.MEA. <br />I� <br />JOB ADDRESS 5 p .7 , I,, <br />�"/� S yy, <br />WALL HEATLRS--B.T.U_ M <br />UNIT HEATERS-B.T.U. Al <br />I <br />EVAPORATIVE COOLER <br />y <br />PLUMBING <br />CLOTHES DRYERS <br />_ I�- <br />�. <br />VENTILATIOM FAN <br />.- <br />RANGE ROOD <br />I �' <br />_ <br />AIR M HANDLING UNIT- C. F-. <br />No. <br />TY.P OF FIXTUP"� OR ITFIJ'. <br />FEE <br />� <br />WATEF-CLCSET(TOILE-) <br />_ <br />INCINERATOR <br />I --- <br />UATHIVU <br />S <br />I <br />_ — <br />LAVAiUfi/IIVASH UASIN) <br />I <br />fi` <br />/ <br />SHOWER <br />P,ITC HE`. S0cK G DISP. <br />O� <br />�1 <br />_ SUBTOTAL 5 <br />PERMIT 5 <br />_ <br />ST <br />! <br />CiSI1tY.'.SbER <br />= <br />__ <br />LAUODRY TP.AY <br />_-I}_, <br />TOTALFEE S <br />_ <br />I� <br />F <br />CLOT HES.;ASHER '_ <br />THIS PER.MITAUTHORIZED <br />IZED IS NULL AND VOID IF WORK 0 A S, RUG <br />TION AUT HURIZFO 1S NOT CO:dAIENCED WITHIN 120 DAYS, OR IF <br />CONSTRUCTION OR WORK IS SUSPENDED Oil AF A NOONED FOR A <br />PERIOD OF 120 DAYS AT AI4Y TIME AFTER WORK IS COMMENCED. <br />I HEREBY CERTIFY THAT I IlAVE READ AND EXAMINED THIS AP. <br />PLICATION AND Y.NOVTHE SAI.IE TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WOR✓, WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT, IME GRANTING OF A PCR411T DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAPJ REGULATING CONSTRUCTION <br />OR THE f'ERFOIIAIANCE OF CONSTRUCTION. <br />�A <br />J <br />WATCR I�cATER <br />� <br />_ <br />URIN47_ <br />DI'INKIN' FCUNTAIN <br />—�-- <br />FLOOR -S::`: Oil DRAIN <br />Ir <br />VACUU.' E=E AK E PS <br />RC10F D!: a•f:S-fi AINLEADF.RS_ <br />SINK (5EF-t ICE -BAR, ETC.1 <br />'(.. <br />SUD TOTAL <br />_ <br />PE RLIIT <br />5 <br />TOTAL FEE <br />CITY <br />USE BELOW TT1IS LINE <br />SIG E UTH_ DATE <br />SIDE YARD5' zC)L <br />'7 F I <br />STRCCT SCTBACK <br />/ <br />s .5 <br />_ <br />HEAR YARD SETBACK <br />�? C / <br />PLAFJ CHECK NUMBER <br />-7�J CZ s <br />- PLAN CHECK FEE <br />FEE RECEIPT NO, <br />7 -3. Ss - <br />nZONE <br />LOT AEA <br />VACANT SSiTE <br />afis [:]NO <br />FEES <br />VALUATION <br />FEE <br />TYPL OF CONST. <br />OCCUPANCY GROUT' IJO. <br />OF DWELLING <br />UNITS , <br />�— <br />BUILDING <br />S <br />SIZ/E�E ��01:` '01-00. <br />NU. OF STORIES <br />MAX. UCC. LOAD <br />PLUMBING <br />I'IRL ZONE <br />UASLAI[NT <br />I. <br />ACRE SPRINKLERS <br />❑YES ONO <br />MECHANICAL <br />(� <br />.! <br />!:I'CCi nI. CONOOIONS: <br />OTHER <br />PCNELTY <br />SEC. 00310 <br />I <br />--------- -- <br />TOTAL <br />_ l <br />1-IJU411 VALIDATION <br />WIILN PrI01'1. RLY VALIDAT C:1 UN THIS SPACEI THIS IS YOUR PC RMIT <br />i lli-,iiu•inuii�oni-..-rl nn: Lntt �Iu uv: nrrn.r:I ii li�A i:•.unr„tuY <br />