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im� F•.,:,;,���,�„ <br />�����„ <br />eve� ett <br />CONSi'RUCTtON <br />PERN1iT <br />aTv i+ni.�-z����a��:� . gUILDING • MECHANICAL • PLUMBING <br />! vene,r. Nn +�uzoi COMBINATION <br />�1WNER ��� �dl�ILAOURL'S IIP PHpNE <br />Lecouqe l'09 7.lst � -cet <br />-- -- <br />___ ---- __ :.c� <br />--� ---------�--_ _ _. _.. — . . --- -- rnrnvC i icrrc:.. <br />��qCHIIECT Ofl DEiIGNLH MAII ADDRF� .., <br />L <br />aicn� coNrnacron <br />Na�ural Gas F.qidpment <br />�COME3W �1TION <br />�RUILUIhG ❑NWM�ING �MECI�IANICAL <br />JALUATION Of WOFK � <br />$ _. . _ - <br />DESCRIfiE WCPK <br />Purnace 35,��00 IlTO <br />LOT <br />9LOCK— <br />PERTY (SH <br />J06 AODRE55 <br />1909 21sC Strcet <br />PLUMBING <br />E OR <br />Fss <br />U <br />everetl <br />� <br />m <br />hfl. <br />❑NEW ❑nODIT10N ❑ALTERl�TIfIN ❑REHn��3 <br />❑DC^dOLiSF� ❑PLNCE ❑SIGN ❑tiWIh1MING POOt. <br />OH ATTAGH <br />, <br />MECHANICAL __ <br />TVPE OF EN[FGV <br />❑GAS-- _ ❑@�[G. <br />NO. TVPE OF EOU�PMENT FEE __ <br />AIR COND. UNIT`,; Il.f. F:A. � <br />R[FRIG[Rnli�.':UtLiC; HP.EA _ <br />- -� -� E301LER5 HJ' I : ' �- � _ <br />1_ FORCEfJ l�IR_SVSTC.f.15-�6.T.U. MEA. Q VO <br />I <br />T <br />4 PACE R'N��LL HEATEFS - 9.T.U. _ <br />�� "-I VN�T HEATERS- (i.T.U. � <br />I bVnPORl1TNE CDOLERS _,_� <br />I ClO11iE5 DRYERS � <br />--r_— <br />I VENTILl�TION FAN <br />.. ! �iI�NGC IIOOD_- — � - <br />� /VR HANUUNG UNIT- C.F.M. � <br />( - I <br />I T- <br />�- I_WATF.RHEATEF_ __'"__' <br />�FAC.BUIL" FIREPLACE & CHIMNEV I <br />I OAS. SVSTEIA:�NO OP_OUTLETS _T— <br />_-_�— <br />SUfi TOTAL 5 04 I 0 <br />- -�-- -'--' --� PEIiM1T 5 - 3 ' OU <br />_____ _ ..__- __.- TUTALFEE S ] � On _ <br />THIS PFHMIT [3ECOME$ NULL ANU VOIL IF WORK OF CONSi RUG <br />� TION 11UT110Hi2[IJ IS NOi COMM[NCE[] WITHIN 1?0 DAYS, Ofi II' <br />CONSTRUCTION OR WO�iK IS SW�'�NDLD OR A(3l1NDON[D FOR A <br />PEFiIOO Of 120 DAYS M' l�NV TIML nFTER WORK IS COMMENCE[). <br />I HEiifll� CERTIFV TH�1T I Hl�VE REAU /�ND E%AMWEO T1115 AP <br />PLICArION ANO KNDW TH[ SAML ia !tE TRUl nND CORfl[CL ALL <br />PROVi510N5 OF LnWti ANU ORDINl�NCES GOVEfiryWG THIS TVPE <br />OF WORK WILL [4E COM1IPLIED WR11 WIILIfiEH iY[CIHED ���EREIN <br />OR NOT, TFIL (iRAMINO OP A PERMIT DOES NOT PflESUME TO <br />GNE l�UTIIORRY TO VIULAT[ OR C/WCEL THE PfiOVIS10N5 OF <br />AN1' O1FI[(i iTnTL Ofi LOCAL LAW fiEGULATIYG CONSTRUCTION <br />ON THG PEPf-ORMl1NCF Of- CONSTRUCTION. <br />PERMI7 5 LO%L�i�J% <br />TnTAL FEE $ X _ _y'_� �_ � • f�;l� =c'-=.=�_ - - <br />TER SERVICE SI2E BLDG.SUPPLY S2E _ SiaNmu�+eUr onlTi�CfibAofinurH.nccN7 onTe <br />hLAN CIIECK FEE <br />)EYAflOSET[IACK STR[ETiETf3ACK REiIFiVA1�US@TRACKPLANCHECKNUMIIER fCE IRECEIPTNC <br />T <br />iY <br />sit. <br />SP[CIAL CONDITIONS� <br />� <br />❑vE5 ❑NU <br />YL.`. ❑NO <br />FEES� �VALUATION � FEE <br />_ "__. � <br />❑UILDING 5 � <br />_--- � <br />PWMf31NG �__ <br />I <br />MECHANICAL � _ <br />- I <br />OTHE(i � <br />- PENAUV 5[C :lOJldl � <br />_ _-_ _ -L.__ _ . <br />_-__ - - <br />_ ... _ _... _ ... � <br />TOTAL ... . .. � � QU <br />PERMIT VALIDATION <br />— �rvnruri�ori.��irvr,iinni.-u��iNnm;�;rncE�r,}u�sisvo��+ver�nur <br />iag� S�V7.UG ` 4 <br />- - - "Gl�ft RELEIPT;','. <br />� <br />r...-„-����„�„, ,.�.,� �,- �i �-IFiNK YOIi , <br />� <br />� <br />