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<br /> �,,, �, �ONSTRUC310N I
<br /> I �verett PERMIT
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<br /> �''J� 6UILDING MECHANICAL PLUMBING i
<br /> I otri nr cure�.�uunv
<br /> n[Vl�n�`n f M1r PHONE
<br /> MAIIAUDl655 ZIP I
<br /> OWNER . .. . �... . .
<br /> . . 1 : ' F . , , . . .� �„ , i, � ' ; _ _ : . , ,
<br /> � ' .... . .. . . - . ••. . — LICENSE NO. .. ^l i
<br /> ANCHITECT OR DE51(,NFR
<br /> IMAIL PHONE
<br /> MAIL AODFiE55
<br /> PHONE LICENSE NO.
<br /> GENERALCONTRACTOA
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<br /> I 'J;i:.. . ..^r MAILAUDflES
<br /> -' PHONE LICEkSE NO.
<br /> MECHANICALCONTRACTOF �
<br /> �"��' ' PHONE LICENSE NO. W I
<br /> MAIL ADDFE55 0] I
<br /> PLUMOING CONTfiACTOP �
<br /> I .�..�.:T.�'.�:✓.. LU..'. �:��� � I
<br /> I PERMIT' GLASSOFWORK z ,
<br /> H
<br /> I Q'�UILOING uPLUM6ING QMECHf+NICAL — �' � I
<br /> ��Ey,� [fA�DITICN ❑�+LTERnTION ❑REPAIR � i
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<br /> VALUAIIONOFWUFK „ �DEMOLISH ❑FCNC@ ❑SIGN ❑SWIMMING POO� d
<br /> I ' ��:��`1�.�:� ��I���)7. U� __� /J�
<br /> 5 s:.1.'.:•. - �4��
<br /> I DESCHI6t WORK .
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<br /> � aaoroseo usE . MECHANICAL --
<br /> �L`i.2:`. . t .it�J t2�� ].'.CPrC rvrEor- FUEi- poi�_ pNnT.—❑�a�. �]e�ec.
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<br /> LEGAL DESCFiIPTION OF PFOPERTY (SHOW E-.�OW OF ATTl1CN FEE
<br /> FOVR��PIE51 �"O':ilS::l�.i; �.'LE'S! i;Z iu0.�-TVPE OP [QUIP`9ENT 5 I
<br /> LOT OLOCK—O�— --- _ AIR CONU.VNITS-H.P. EA.
<br /> IlEFRIGERI�TION UNITi-H.P. EA. I
<br /> pOILERS-H.P. EA. _
<br /> GAS FIRFD I�.C. Uf�1T5-TONNAGE EA.
<br /> I _ —_——— . — _i I ' ..
<br /> FORCED AIR SVSTEMS-A.f.U. M EA.
<br /> I ` + WALL HEATERS-d.T.U. M
<br /> J06!\ pPEsg. y,_ � : -- M I
<br /> .� �.�.�, i � 4LV.'.P::{:.. ). •• UNITHElIT[RS-B.-.U.
<br /> � � EVAPORATIVECOOLER�_� � .�
<br /> I �' CLOTHES DPYEfiS � �
<br /> I PLUMBING VENTILATIONFAN �
<br /> ) � �:�
<br /> 1 RANGEHO00 �
<br /> I AIN HANDIING CNIT- 0.F.M. J
<br /> FEE . •• �
<br /> 'I NO• TYPE OF FIXTURE OR ITEM _ _ . -- WciNERnToa
<br /> WATER CLOSETITOILETI 5 I
<br /> :v �
<br /> BATHTUE3 �` I_._..�
<br /> � .. LAVATOflY1�NA5H6A$IN) : � . . '- I
<br /> �- SHO�'�ER .�� SUBTOTAL 5 � I
<br /> I �. KITCHEN SINK& DiSP. �. �;,-- PERMIT 5 t �_ _ .
<br /> OISHWASHEF TOTAL FEE S " � � ��
<br /> LAUNDRY TRI\V -----.�. f_.,
<br /> I CLOTMtS WASHEP , � THIS PERMIT BECOA4E5 NULL AND VOID IF WORK OF CONSTftUG
<br /> WATEft HEATER ' n� TIGfJ AUTFIORI2C-O IS NOT COh1MENCED WITHIN 120 DAYS, OR �� I
<br /> �_ CONSTRUC�ION OR WOftK IS SUSPENDEU Oft Af3ANDONED f-Ofl A
<br /> UF�NAL PERIOD OF 120 DAYS AT ANV T�b1E AFTER WORK IS COMMENCED.
<br /> � DFINKING FOUNTAbV I HEREBV CEFTIFY THAT I HAbE READ AND EXAMWED THIS AP�
<br /> I FLOOR-SINI< OR DRAIN PLICl�TION ANO KNOW iHE SAME TO DE TRUE l�ND COFFECT. AlL II .
<br /> VACUUM FiREAKEFS �—}--- PROVISIONS Of Ll�WS AND ORDIhANCES GOVEPNING THIS TYPE
<br /> I ROOF DftAINS-ftAINl.EA0ER5 __ OF NlORK NILL EE COti1PLIE0 W�"fH WHETH[ft SVECIPIED HEREIN
<br /> OR NOT, THE GRANTING OF l� PERMIT OOES NOT PRESUME TO
<br /> '� SINK (S'cRVICE-BAF. EfC.) . GIVE AUTNOflITY TO VIOLATE OR CANCEL TNE PPUVISIONS U�
<br /> � AfJV OTHER STATE OR LOCAL LAW REGULl�TING COM�T��CTION i
<br /> I — •� r � OR l HE PEFlFORb1ANCE OF CONSTFiUCT10N. I
<br /> SU8 TOTAL "' �
<br /> I __PEFMIT _ 5 � , ...•
<br /> ". �; . r r.y
<br /> TOTAL FEE � � +_�.�i i
<br /> xIGNATUREOFCONTPACTOFORFUTH.nGENT DATE
<br /> PLl�N CHECK f-EE
<br /> REAFYARDSET6ACKPLANCH CY. ,NUMB[R FEE , I�ECEIPTNO.
<br /> I SIDE YARO SETB�ICK STREET SET[3ACK .� , . 7^,�,•� � 1. ,_;• . ^,
<br /> � �:^� . 1 � -z.:��%. � _ � �.73
<br /> i LOTAREA VAC�INTSITE
<br /> USP 2oNE ,� � VALUATION PEE
<br /> � ❑vES ❑No PEES
<br /> - I
<br />� TVPE OF CONST. OCCUPANCY GROUP NO.OF DWELiING Y^
<br /> UNITS
<br /> �j�: t:Jj . '):i .•1tl '... .
<br /> UUILDING 5 I
<br /> 512E OF OL�G. NO. OF STORIES MAX.000. LOAU , _ .
<br /> r I�., _i i i
<br /> .`..:}.7 ")�""� PLVh181NG �
<br /> -----�- UASEMENT
<br /> FIRESPRINKLERS ��
<br /> FIRE 20NE, P�:l�.T'l, � R QYESED ❑NO ��ECHANICAL _
<br /> I
<br /> � OThEF � I
<br /> � 9PECIALCONDITIONS'
<br /> i --�— SEC. 3031a) � ,
<br /> --- PENELT'Y
<br /> — � 1.::�� � '`':
<br /> TOTAL �
<br /> ______-- — PERMIT VALIDATION
<br /> WHEN PROPERLY VnLIDATED(�N THIS SPACEI THIS IS�OUN PERMIT
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