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i`�►°PL[C.ATIOIv FOR -.. .vren <br />1neEven,ree� �Q,���RUC3'ION ` �.,� <br />cm or <br />�'VC�ett PERMIT <br />DFPT OF COntntUtilT1 DfVCLOPAIENT SCR\'ICES <br />CRY HAII :59.Fi4i <br />tv[Reii. w.�eszo� �' COMBINATION ❑ BUILDING ❑MECHANICAL ❑PICMBING PERMIT NO. <br />U.��Ut / � '.�Vt npt�uff5 Ci1� tIC PnOut <br />��c� s t�tEn-tc5 ./.u= �s,Nr Sl e-�'t�2'trI il7�c� t��l-1 �LE7'e� ���lW 3SS=�1'ii�Z <br />�k(HIIIIiOXUIe�GAIM �Ini ♦UpNUS <br />C0��0.A1 <br />�un �OD�Ii55 <br />_IP VYOtiE llCfv]I I <br />,�,�� ,ouai s; ,... t96—/!6—q�t <br />�u /��� N,ca. �� � , �G�A �/S3-,�i6d 9V3—K�' <br />, * _ ,AG c �1�} <br />un Liv r��ouE licinlE � <br />euu euuuus r � rC}D'!i/'/(.�i� <br />� Sc CtciZE�il1rx� cC.iy El/c�eT �F;�dy 3sT �/7i a.��-c�� <br />. . ��� Uf ��041. . <br />�>:E�� ❑ADDI710� �A�TEFnTIOti -=HFNAIH �DEniOL'FIO�v .JFE�Ct '�SIG� ❑CARAGE ❑BUILDINGRELOCATION <br />V�LL♦ O�(1 ' OX� <br />s ����� <br />Dn'. XI!If .+��Nr_ .1 <br />(�l,��L� f'i/�i//L` 1�,�.��L���XC� <br />re�rosto�s� a xuto�.c I HEItEf31 CERTIFI THAT I H�4VE READ AIJD EXAMINED THIS AP- <br />�NG�L L% F����L / f?ES/ �[�f(,�CC PLICATION A�D KNO�ti' THE SAh7E TO BE TRUF AND CORRECT ALL <br />iir.ni o���ui�no�o< <�uor�u�� �s�o��p e�irn. �« en�cM �rnxcnrn>i PRO�'�SIONS OF LAN'S AND ORDINANCES GOVERNING THIS TYPE <br />� ��, Lr /,�� OF WORK \VILL BE COh1PLIED bJITH b1'HETHER SPEUPIED HEREIN <br />�� p�p[��OI �LC� �Y �'S�`�� pR ti0T THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />� EL THE PROVISIONS OF <br />����, ,:��REss <br />PLUMBItiG <br />Np, � 7YPE OF FI%TURE <br />oATFR QOSiT 11Uu1 n <br />HA7MiUB <br />UVnTOR1 fN'ASN FIASIN� <br />$HO\Y[ R <br />Al7CHl� SINK 6 DISP <br />DISN'ASMER <br />�AUNpR1'iNAY <br />C107M6 ��'ASNER <br />N'AiER MFAT[R <br />U0.1tiAL <br />DRI�Y.INC fOUtiiAIM1 <br />{lODB DNAIN <br />\'LCUUM BRfA�:f Ri <br />HOO� UHAIS'S—RAIRLfACfRS <br />SInK �5[H�9CI —OAH. E1C i <br />SU9TOTAL <br />� TOTALfFE <br />YANL`SCIff1CC SIRf[iS(ip� <br />� / .i <br />L'i( ZO'�'E I lUi AREA <br />� J <br />TYP( Of COM157 OCCUVA�NCr GflOUP <br />�- P.� 3 <br />,� <br />sizc o� eioc �o oF srokiEs <br />I�� �'�• � <br />FiH[ ZO'.E BnSFM1'�Fhl IitOkC <br />✓ <br />AYPROVAlS <br />� E�+�IRO'��1ENiAl CMFCK I.ISi <br />2 PUILDInL Pl�NS <br />] FIR[ MIpHANT <br />a FIRE °ROTECiIOti SY57Eb1 <br />5 CkAUI1Of%lA\'A110N6ClUNINGGRUHIiWC <br />b ONAItiAGE <br />7 fNVIRO'�MENTAIIIAPACi51A7IMfNT <br />9 MFA�TH DISiRICT <br />S <br />S <br />FEE <br />StiflnCR <br />�� UVT SIiL <br />ES =�0 <br />�U Uf U'h'tlllh(, L'.115 <br />� <br />MA% OCC 101D <br />c <br />� <br />ilHt SPNINKLIRS <br />NF QUIHF Uj <br />`��1f5 'fti0 <br />BY DA7[ <br />APPlIU1lUti ACC BY PIAI:S CMECRkD flT AI'P0. iON �SSUAtiC! I1V <br />�,�. • . ., �� <br />GI\'E AUTHORITY TO \IOLATE OR CANC <br />AN1' OTHER STATE OR LOCAL lAW REGULATING COUSTRUCTION <br />OR THE P[RfOR,'.tANCE OF CONSTRUCTION. <br />' TL'Hf �CO�iRACiO ORAL7 IZE 1GEhT DATE <br />t;���G�,� � �.�. �—/��,�— <br />ECHANICAL <br />NO. TYPE OF EQUIPMtn i <br />41NC0"1D J��TS-HP EA <br />HEFRIGERATIO�UNITS-NP EA <br />ROILERS-MP [A <br />CAS FIRFO AC Uh'ITS-70NNAG[ EA <br />fORCED AB SYS7Eh�S-d.T U M <br />WALINEATEHS-BTU M <br />UuIiHEATERS-OTU M <br />EV1PORnTrvk COOLERS <br />CIOiMlS URVFBS <br />� tlEMILA710\ FAN <br />HM'C( MOOD <br />AIF MIM1DLIhG UNIT- C F h1 <br />STOvf <br />rA[Tel FlRFPLeCF 6 CH�MNEY <br />TOTAI <br />TOTAL FEE <br />r/l�nh U+[c�K n/uv� <br />7N V' ' / � <br />FEE <br />� <br />S <br />S <br />PUN CH(CA FEE <br />_ I RFCEIPT NO <br />i{unn�,c s ' � d00 I <br />rw..+xwc <br />MI CHA�vIUL <br />01HFR <br />UOC <br />PEhAITY SfC )071a� <br />TOTAL <br />PERMIT VAIIDATIGN <br />Nl1tM1 PNOPCHLY VAII�AiEU IIN iH15 SP�Cq TMS IS VOUR PERMIi <br />_ � � :'Vi�L" <br />� <br />L <br />