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1 <br />� �0�'�6S i ni�C i ivPv <br />.'' " PERMIT <br />�����rett <br />� �IALL 2'.'J 81.: <br />i.: ivil wn oer�u� COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />"wveH Mni� nooFaess ru� riw�ac. <br />(i �-i„T, -----.__ - <br />:,}aci�iiiccr,���r r-.��cni�n — nini� noor�ess i�noNe uc�Ns� no. <br />G2NERl�L CC'+TH.ACTOR <br />-nr ��n�rr;rm aryi;,1 <br />iNc corn�ancro�a <br />PERMIT <br />[]COMBINATION <br />.[] �UILDING ❑ PWMOING ❑M[CN/�NICt1L <br />VfJ IIP,TIONIO�F WORK <br />5 �.4.���'�2 <br />ULSCRBE WCRK <br />IiP�i�Lv��F' �i '�.�L � <br />NO. <br />noodEs: - <br />WOP.K <br />❑NEW ❑dDDITION ❑ALTEfll1TION L1JRF.PAll9 <br />❑aen�oi�si� ❑i'tNc- ❑sicN ❑swiranai�iar�noi_ <br />LcianL U6SCHIPI IUN UF PHUPhH I V 15HUW 86LUW OH Al tACil <br />FOV F COPIESI <br />l0 T� � LO C K_ O F—��+�1L�1L7E�+I�i��L��---- _-� <br />J06 <br />PLUIV181NG <br />INKS <br />WASH <br />JL�2� ��bl� i1�I��Jy i• <br />FIXTUR <br />FEE <br />�.��.._ � <br />evereti <br />� <br />�� <br />_ � <br />m <br />37 <br />� <br />� <br />z <br />c <br />5 <br />W <br />m <br />� <br />MECHANICAL <br />1•rrF �F FNrar,v <br />;J[3A5 ❑ELEC. <br />� NO. � TYPE OF EQUIPMENT FEE <br />i nIR CONG. UNI15-H.P. EA. 5 I <br />I t1EFfiIGER/1TlOk UNITS H.P. EA. �— <br />��:OILER; H.P.El1 I <br />�i FORCED AIR SVSTEMS-6.T.U. MEA. �- <br />.__ -- I <br />:,?ACE & WALL HEATEFS - B.T.U. <br />,I UNIT HEATLRS 6.T.U. � <br />~ EVAPOfiATI V E COOLER$ <br />. _ �-"—_ _—__' — - <br />� CLOlI1E5 DIiVEFiS � <br />+_ — -'_- T_- <br />' V[NTILnTION FAN L__ <br />�H�NGEIi00D � <br />� NI2 IIANUI.ING UNIi- GF.M. �— <br />I ____ _ <br />I <br />. . ..WAT[Fi NEATER"-'"---- <br />Fl�C.BVILT �IFEPLACF.ft CHIMNEV I <br />GAS. SYSTEM NO OP OUTLETS —r <br />_- _"_ - I - <br />� SUB TOTl�L 5 I <br />.- _._'_--_-'_— __ _ PERMIT 5� . <br />TOTALFFE 5 I <br />I 1'1115 PERMII' BECOMES NU�L �NU VOID IF W09R Ofl CONSTRUC � <br />TION nUTHORIZEU IS NOT COMMGNCF.� WITHIIJ 120 Ol1VS, Oft II' <br />CONSTliVCTION OR WORK IS SUSPENOLD OH l�UANnON[D FOR � <br />PERIOD OF i^0 DAYS 11T ANV TIMf: 11FTE(i WOHK IS COMMENC[D. <br />I HER�:IiV CCfitIPY 1,1f.T 1 I1AVE liEAtJ I�ND C-XAMINED ll'IS M' <br />PLICl�'� ION 11NL KIVOW TIIE SAME TO NE TRU[ l�ND CUflflECT. ALL <br />PROVI^IOIJS OF I.I�WS AND ORDINANC[5 GOVERNING THIS TVP[ <br />OF WORK WILL UE COM1IPLIED WITII WFILTIICfl SP[CI�ICD HEfiEiN <br />Oii NOT, THE GfinNTING OP 11 �'ERMIT DOES NOT PRLSUME TO <br />GNF AUTI1pRITV TO VIOLATG OH CANCEL THE PROVISIONS OF <br />ANV Ol HLR STATE OR LOCAL LAW FEGULATING CONSTRUCI li)P: <br />OR TIIE PLIiFORMl1NCE OP CONSTRUCTION. <br />PERMIT.f.� 5 I 1 ! � � ) /� <br />TOTALFEE�� - X ���,���,c`p .E%• �lFf'��j� '� ��;�( <br />�-- <br />Vl�TEHSEHVICESI2E 6'_DG.SUPPI_YSILE SIGNnTUREOFCONTRnCTORORnUTH.nr.ED1T DnTB <br />'.ilf�[YARDSETf3ACK STFl°[TSETRACK REl�RYliRDS[T[iACKPLANCHECKNUMfSER PLANCIIECKFFE <br />FEE IAECEIPTNU. <br />siz <br />SPECIAL CONDITIONS: <br />-�:i .. . . ��ru��... � -...T.iucr.tnuv_ <br />i <br />Vl�Cl�NT SRE <br />❑YES ❑NO <br />NO.OP pWELLWG <br />UNITS <br />FEES I VALUATION � FEE <br />MAX.00C. LU/�D BUILDING s 11�92.112 1Ki 00 <br />PLUMHING � <br />FIRESPfi1NKLERS � - <br />R[OUlfi[D � <br />❑YES ❑NO M[CHANICf�t. I <br />�__.... <br />I <br />t1TIlER � <br />_— __.— _—I_—._. <br />— PGNI�LTV SEG3031a1 � <br />_.- _.-_'_ —L_— <br />— ._. ..._ - 1 <br />.' -'___ TOTAL i7� 00 <br />� PERMIT VALIDATION <br />-- ----- �.v��i ��� riar�r�ri�i �; vni in,vi o u�: y,ii���,l�.��,ncc� ��� �5°�arEi��.,,� � I <br />V <br />_ ' FfCr9F�. <br />nrrnuviuim ,__-__,- - , . . . . . _ <br />i. �:. <br />I . <br />i <br />