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<br /> �°����ett PERMIT e�e������
<br /> � . , ,�.11 L JSJ fl]4S
<br /> : ��� �:i r r. wn �i£��oi COMBIN�TION .
<br /> � BUILDING • MECHANICAL
<br /> �� �a • PLUMBING
<br /> / A1f�IL 11D.lHEtiS
<br /> , Ln� NCzc/,C/��,/V zii• i.iiurv�
<br /> .:HCIIIiEGT pq DFSIGNCH '" - � �
<br /> -____'- ���
<br /> A1AIL ADDfiESS ____.__._'_'-.-'_--' � .� C R7
<br /> PIION[ LICEl�SC NO. �
<br /> G6l�ERqLCOMl;a�..TOR --�-- �
<br /> % J�'� ` MAIL ApDRLS�-S --------__
<br /> i /�..• � ���.TY� /^. PHONE ------��CENSG Nr) �
<br /> �//c �.CJ ^( n z
<br /> �11ECHANIC.ILCONif;A(;iUF � --�-'---� •'7 �/�/ /
<br /> M�IILAD�qE55 - /��' T/ /�� �
<br /> �'HONE �___
<br /> �'LVMBI�RACTtiH_ LICENSf° NU. 3
<br /> � � '-- h1lULl�DORESS W
<br /> PHONE m
<br /> p�_�M�T---___ LICENSE NU. 7J
<br /> �COM6INATION CLl15S OF WORK --
<br /> ❑l3UILOING �PWMpING �M[CHANICAL
<br /> VilLUqil�- �EW ❑ApUITION
<br /> WORK ---- ❑ALTERM'ION ❑pEP/11R
<br /> ` 75i t��D D J _--__.-- ----
<br /> OF.SCRIF3EWORK ❑nEMpLISH ❑FENCL- ❑;Ir,N i
<br /> --_-_ ___ �___.____ �f1PnGIh11NG PUOL
<br /> CO.c�'��- �- Le.�:�T �f-' ;'�i _ ----
<br /> �'�iOPOSE� USE ����
<br /> MECHANICqL
<br /> LE:GAL CESCRIPTION OP PqOPEq�-y �;IiON'gELOW pq qTTnCH
<br /> �UUR COPIESI TVP[ pF ENEq�y �-�---�_�
<br /> LUT�- BLOCK2 �_' _ ❑�nS
<br /> �orL��(_E(� �_L_/ _ � _Np.{r TYPEOFEQUIPMEWT �ELEC.
<br /> � �/ I7t� _-I rllq CONO. UNRS -H.P. EA. - FEE _
<br /> �'� l ��T GL'1f 3^ --- __I REfqIGERATIpN UNITS �H.V. E/�. 5 I
<br /> �ftORERS �HP EA —�-
<br /> HESS --___ . _ � �URCE�D Alq gygTEMS-B.T.U. M q �'--j��-
<br /> �oo noo ----. . .____ — ------.-
<br /> � 'NAC� t! WALL HEMERS - 1
<br /> 3 0/5 !� n-� �T; _ a.T.�. -
<br /> PLUMBING . _ I urmr n�nren, ��;.r.0 —
<br /> � EVI�VOpnTIVE COOLERS � -- _
<br /> /( CLO��HES URYERS �__
<br /> _ _--_____
<br /> -- �--'-�"- VGNTIL/1TION FAN-- -��U .
<br /> N�� TVPE OF FIJCTURE OR ITEM � �nNGE Hppp - �Z��U ._
<br /> BAT�i TUBS FEE �-- - -nita i�in ------
<br /> CLOTHES WqSHER 5 - _ _ NDLiN, UNIT � p M
<br /> __-
<br /> DISH WqSHERS � - -
<br /> DHINKING F i WATER MEATEF �� -� --- �
<br /> OUNTAINS �-
<br /> FLOOR UHAWS I �_AC f3UIL'f FIREPLACE ft CH�MNEV - �--
<br /> KITCHEN SINKS & [7�gp. i +nS SVSTF.M NO pp OUTLFTS --� I
<br /> ' —�_- . - .__ - __T�
<br /> Bl�R SINKS � i -' ----� _!__ _
<br /> .-- -__'_ SIJfITOTAL .__1�y �h -
<br /> ROOF DRAINS - RAIN LEADERS � ---- � rE�Mir "L�����,'�-�.
<br /> SHOWER f3A7HS - i .____._-_-.-_._ __--- '
<br /> SERVICE SINKS�--- - ------ - - TornL reE 5�1�,� V
<br /> T111; PfqMIT f3ECOME$ NULL /�ND VOI�F OR CON�U`�..
<br /> SUMPS - SEWFlGE PUM11P ���N nurN��{izeo IS NOT COldMENCEp W�THIN 1?0 DAyS, Oq ir I
<br /> UHINALS _ CON>THUCiION OR WpqK IS SVSPEN�ED OR Apnp�pi�NEU POq n
<br /> WATER CLOSEI'S � �'�HIOD Up 120 Dl1Y; /�T /�NY TIME AfTER WORK IS COMMENC[D.
<br /> WATER HEATERS - ELECiRIC � � �������Y CEnnrv 7nnr i ii��e r�Eno nNo ExnAaweo ii�ns nr
<br /> WASH BASINS - 1 N�ryITIIONSnpp� �npy�vnN�pHOIN/�NCES'GOEVEqD NG�TFICTTYPE
<br /> LAUNDRY 7RAY$ .,_�__ Of WpfiK WILL BE C061PIJ@D WITH WHLTHER SPECIFiED HEREIN
<br /> OI; NOT, THL ,q(�NiING pF !� P[RMIT UOCS NpT PRESUME Tp
<br /> __ I GN[ nUT11pRITV TO VIpLr�TE UR C(�NCFL TH[ PROVISIpNS OF
<br /> -_____._ � /`Nv p��.��q STqTE pq �pCt1L LAW q[GULATING CONSTRUCTION
<br /> _____'_ CH TIIE PGRFpHMANC[OF CONSI'RUCTION.
<br /> SU� TO7A� �
<br /> _ PERMIT 5 ���'-�,,[7�� � �1
<br /> 70Tl�L FEE ��sh-1'��-- ��J / ///,,
<br /> WATER SEFiVICE SIZE / '• l-! ' X '���i! L(,.CC'�YZ,1`/ � f
<br /> 13LDG. SUPPLY SIZE� � ' I - - � `�/��
<br /> SIDEVAftOSET�l1CK - SI<iNniUREO°COMRnCTORpHr1UTH.�1GLNl'
<br /> STft[ETS@T(311CK REl�qy/�ppSFTBl1CK �'Ll1p1CHECKNUMf3[�; DQTE
<br /> ��-�-j-�'� C.A/�T 'LQJ� PLnn!CI-IECKfEf
<br /> U;[ , `E' LOTqqf-A �-- FEE
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<br /> occuanNcvcnpu� No.oFpw[��iN� ------- VALUATION FEE �
<br /> UNITS � _�__
<br /> SI1G OP ALfJG. --- Np. pF STORIES --. .- .._..-...--- �
<br /> MA%. 00C. LOl�p ItUILpI^IG
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<br /> Fii7E znNE�— iinsEM�rvr �--- ----- -
<br /> FIRFCPHINKLBfiS ��LUMIfING
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<br /> ---_ _ --- �'ENALTV � SEC. 30tlal T- -
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