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, � r �. , ,,, �,,, <br />�.�„ ��� <br />��-�rett <br />ci i v i�n�i_ zr,o ina�, <br />i �.�c�en�, wn �ia,ui <br />i ,,: � m i. rt <br />CONSTFtUC�'ION <br />PERMIT <br />COMBINA-fION • BUILDI(JG • IVIECHANICAL • PLUMBING <br />I�..ChICC : .p.. -i��-1 1'C�. :. i',,�.i �„on7 � -� :"�, <br />_�.., <br />,U:CIiIT6CT UH Df 1/ NL:t� -� ---.. ... .._ � "'" <br />n�ni�nooniss ----- -i�TiiiNe _.-- iTci <br />ae <br />'�6NERAL CONTqAC�OR MAII_ ADDRESS PHONE LICENS[ NO. <br />� <br />i'I Uht�ING CONTRAC <br />noo <br />PHON[ LI <br />NO. <br />evereti <br />� <br />m <br />31 <br />i'[Hb11T --- .- . <br />CLl�SS Of WORK _._ . _. _ .. . . _- __ '_'---_-._. - <br />[ jCOMBINATION <br />Lj[3VILDING �PWM61N(3 �MECHP.NICAL <br />❑rvew ❑:,nuinr,ra �ni.ii.nnrinra ❑iiu•.•,n� <br />`.�41.UATIONOFWOflK ---- �- �- ----- - <br />s ����� ❑oennou�ii ❑ri_r.:c�� ❑sicrv Gs:vir.i��wc; ��oai_-- <br />DLSCRIBE WORK _-- _-_____. .__ __ _ _ _'__. <br />___ _.. _.. _____-_ <br />!:crandcl. Iici.ng roo�.n �n�l ,�'�1 "rce .^,C:t.;tt..,, '"ir�,,l _c,. <br />PHOPOSE7 USE - <br />MECHANICAL <br />LEGAL DESCRIPTIO.J OF PROPERTY ISHOW �ELOW pq (�TT�1CH - TVPE OP fNGRGY ��� � <br />FOUR COP�E 1 �� � ❑[LEC. <br />r,qg <br />li -.�: :;30 Gvcrcet Div. : ��� - <br />LOT��3-dLOCK_OF ____ _N0� __ __, TVPEOFEQUIPMENi_ FEE _ . <br />AIR CON�. UNITS-H.P. El�, $ I <br />REFRIG[RATIUN UNITS ILP EA. �--�- <br />_ -__ —'_ ._-_ '-'__ <br />- .... [3011ER5 H.V. EA. �—.. <br />� FOftCED AIF SYSTEMS-6.T.U. MEA. �— <br />_' - <br />--__-. - __.__-._..... ____.. . �____ I — <br />JOCt ADDRESS SPACE & WALL HEATERS - B.T.U. <br />� o r' f� `" . �_"_"___ <br />��.�1 - 1 �i SCl"CP-L ,UNITHEATERi�B.T.LL � <br />LVAPORATIVFCOOlEFS <br />PLUMBING -I— --- <br />__,_ CLOTHESURYEqS <br />- -_ _- __--__ . .�-_-___- I <br />VENTII.ATION FAN T— <br />Rl�NGG HOOD � <br />NO. TVPE OF FIXTURE OR ITEM FEE nira iinrvourvc UNir c.p.nn. <br />BATH TU65 g - - --�-- _ <br />.-.. __.__.__ <br />CLOTHES WASHER i 1 F�L'e`CGI:_l.!1C! i.11�_ __lii'y)1� c.d_ 3 I�1� <br />DISH WASHERS W/+TEa i1EqTEa <br />� - -__. _.__.. ____ -_-- _____— � <br />DRINKIiVCi POUNTRINS fAC. BUILT FIqEPLACL & CHIM11NEV � <br />I <br />FLOOH CRAIWS �/a5. SVSTEM�� NC oP OUTLETS - <br />- i -__'.____.'____ _-______- <br />— -_ <br />KITCHEN SINKS & DISP. —�-- SUf3 TOTnL g 3 �O(� <br />__, i __- .___..-__. _'_-_'_-_- <br />__ BAR SINKS � PEqpqlT 5 3 O(! <br />ROOF DHAINS RAW LEADERS � � � rOrnL FF.E 5 �� j(pj <br />SHOWER HATHS --T TI11 i Pf Fh11T 6ECOMES NULI. ANU VOID IF WORK OR CONSTftUC <br />SERVICE SINKS TipN AUTHOliIZ[D IS NOT COMMENCEp WITHIN 120 Dl1VS, OH iF <br />SUMPS -$EWlIGE PUMP CONSTRUCTION Ofi WOf1K IS SUSPENDED OR I�eANUONEO FOIi .� <br />URINALS �- PERIOD UF 120 OAYS nT ANV l IME nFTER WOHK IS COMMENC[D. <br />WATER CLOSETS � I HEqH3V CERiIFY THAT I HAV[ f1Ei1D AND EXAMINEO THIS /J' <br />WATER HEATERS - ELECTRIC i— P��enrioN nrdo Kn;ow n�iF snnne ro i{� rnue nNo eoa.aecr. n�� <br />WASH IiA51NS PROVISIONS Of I.AWS ANU ONDINl1NC[5 GOVERNING THIS TYPE <br />— i O(° WOHK WILL 6L COM�'LIED WITII WHETH[Fi SP[CIFIED H[liE1tJ <br />LAUNUR�J TRAYS OR NUt, THE GRANTWG OP A PERMIT UOFS NOT 1'RBSUM6 TO <br />� GIVG l�UTHpqITI' TO VIOLATE OR C/�NCLL 111[ PHUVISION9 OF <br />-- ANv OTIiER ^TATE OR LOCI�L LnW R[GULntING CON6iRVCTIpN <br />— � O!i THE PLfiFpRWANC[ OP CONSTRUCTION. <br />roninii � � <br />TOTAL FEE —� x r ��7 <br />�_ c�t�_-,�-.�._`-` �� -.. ,_ <br />JJATER SERVICESIZE BLDG.SUPPLY SIZE sicNnruRr_orcnniTivncronn9nV7M.nc��eN1 onl� <br />SI[�HVARDSETOACK STRLETSETBACY, fiEARVl�RD5E1'BACKPlAMC11ECKNUMflLR PLo.NCIIECKFE� <br />- PEE CCEIPT NO <br />R <br />— -- -- 77��,3 <br />USE 70NE LOT ARGA VACANT SITE �� �u_ <br />- _ _ _'-_ -_-�-_ - <br />❑vEs ❑No FEES VALUATION FEE <br />TYPF(1F/`l�I�iCT nt-nr���nn�nv....��.n ..�� ...__...._ - . <br />SPECIAL CONOITIONS: <br />��,.a�.��,,. <br />rn <br />r_ ry, <br />r,1 <br />UIRED <br />Y[ i ❑NO <br />l3UILDING 59 QI)� <br />PLUM�ING <br />MECHANICAL <br />OTHER <br />P[NALfV SF:C.90J1a1 <br />_—_-__. __'- __ . <br />. _"__" "__"_"._ -"__ <br />TOTAL <br />PERMIT VALIDATION h (� 7�� <br />WHL-N N�pP[RI V Vl�I I1ll�if:D 11(3 YIRS:PA <br />�� <br />�i� <br />__1 - <br />I <br />I <br />2 �pll <br />�R NERI�tI / <br />uC1!tR E'F��1PT <br />„ <br />