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rri��i-r,.i�pvrii �1V��71 ��1����1� <br />",� " PERMIT <br />ev�:,xett <br />ciTv i�ni.�z��oaa�ao . gUILDING • MECHANICAL • PLUMBING <br />evear-Ti.wn ��azoi COMBINATION <br />L�NNEH M11AIL �IUGHL55 ZIV �'HONE <br />�=� L.�TIt�_ �l-t-ts i t_t= __ �3- 7�s1� <br />APCHIi[L'1 UH DE:;IGNIH MNL AD�R[SS ""- ---- {'IIONtL-- - UCENSF <br />GFNLqALCONT(a11C10N h1A1LADDRESS PNONE L <br />�/�t?� L�sc��.i. 3ss-4-t4s <br />��er�i�nniirni rn�iiranrmu ��� MnIL nODRE55 PiIONL L <br />ncTo a <br />rco. <br />gcor.+oiNarioN <br />❑[tUILDING ❑v�unnnirvc ❑n+�c�+nNien� �NEw �,nooinoN ❑n�T�nnT:oN ❑rte�nii� <br />V/�LUATION OF W�O7HK <br />5 ZO�Li��� �O ❑[]EMOLISIi ❑FLNCE ❑`.iIGN ❑SWIidMINf;P00� <br />__ " — "_ ..._-_.-.'__-___--__-__- ___ -- <br />DEJCRIf3E WORK <br />l w�J <br />USE <br />LOT ��fL OLOCK <br />J0I3 ADORE55 <br />`i 4 i <br />PLUMBING <br />UFPPOPERT <br />-UF �/ <br />NKS <br />� <br />OH <br />�'Vl'YCfI <br />Z <br />MECHANICAL <br />_-_.--------_ ..---- -�-- <br />rvi�e or [n'r�+r,v <br />ioNnrTncri C�1cns ❑e�ec. <br />I�( NO. TVPE OF EDUIPtdENT _ FEE <br />-'----- - !UR CON�. UNI1 uP. En 5 I <br />- fiEFRIf,LRAI IO llt:il ; 11I. �A. ��� <br />_. ..Itoll[It; nl In. . �.�- � <br />FOFCEO l�IR SYSTf3td5- E1.T.U. MEA. <br />_ _.t_— '_--__'."-"' I <br />I <br />SPACF R WALL HEATEFS - 9.T.V. T- <br />. I_"'-- -_'_— <br />UNIT IIEATEflS f3.T.U. � <br />FVAPOHA71VECOOLER$ —� <br />i-.---- <br />CLOiHE50RVLRS � <br />'��VENTILATIONFl�N -� _ <br />HANGL HUOI� � <br />FEE � 1 nIH IL\Nft��I.ING UNIT C.F.M. _ <br />.i I ..l 1���L�1-L�C'�____ i - <br />� wnrEn i�enrER __ _--_ .__ ... <br />� I Fr1C. I3UILT FIHFPLACE 24 CHIMNEV I ,_ _ <br />� GAS. SYS"[M�. NO OP OUTLETS T <br />' 1 - -- --�— - <br />SU6TOLAL 5 _���_ <br />I . ._. - ___ _.-_ . <br />. _ . - . _ _- --"__ <br />' PLHMIT 5 �.y <br />I.__ . "__. __- __ -_- <br />� TOTAL FEE $ ___LQ�_ <br />� tHIS PEflMR f3ECOMES NVLL l�NO VOID IF WORK ttH CONSTRUC <br />CION AUTHOfl�ZED IS NOT COMMENCED WITHIN 120 D/�V;, Oli 16 <br />C:]N;TRUCTION Ofi WOHK IS SUSPENDED OR A�l�NDONI-D FOit .l <br />P[�iIOD OP 120 O/�YS AT /�NY �IME AFTLIi WORK IS COMMCNCk�.I�. <br />1 <br />� I HIiREt1V C[i.TIFV THM' I HAVE RGAD AND E%/�MW[O TI115 lU' <br />� PUC/�TION l�ND Y.NUW THF ;AM19[ TO t3E TRUG /1NU CO(iRHCT. AI.I <br />� PROVISIONi O� LAW i l�ND OFiDIN/�NCLS GOVEFNING TNIS TVP6 <br />� OP WORK 1NILL [34. COMPLIE[] WITII WHETH[R SPEGIFI[D H[REIN <br />OR NOI. 1NL Gfl/�MING OP !� PEftMIT DOES NOT PFESUMG TO <br />� (3NE AUTIIOfiITY Tp VIOLATE OR CI�NC[L TH[ PFOVISIONS OF <br />ANY OTH[R Sl'MC OR lUCl1L LI�W NEGULAiING CONSTRUCTION <br />_ � Ofl T11[ P[RF�RMANCE OI� CONtiTflUCTIn f <br />_ �Tn' � \ � /� 1 ' �� � <br />TEF SERVICE SIZE 6LOG. SUPPIV SIZE <br />�[ VAP�SET[3ACK STF[LT ;Eif3ACK R[AF VAROSETISACI <br />Cs� �T. ZF� F` i. ?��FT _ <br />rv� oF <br />�J <br />;PECIAL CONDITIONS. <br />.i.i...�lp4/d��.11'IlUllv <br />�� <br />I:Kt Il llv <br />❑ves F�o <br />V@S LJNO <br />� <br />Pl.l�N C11[CK NUMflCR <br />��1I (050 <br />FEES <br />�nonnurr�.nistrvi �.��_ <br />Pll�N CNECK FEE <br />rEt r�ECEirr uo. <br />4.�•oG ������c <br />VALUATION FEE <br />... _.. .. ------- � i <br />i+ui�uwc s h <br />_.- �-��� ---1Z ��- <br />_ PI.UMEIING ` � �O� <br />- — - � _ <br />�MECHANICl�L 1���� <br />—/ - <br />I <br />OTHER � <br />- PF.NALTY SLC.703101 � <br />__._.__"." .-"____- _. .- .__ _. <br />I <br />TO7AL ` �Q <br />� P[RMIT VALIDATION J. U <br />-- WN(.PI PIi�1Pf Iti v Vni lU,�l l l) IIN 11115'.;PAC[I TIiI515 VOL1H P6FMIT <br />,,—I �'�'`_>L!�t %E��iN�iJ <br />; �-;aR!: You� <br />m <br />� <br />- i t;�v 17 <br />