Laserfiche WebLink
f <br />,_._-- I <br />�-; � :-...,,;,, „ �� ��=t�erett � <br />�� �„v�, C��l� h R�.f�Ti I(�%3 � <br />� eVe�ett PERMIT I <br />� [ILY IIALL I59f`°', � <br />H'CPEtI YI>SIIIN41011 � <br />'�"� BUILDING MECHANICAL PLUMBING <br />UCPi. aV LLI.!'AU911T <br />GEV[l0i•r.it�ii PHONE � <br />MAIL ADDRESS Z�P <br />r.�+�� ;5�:,,�� <br />� OWNER �'����.yJJ� - <br />' ; .,.�����+y :-•r�r •.-. LICENSE NO. <br />- — MAR ADDftESS PHONE <br />I�I ARCHITECT OF DESIGNER <br />�� PHONE LICENSE NO. <br />I - - MAIL AODRESS <br />GENERAL CONTRACTOR rn��m�wn <br />t7 v <br />i ^.?" ,; •'2� , ��: PHONE LICENSENO. <br />MAIL �+ODFE55 <br />MECHANICALCONTftACTOR � <br />�I <br />PHONE LICENSE NO. W <br />� M AI L A�O ftE55 f� <br />'� PWMBINGCONTRAGTOR � <br />I--.-- CLA55OFWORK % <br />PEftMIT <br />F" <br />I ['.���UILD�NG ❑PLUM6ING ❑MECHANICAL ❑NEW �qDDIT10N ❑nLTERATION dH[PnIR � <br />� <br />W <br />VALUATIONOFWORK ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMINGPOOL � <br />� 5 2i�76.�` - G i� � l� <br />I DESCRIBF WORK .. e, <br />1 ' .. ...T�.c 1 <br />II anoNosEo use MECHANICAL <br />TYPEOFfUEL ���L ❑GAS ���G� ❑ELEC. <br />I LEGAL OESCFIPTION OP PROPERTV ISHOW �ELOW OR /�TTACIi _ T�.pE O� E�UIPMENT FEE <br />FOUR WPIE5) NO. � � <br />� LOT �LOGK.—OF — Alfl COND. UNITS-H�P� EA� <br />I _ REPRIGEFAT�ON UNITS-H.P. EA. I <br />ROII.ERS-H.P. EA. <br />I GAS FIRED A.C. UNITS-TONNAGE EA. I <br />F�FCED AIF SVSTEMS-B.T.V. M cA. <br />II WALI HEATEFS-6.T.U. M <br />JO� A�DRE55 �� +'7?^ - M I <br />� ,FJ�:,. ti :'v� UNIT HEATERS-�.T.U. <br />' E V APORl�T� V[ COO LE RS I <br />� CLOTHESDRVERi <br />II PLUMBING V�NTILATION FAN <br />I <br />I HANGE HOOD -- <br />AIR HAN�LING UNIT- C.F.M. <br />i _._ �..oc nc nYT11RF OR ITEM FEE INCINERATOR I <br />8 <br />6 <br />I�� TYPE OF C—� <br />I512E OF RLOG. <br />I <br />'� f`IRE 20NE <br />;PECIAL CONDITIONS: <br />��_ <br />- _�—_ <br />U: <br />E <br />$UDTUIHL > '� <br />PERMIT 5 � <br />I _ 70Tl�LFEE 5 I 1II <br />THI$ PERMIT 6ECOPdE$ NULL �+ND VOIO IF WOFiY. OF CONSTRUG I <br />TION AUTHORI2ED I$ NOT COMfdENCED WITHIN 120 DAYS, OR If- <br />_-7 CONSTRUCTION OFi WORK IS SUSPENOED OR AUANDONED FOR A I <br />PEflIOD OF 120 DAVS /�T AN�' TIME AFTER WORK IS GOMMENCED. <br />I HEfiEf31' CERTIFY THAT I HAVE RE110 AND EXAMINEO TNIS /1F- II <br />PLICl�TION AND KNOW THE SAME TO �E l'fiVE AND COPRECT. ALL <br />_�— PROVISIONS OF LAW-`� �+ND ORDINANCES GOVERNING TNiS TYFE <br />OP WORK WIL� BE CDA1PlIED WITH WHETt1ER SFECIFIEO HEflEIN <br />—� GIVE AUTHOR TY TOIV OLOATE ORRCi1NC OESH �PR�V SI,ONS OO I <br />ANV OTNER STATE OR LOCl1L LAW REGVLATING CONSTRUCTION I <br />OF TIIE PERFOflMANCF.OF CONSTqUGTION. <br />—� I <br />---�-- 2Jar,�'t'T <br />x � �� �� � <br />SIGNATUREOPCONTRACTOROFllWTH.laGEVT DATE I <br />PLPN CHECK FEE <br />!AR VARDSETE3.4CK �LAN CHECK NUM118ER FEE IRECEIPT NO. � <br />I <br />aCAPITSI7E FEE I <br />❑vEs ❑Nn FEES VALUATION <br />J.OF DWELLING � <br />VITS --�� II <br />A%. OCC. LOAO BUILOING 5 �,'j�S��,�} �� I <br />I I <br />PLUM�ING � - I <br />CROU E�pKLEFS --- � <br />MEGHANICAL . : <br />❑VES ❑N� � <br />OTN[R � <br />SEC.3031a) � <br />PENELTY <br />TOTAL � � <br />PERMIT VALIDATION <br />WHEN PROPERL� VALIDATED 1 W THISSPACEI THIS IS �OUR PERMIT <br />i rU� i5sunucE nv I <br />i � -� <br />