|
ever��tt
<br />„nc�ui� c, �,i� i,i �.�,,at n
<br />�ONSTR�!CTION
<br />PEF,MlT
<br />BUILDING MECHANICAL
<br />��„�� „���.,�,-,, .,,
<br />MAu.AODHf.tiS--- ii.,yp
<br />('LUM[31NG
<br />3'.+.t�'r�
<br />I 11�1 fY':I �l�'
<br />���NI��nI.CONT1iACIOP�--. . . -. . . .-- MAllA00RES5--�- - - - -�--PHONE...-. -UCtM.� �.�.
<br />.�v
<br />n'� t nnNICl11. CONTqACTOR MAq. AOORESS VNONE LIC[h•�I '.
<br />ri �'"n��iNG CONTPACTOR MAIL AUURE55 PNONE LICEN•�,� •.
<br />�'� �- '�� CLA55OF Woflk ��-
<br />� ftun pINC. [] PlUM01NG ❑ MEC11qkIC,11.
<br />❑NEW OAPI��IIqN ❑l�ITEPI1T10N ❑Rt� ..
<br />._._..___ .___.-__ ._ . .---._—__
<br />cniuntiONOF WOPN '--" ----'
<br /><
<br />�i�, � Ill M�rt i• �� �1 � NCI ❑SIGN ❑ti\ViA1MIn1L on, �.
<br />..
<br />_ - ---
<br />I�f `:fP.iH� W(�IIK .. .
<br />�.:�' � - � { r+� ir. � ..�.� ���
<br />I!�inl Ut.SCRIV110N OI PRUPERI v ISIIOW Ilki.t�W ��n .:i �-i �
<br />�rnu���iwE31 �'� �i
<br />i��i _ __ pIOCK — OF_ — . __ _ . �
<br />� �� ,.I�I�IIfSS � .�w
<br />"� �� ��� �» F�
<br />r�uMr�iNc
<br />� _
<br />NO. � �VPF OF PI%TURE OR ITEM
<br />V..:iINfLO5Fliin�IF.T� g
<br />I1�n�11Tllfl .. . �
<br />---- -
<br />� i .:vnronv iH nsN nnsiNi
<br />! �----�-----__.._..
<br />�n�wEn
<br />�r�.ICJI[NSINKADIBP. --
<br />i��1��WASHEN
<br />I ��UNI.H� TFAY
<br />� I �.tII�S WASHER_-
<br />':.r.�FRHFAirR -...
<br />1�.�VIrlAI. _
<br />'I�I�INKINQ �UUy1pIN
<br />�11 ��tlll tiINY i�R IlRA1N
<br />v!�(IUUMHHI�KERS �
<br />'r,��,�lUHniNs nnir:lt�[lER9
<br />SiNl.19HVICF 1�/�N,ETC.I
<br />_ _. _ .-_.. __ �.
<br />__ __9VBTOTAI
<br />PEi1M1T
<br />TOTAIfEE
<br />•��i�� �:.riusrrnni
<br />�, u•,� . :,c —
<br />I i �. i�� ��.i r,011ST.
<br />�
<br />; �.•� �. i,fno. —
<br />i ���� _ •,� _ —_
<br />� ,�NO�IIUNS._ '"______ _____
<br />f Ef
<br />R
<br />MFCHANICAL
<br />i.��i ,ii ��ni (-�u�i �-�rani j ��rr,. L�tii�
<br />NO. TV'Pf OF EOUIPMENT FEE
<br />Alli(:UND UNI'S IIP Fn S I
<br />HFIRILhHl�IIl1N�����1•; 1�1' LA.�� �
<br />�IrrlII6P9 IIP IA � ..
<br />--.N;I�P[UAf uryif![ TONN4(iEEA.
<br />I�1HCfUniR lEMS IITU MkA.
<br />� Vi h i� i i! n t{ H ❑ 1 U. � M'—
<br />iNiT r�i n t! f� A T.U. M
<br />IVPPORniIVtCOOLFRS
<br /><��o=��E,�,��,F��s -� —
<br />VfhtILAl10N{qN
<br />PnN.:F HUOp
<br />nilt unNUUNU I/NIT- C.F.M.
<br />iiNCINERAiOP _
<br />� �� - sueTorn� s
<br />�
<br />PERMII f
<br />_ - -J
<br />TOTM FEE S
<br />'�� �'FqMll UFCOb�ES NULL AKp VOIII IF WpRK OR CON':��������
<br />i�,�r.� nUT1IpR1lE� 15 NOT COMA�FNCED lNIi111N 110 DnvS �.�. �I
<br />:'=i 9UCL�pN OR WORC IS SUSPENDED (1R AqANI"ONEI� i� �� �
<br />' i�•'"�rtl LP 1?0 OPYS qT �Nv 11ME AFTER WURN ISCOM�4 Ni �!
<br />�•' ��FJ1V f.ER�IF� TM�f I H11VE FlEAI) AN�lxpMW[U I��r ,�
<br />�" �����iON11�I�KNOWTME51MEtONETHUFANO(URRECi
<br />��i� "✓itiloNS OF �11W5 !�\D OliDWl�NCES COVF.RN�NG THi��� i��v
<br />��' '!'iRK WII L BE COM�LIED WITH WHE':HE{t ;V[11�16p ��! 1��
<br />�'�.r�l. THE GRANTIN�i Of A PFRqnll .iOFS NJI PRF:IrR�i i�
<br />' I nUT1101�Rv tp VIOLf�iF OR CI�NCtI �HF PP�IVICit�ri �.ii
<br />. . �inFnnn�["Ri,�cni In�vuFrtU�ntiNr,rirn�•�.rnuci�n��
<br />i i1 PI RVn1111:,.:fb i�l Ci�P�.:llli�t 1�r�N
<br />. • I x .�.I. i�l �.! � . ..' �'�1� �IlAliill /i1�E�fj [)Alr
<br />R[AR Vl.P1� �' •-.. . �.. � r � .. i i vl nni CHECk 1 I �
<br />,I..� ., � � In[CFir � ���
<br />4CANTSi�t I
<br />❑VES �'. � i t'; VALUATION
<br />�. or owi � � ��,
<br />��i�
<br />u„
<br />irnrrnNv oi�NSG�f[KfnPH nvnn��.i , .- ., .
<br />�
<br />^• ��
<br />,, ���v�� ------ �s �!�(1D—
<br />��� ��Mmna
<br />�.•i � ��ANICA�
<br />��i��l I. . .
<br />II fl! I 1. •�� tU' �.i
<br />1
<br />TOTqL
<br />FFf
<br />i
<br />n
<br />^ERMIT VA1 If1FTION . .., . . , r, . ' . .
<br />�
<br />
|