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CITYIN uui,46 1 H V V I iui�l <br />PEFtMi,r <br />(qr n91 ! ••IM1 <br />lvl xln w:• •.•.Itl <br />1Vll <br />"' "Il. a:u'aant BUILDING ML"CI IANICAL <br />PLUMBING <br />cvcrc�;t <br />iUWNLR MAIL AUURI.L: ZII r� 1'11UNL <br />AIICIIII C 1011 UT5144L11'�'a� MA• L AIiU111 _' ' -TIION � .4 1'.il: NO. <br />i e7- ?Od <br />/ / 6 <br />LENLIiAL r.UII I RACIOH MAIL AUORLSS PHONE LICLNSE NO. <br />Owne•TJCIiwizes saAmett <br />MLCAANICiX COIIIRACTOR MAIL ADDRESS 1'l1ONE LICLNSU NO. <br />PLUMUINGCUNIRAClon MAIL ALAIRESS 1•IIONE LICENSE NO. <br />a <br />LU <br />to <br />1•Gf1Mrr <br />(3111-1I1,I)ING ❑f1.UMRINO ❑-MtCNANICAL <br />CLASS OF WORK <br />• <br />®lJ@W []ADDITION 0ALTCIlAT10N ❑IIEPAIII <br />z <br />)y <br />r <br />r_ <br />VAL SAT10114F Y:OIIK <br />� O� <br />❑DC []FENCE <br />FENCE SfON ❑EWIMIAINO POOL <br />cr <br />w <br />ULGCHIBE WOR1: <br />Cens It r '' n <br />— <br />PltoroseD U£E _ <br />%, to tiye <br />MECHANICAL <br />T�O�UE 1. OIL - NAT. LPG. FLED. <br />GAS <br />HCIAL DESCRIPTION OF PROPERTY tSHOW BELOW OR AITAC14 <br />FOUR C0PG51 <br />LOT___ UI.00K__OF __-__--__ <br />L7tE2J /T �4.i'�� <br />IJO. <br />_ TYPI:OC rOUIPMENT <br />FEF <br />_ <br />AIR CONO. UIJITS-11.p. CA. <br />`}IOILCIIS-R.p. <br />I11:r IlIGL RATION UNITS--H.P. FA. <br />1— <br />CA. <br />1 <br />_--- <br />OAS I IHLD A.C. UIJITS-TONNAGE CA. <br />rORCEO AIR SYSTELIS-R.T.U. M CA. <br />1 <br />JOB ADDRESS '`(/ <br />125 74th $t. EUCkett Lam" 1 <br />_ <br />WALL RLA7 eHS-0.1'.U. M <br />�- <br />UNIT IICATCRS-O.T.U. M <br />I <br />PLUMBING— <br />EVAPORATIVE: COOLI.fis <br />I <br />CLOTHES DRYERS - <br />-I- <br />- <br />•— <br />VC•NTILATION FAN <br />MIJO - 11000 <br />AIR 14ANDLING UNIT- C.F.1.1.�- <br />I <br />NO. <br />TYPE OF FIY.TURU OR ITCM <br />FEE <br />$ <br />•^ <br />yZ <br />YJAIERLLCLI 1TO1 LL7) <br />L.IVAIUhi I.TASIIIIASIN) -___ - <br />INCINGIlAT1Jl1 <br />1 <br />-- <br />- <br />1 <br />Slur.vp <br />— <br />KIM117N SINK P, DISP.-� --�- <br />- <br />-� <br />_—_-- <br />SUU TOTAL S <br />1 <br />1 <br />PLRMIT £ <br />TOTAL rr.0 £ <br />9{� <br />LAUNDRY TRAY <br />___ <br />_+DISMWAEIrtR— <br />C 1.OTIR.RE <br />- <br />TEE <br />WATI:I11lEATFII <br />URINAL - <br />--- <br />TI/IS PEIIMIr BECOMES NULL AND VOID IF WORK OR CONSTRUC- <br />TION AUTRORIYEU IS NOT COMMENCED WITIRN 120 DAYS, On IF <br />CONSTRUCTION OR WORK IS EUSPENLIED On ALANDONto roll A <br />PLRIOD OF 120 DAYS Al ANY TIME APTLR U014K IS COMMENCED. <br />1 II; RCIIY CI711TIrY TIIAT I IIAVE READ AND LY.AMINCR THIS AP• <br />PLICATION AND P.IJOW THE SAME TO RL' TIWF AND COIRIEG1'. ALL <br />PROVISIONS OF LAWS AND ORDIIIANCES GOVCRNlf:G THIS TYPE <br />01: WORK WILL BE COMPLIED WITII WHCTl0:R SPPCIFILD 11EPCIN <br />OR Not. mE GRANTING OF A PERMIT'DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOL ATE Oft CANCE 1. THE. PROVI.".IONS OF <br />ANY Ol'IILR STA rC nn LOCAL LAW RI:GULATINO CONCIRUCI'ION <br />OR iRE PLRr UHMANCC Or CONSTRUCTION, <br />SiONAIURLUFCONT ACID RORAUTH.AGENr DATI <br />_ <br />- <br />1114INKING FOUNTAIN <br />- �1 <br />r .gati-£1l:o: OR llnAltl -� <br />J_�_--• <br />_ <br />VACl/llt.l r._+r AKERS <br />-�-'�" <br />ROUE RRL.'t5-IiA1NLEADE R9 <br />-I <br />- <br />SINK (SERVICE -OAR, CTC.) M_ <br />SUR TOTAL <br />PERMIT <br />TOTAL TEE <br />—=� <br />S <br />t _-�1 zLi_- <br />-- <br />CITY USE BELOW THIS LINH <br />SIU LY Alll)S[TI:ACK <br />((//�f(�(� 77 <br />=7IIf:1:T ::C1�T IIFAfl <br />((nn//LL^^Y� 'r <br />YA13•J 711 <br />YCJ�V� <br />PLAN CIICCK NUMBER <br />% <br />-I ��� <br />Pl.4�N CI1CCK <br />rGl:/ <br />FEE <br />EIP <br />RECEIPT NO. <br />u5%1,'/��_ NE <br />L -� <br />1 YI'L OI' CORST. <br />LUl AREA <br />uccu Pn MC / GIIDur IIO.OF <br />UNIIS <br />VACA14T SITE <br />EiL M'ES ]NO <br />UW CLUNG <br />rrrs <br />VALUATION <br />ru <br />1 <br />1 <br />BUILDING <br />S �• ' �.m <br />LIIG (H+ IILOG. <br />NO. Ur C7o1111i5 <br />YITiI'i:T)INK <br />RLOUIRE0 <br />MAX. OCE LOAD <br />PLUMBING <br />�•-- <br />91— <br />L111uT� <br />LJYLS nNo <br />MLCRANICAL <br />:lP1.CIAI Cnt;mmnN".: <br />OTHER <br />' <br />PCNLLTY -- <br />GEC. 01171n1 <br />1 <br />._—._--- —•--- <br />TOTAL <br />1 <br />-`" '—•—` —' <br />PI:RfAI r VALIDATION <br />-•-----•--- ••— ........ I WRI.N PRU.-LILY VAUDAI r.0 JN 1111r, CPACC) 1111G It. YOUR PERMIT <br />nii ll..Ahlil. nin�i�• . .Ilp'.LIIII.Ih PY. I��:���arin7�i: uMi�l Or <br />