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I:IIYOI (;CNGTRUC1 iON <br />PERMIT <br />CI IT IIAII I'.11Hf <br />IVI NI IL NA'x•NSION <br />R 01 <br />CHI "11 <br />01 AI'.r VNI <br />IIT BUILDING MECHANICAL <br />I <br />PLUMBING <br />everelt <br />r <br />UW LII ,I MAIL AULORLGS ZII PIIUNL <br />A CIIII LCI OR OESIGP MAILADURPLS PIIONI: LICLNSL NO. <br />^n�� <br />OENLRALCONTIIACTCR MAILAODRLSS / 1'/1ONE LICENSE NO. <br />_sGn,.. !s £ L 3s 3-3�� r zB-vi-rEu-'E'R .P-E6 3oi <br />77 <br />MECHANICAL CONTRACTOR MAI ORE55 PHONE LICENSE NO. <br />�,•7 <br />7 <br />/ <br />cc: <br />PLUMBING CONTRACTOR MAIL AUDRESS PHONE LICENSE NO. <br />U: <br />DJ <br />PERMIT <br />❑ BUILDING ❑ PLUNKING ❑ MECHAhICAL <br />CLASS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION REPAIR <br />2 <br />I - <br />� <br />EC <br />a <br />VALUATION OFF WORK <br />S, /OG�` <br />❑DEMOLISH ❑FENCE []SIGN❑SWIMMING POOL <br />DESCRIBE WORK <br />! F eFF r E F I&g-rTcAs <br />PROPOSLO U6E <br />MECIIANICAL <br />T lam/ E OF FUEL OI 1. GNAT. LPG, ELEC. <br />GAS <br />LCOAL DESCRIPTION OF PROPERTY (SHOW BE LOy� OR ATTACH <br />FOUR Copies) <br />O <br />LOT BLOCK —OF (�j�F'�'- <br />NO. <br />TYPE OF COUIP <br />FEE <br />AlR CORD. UNITS-H.P. EA.. <br />f I <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS-H.P. EA <br />I <br />ALC.L-T �s7-QQ� �O/O <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />v <br />FORCED AIR SYSTEMS-Q.T.U. MCA. <br />1 <br />JOB'/A1 ORLSS <br />WALL HEATERS-O.T.U. M <br />- <br />UNIT 1/CATERS—F.T.U. hl <br />1 <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOT14ESDRYERS <br />1 <br />VENTILATION FAN <br />RANGE HOOD <br />I <br />AIR HANDLING UNIT- C.F.M. <br />NO. <br />TYPE OF FIXTURE OR ITcM <br />FEE <br />WATER CLOSET(TOILET$ <br />S <br />INCINk'RATOR <br />1 <br />IIAI 14TUS <br />— <br />LAVAIUIIY IIYASH BASIN) <br />SHOWER <br />KITCHEN SINK C, DISP. <br />SUBTOTAL b <br />I <br />_ <br />DISHVVA51/ER <br />PERMIT f <br />LAUNDRYTRAY <br />TOTALFEE $1 <br />if <br />CLOT IIF.61'lA$/1ER <br />11110 PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- <br />TION AUTHORIZED IS NOT CO%IMCNCF.O WITHIN 120 DAYS. On IF <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />1 HERESY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP. <br />PLICATION AND KNOW THE SAME TO RE TRUE AND COnRECT. ALI <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING TIRS TYPE <br />OF WORK WILL DE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE. GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE On CANCEL THE PROVISIONS OF <br />ANY OTHEn STATE: OR LOCAL LAW REGULATING CONSIRUCTION <br />OR 1'14E PERFORMANCE OF CONSTRUCTION. <br />WATER HEATER <br />URINAL <br />_ <br />_ <br />PRINKING FOUNTAIN <br />FI.00n-SINK OR DRAIN <br />_ <br />VACUUM CREAKEnS <br />ROOF DRAINS-RAINLEADEnS <br />SINK (SFRVICL-DAn. ETC.) <br />-- <br />SUR TOTAL <br />PCMAIT <br />b <br />_ <br />TOTALFEE <br />f <br />CITY <br />USE UE1,010 THIS LINE <br />SIGN*05jolOF CONTRACTOROR AUTH. AGENT DATE <br />SIDE YARD SETBACK <br />SIIIEETSCTUACK <br />REARYAIIUSETBACP. <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE ZONE <br />LUI AREA <br />VACANT SHE <br />DYES ONO <br />FECS <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP NO. <br />OF UNITS OWLLLING <br />1 <br />RUILUINO <br />i <br />1 <br />1 <br />512E OF 11 CO.— <br />NO.OF STUNI— T§­ <br />AX.00`C. L AD — <br />PLUMBING <br />FII- iCTONE <br />(fAF�. �1[F!T- FI <br />RCGUInE <br />uint Y. 1 <br />O <br />[]YfiO ❑NO <br />MECHANICAL <br />I. CIAL CONDITIONS: <br />OTHER <br />PENCLTY <br />SEC. 003 161 <br />-- — <br />TOTAL <br />I <br />H.i iir M�11'IIP41 7 <br />7I11 <br />OT <br />PFnh11T VALIDATION <br />WHLN PPOPL IIL Y VAIADAT CO (IN TI113 CPACEI TI IIS IS YUUn PERMIT <br />P <br />/•.11'Lit AN I•'i ( ( , <br />