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CHYUI <br />' CONSTRUCTION <br />CveI ett <br />C) PERMIT <br />city "All P.1 411% <br />IVI "I If, °A;•ry•.ION <br />„Nt <br />°"'.B/1T°.°`tiff. <br />BUILDING MECHANICAL <br />orminrvfwr <br />(D _ cvcrctl <br />PLUMBING Lc <br />r1TN II MAIL AUURL/SSS �I�7��L I'IIUNL <br />— / • �l�l� VCNY Yl1 •.� <br />- �� / <br />DESIGNER <br />AIICI TLIL, CT Oft DESIGNER MAIL A�UUR 'SS IIONf LIC GNSE NO. <br />` <br />/S7, � � <br />V <br />0' IIALCONTIIA' R AILAO SS H NE LIC <br />. .�L-1�tL <br />11 E' <br />v� <br />MEC=TRACTOR MAIL AUORLSS JPIIONL LICENSE NO. <br />PLUMOING CONiR OR ADDRESS HONE LICENSE NO. <br />a <br />w <br />m <br />s <br />PERMIT <br />BUILDING []PLUMBING ❑PLUMBING ❑MECHANICAL <br />CLASS OF KORK <br />[I NEW ❑ADDITION ❑ALTE nAT10N ❑REPAIR <br />� <br />VALUAT�IO7N OF WOIIK <br />S X MI �J <br />00EMOLI511 ❑F-ENCE ❑SIGN ❑SWIMMING POOL <br />(C <br />a <br />OLSCRIDC WORK <br />° e <br />PROPOSE`DA`UUSSE <br />M HA ICAL' <br />T PE OFF EL 0014 MAT. LPG. ELCC. <br />GAS <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT BLOCK —OF <br />NO. <br />TYPE Of COUIPMENT <br />FEE <br />AIR COND. UNITS-II.P. EA. <br />S I <br />REFRIGLIIATION UNITS-11.P. EA. <br />OOILERS-N.P. PA. <br />_ <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />FORCED AIR SYSTEMS-B.T.U. M EA. <br />I <br />JOB! DOIIESS ,) <br />4- ��•}-�L) ��', �.� <br />WALL HEATERS-A.T.U. M <br />UNIT IIEATERS-O.T.U. M <br />I <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />I <br />VENTILATION PAN <br />RANGE HOOD <br />I <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIB HANDLING UNIT- C.F.M. <br />1 <br />--- <br />WATER CLOSET (TOILET) <br />S <br />INCIN RATOR <br />1 —� <br />UATIITUS <br />_ <br />LAVAIURV UYAJH IIASINI <br />I <br />SHOWER <br />KITCHEN SINK 6 DISP. <br />SUIT TOTAL $ <br />j <br />U21WASHER <br />PERMIT S <br />LAUNORVTRAY <br />TOTAL FEE S <br />I <br />CLOTHES WASHER <br />WATER HEATER <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />CONSTRUCTION OR 1YORK IS SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK fS COLIMENCEO. <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP - <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS IYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OH NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL TIIE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAY! (REGULATING CONSTRUCTION <br />OR THU PERFORMANCE OF CONSi RUCTION. <br />URINAL <br />911INKING FOUNTAIN <br />FLOOR=SINK OR BRAIN <br />VACUUM BREAKERS <br />HOOF DRAINS-RAINLCADE R$ <br />SINK ($ERV16L-BAR, ETC.) <br />--i <br />SLID TOTAL <br />_ <br />PERMIT <br />_ <br />L <br />TOTAL FEE <br />$ <br />CITY <br />USE BELOW THIS LINE <br />BIDNATUREOFCONTIIACTORORAUTH.AGENT DATE <br />:RUEYAHDSETSACK <br />SI'RLETSETOACK IILAR <br />YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK F C E <br />FEE RECEIPT NO. <br />LSE ZONE <br />LOT AREA <br />VACANT SITE <br />❑YES ONO <br />FEES <br />VALUATION <br />FEE <br />T TPF. OF CONST. <br />OCCUPANCY GROUP UNITS <br />DWELLING <br />BUILDING <br />S <br />1.12E• OF IILDG. <br />NO. OF STOIIIES <br />MAX. OCC. LOAD <br />PLUMBING <br />I RUy"NL1TX-sMtWT­—� <br />11LOU111EID <br />I NK IL <br />[]YES []NO <br />MCCIIAHICAL <br />1 <br />- <br />I PLCIAL CONDITIONS: <br />— <br />OTHER <br />PENELTY <br />SEC. 30014 <br />I <br />TOTAL <br />A j <br />T <br />—• <br />PI'11L11T VAI IUATION - <br />W IMN I'11VI'L IILY VALIDATE., IIN IIIIS SPACE) T 111S IS YOUR PERMIT <br />n <br />��_��_•--.- •.. <br />;I—FI iU1R-WZ11'RIPfit • I•I A'0471"', AI IIwY, AA'R9Vf011114FW', HT <br />A.I PL1L:; il'.; I,OVY <br />