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<br />� �� � � C01`dSTRUCTION
<br />evere��i PERMIT
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<br />""';:;;;;':,,;, BUILDING MECHANICAL PLUhIBING
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<br />nv�cnneCT UR uesiitNl i� --. __. rir i� nf3ti�vGss _. ... rHONC .. ._ -_____ .
<br />IJCEIJ'.f G:U
<br />G�'NEqALCOIITRACiOR MMLADORESS PI+ONE LICFN�,� • �
<br />'���� �Ir.�•�: I�!:'i"i�� fre•.nG..1f
<br />LILEIJ`,1 '.
<br />PLU�111jNG COMTRIICTOR MNL AbDRESS PHpNE I.ICENS; N�
<br />PLfiMI� .-- -- CI_A;SOf WOfiR --_- ---_ .
<br />Qfl'�iLDING�]PLUMAING �M[CMANICAL
<br />�N@W ❑ADDITIOpI ❑ALTERATIOR ❑Hi�v,iii
<br />vn1UM10NOF WORK -------- -- --'-- �
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<br />DESCfi'fl WORK -. ._ ._ _ _ . . . . _ . .. __-_ _--.- _ __ _ _..
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<br />fOUfl COPIESI
<br />IAT. OLOCK_OF__ _'____
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<br />PLUMBING -------- --- - ----
<br />N� TVPE OF FIXTUFE OR ITEM � pF[
<br />N'MERCLOSETITOLLEII . ... - S _...�
<br />PATNTVO � .• - � I
<br />LAVATORV IWASHAf�SIM j -- '--- I
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<br />�AUNDNYTRAV -I
<br />MECHANICAL
<br />i�,��i �,i �uil�- ��i,�i I 1�;�,i ���ib�;
<br />NO. f . TYPE Of EOUIPMF.NT __
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<br />' fti ill.l fl'1 11 P 1�1
<br />�l/1!:I INfI]!�C UNI1!: IU'JIVA6L EA
<br />�� 1 OqCC[l AIR iY5TEM5 Ii.i.U. M F.4
<br />Y:nLL HEnTEOS -p.T.U. M
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<br />z �lvnPr�qAiIVF. CooLEfS
<br />3 CLU1��[SDfiVFRS
<br />� VhNtIt.ATIONFAN
<br />i � i,nr,r,c r�000
<br />� iH i�nNDLING UNIT- C.F.M.
<br />�rtJC�NLNIITOR �__
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<br />' ���� �����_"--"-__SUATOTAL
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<br />� u��H-StNK OR DPAIN
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<br />�lUf DRAIN4 qqINLEA
<br />INK 1 El1VICE -PAR, ET
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<br />PERMIT
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<br />',IUF YAti1JSf�pACK
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<br />��i9 �'IA1. CONUIilUNS
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<br />---�� 1i�C�. PkPMIT pECOMES NULL ANU VAID 1� WURK U�l CONSTRUC
<br />__ f �inH nUTNO�IIED IS NOT COh1M[NCr.D WIT111N 170 OAv., pR IF
<br />CUN �TPUC710N OR WORK IS AUSPENDFU OR /1HANOONCD FO� A
<br />��� -� -��-- Pf RIOp OF 110 0AV$ AT �NV TIMF AFTCR WOfiK IS COM1tq�L NCf O.
<br />—� L�-�-- i nenEovi cennvv n�nr i i�nve neno nao rxnMiNcu n�is nr
<br />- I --- - �LIC471pN AVO KPIUW THE SAME TO [iE iqVE 4N�` COHf1ECT. AI I
<br />----�--- �� ��Oy1510N5 OF L4N'.'. AND pfiDlNl�ryCFS GOVPRNING TIi15 TYPf
<br />{.__. 01 WOfiK WILI [IE COMPIJEp WIT11 4Y�1[THPq SP!'Clf iCf) HER4iN
<br />____ ntl 1JJT, TRE GRqNTING OF A PEf11AlT DDE^. NI11 I�li[SU�1C lU
<br />-�-� - GIVf AUTIIOqIIV TO VIOLATE OP CANCEI IHC'f1UV190N50f
<br />---�- "- nryr i)111fR STFTE OR IOCAL L4W REGUIli1tNG fn�.µ11�UCTlnry
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<br />'I.AI. CNFCK NUMHkR PL4N CHFfK FEE
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<br />FEES VALUATION FFE I
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<br />19 �141111NG
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<br />TOTAL I �
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<br />PF.RMIT VALIOATION
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