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�J <br />COMBINATION <br />PERMIT <br />X <br />BUILDING • MCCIIANICAL • PLUMBING <br />VWIVI 11 Mnll. AUIHIL:JJ <br />/.11• 1'Ih rlp. <br />AlIC11111 C11IH UI '.•I Jll 11 � -� MAII Allllllt!S ��--"- "_—�---- <br />YHVNL <br />I -.I "At C0Nlw,, I,III —_. <br />'.------' -' <br />--MAII AIJUiiti:ii <br />YIIONI <br />.-_�...__._ <br />llLtr..l r., <br />^/ 'l •.-f_�r <br />1. <br />• :It •a Uhl n;.I Iinl <br />FA A4;%(I E:.S <br />! .. <br />P11UNL <br />rl, 4'u l Nli Cori llv.l: 1 11 <br />Mnl, nUlt llf S:I <br />PHONE LICk NSE NU. <br />I/ <br />ll •�, ..UI 1V rllr. <br />CO MIIINAl10N <br />❑ OUR. DING [_J P! UMIIING <br />[ J .p CIIANICAL <br />_ <br />NEW <br />❑ADDITION ❑ALTERATION ❑REPAIR <br />VAI VAIION IJI WnI1K _�•• <br />' <br />IS I,5 >� !.! <br />❑OEMOL iris <br />❑fLNCL ❑SIGN ❑SWIMMINR POOL <br />1'HUI'U:il U UST. <br />n <br />MECFIANICAL <br />I FOAL OCSCHII•IIUN UT YIIUVI <br />IITY ISHDW II ELUW Uri ATTACH <br />TYPE OF ENERGY <br />t UUIICO�IESI <br />❑OAS <br />1 oT__- IILOCK __Oi.__1N!• <br />C-'/.f l.a �I <br />_ <br />NO. <br />TYPE OF EEII)IPMFNT r <br />PLUMBING <br />NO. �TYPL' OF FIX TUII L�O11 ITEM--- — <br />OI Ills VNYSIIC II _ <br />/ I DINH WA51IL11S -- - <br />UItINKINII IOUNtAIN -- <br />FLOUIt DHAINS <br />KITCHEN SINK:i- R VISVT_------_--- <br />BAR SINKS <br />(IOU( U(i A1NS RRAIN Lf AU[IIS <br />S148V1' 11 HA INS <br />liC'IVI(:1 SONK:: <br />WA IEat SE II V IC•I. wl <br />: 1IJL YA1111 Sl I ❑A(;K <br />t- <br />U::1. /ITN 1. _..._ <br />IV04 111 CUNSI. <br />'ILL UI III Uli. ---' <br />9111 CIAI CIINIII I IUN': <br />Ul DO. SUPPLY SIZE__ <br />I III L I S( TIIAL'K ALAI( VAIIOSL III, <br />Ill Alll A -- --- -- - j-,`ACX,, f slr C — <br />[ JY1.:1 ❑NO <br />CLUVANCY (illoU1' NU ill UWLLIINI: <br />O _ _i UNITS t <br />IIA61 kit N t <br />tIK IIINf RATION UN115 II P, EA. - <br />II CCO Wl11 SVSIEMIS-B.T.II, MEi <br />SPAC_C A WALL ((EATERS - B.T.U. <br />UN_ITRLATEFIS II.T,U. <br />_ E_VN_'t111ATIVL COOL E ITS <br />CLOTHES UIIYLRS <br />..�. VF NIILA71oN TAN_ __ <br />( IIANI:L HOOD - <br />AIH IIANTH 1N- UNII C.P to <br />WA FLIT IIEAIL II--_�---� <br />FAC. IIUII.T I1(41'PLACE. h MNf' <br />GAS SV SI I.M NO DY OUT LE IS <br />cvc"I'vit <br />L <br />1 <br />_.. _. _... ._. ... ..--SUIT TOTAL / 1 <br />PETER S <br />T/11^. VF UNIT IIf C.f1MlS Nlll1 ANO Volnit YrORK IR C(tt:ST'PUG <br />110N AIJI110M,111) IS NOT C(MIYIFNCI O WHHIN 1.10 DAY.',, tin IF <br />CONSIIIUCIINN ()If WOIIY. I,^.!;I:SI'UIULO fill AIIANUO:aCD FOR A <br />PERIUII Of 1;10 DAYS AT ANY T'%It At 11,HWORK Iti CU'.IAICNCLD. <br />111FR: IIY CERTIFY THAT I IIAVL READ AND E XAPAINED'lll� l.P <br />PLICATION AND KNOW SANIE TORL TRUC ANOCORtlFCT. ALL <br />PROVISION$ Or LAWS AND OI{DINANCES ROVFIINING 71115 TYPE <br />OF WOFIK WILL OL COMPLIED 1" ITII WHET fit IT SPECIFIED HEREIN <br />011 NOT, T111. GFIANTING Or A PLRMIT HOES NOT PRI^.UN1E TO <br />GIVE AUI1101111Y 10 VIOLATE OR CANCEL 711E PROVISIONS OF <br />ANY 0111111 STATL OR LOCAL LAW IIEGULATINO CONSTRUCTION <br />Oft TIIE PL14FORMANCE OF CONST HUC710N. <br />C <br />X Ai C 6 h R µV� <br />SI(:NAI H F Tf1AC1[111U AV tII. AGENT DATE <br />PLAN CIIt CK NUIV IUI PL AN CHECK P E L <br />FEE (RECEIPT NO. <br />Rills KIAX.000. LUAD IIUILDINO <br />_^ I <br />)1111 I''WFII KLLI-LL+ Pl UA1BINU I <br />fI L11U111LLI ---- -I ---_ <br />❑YLS ONO Kit CIIANICAI. <br />I <br />UT fit It <br />-__'~-- - -^-----^- PL'NALtY SEC. 3071d <br />TOTAL <br />PERm1T VALIDATION <br />"'- _ "- _--- ---- WIII N I'1101.1 RI V VAI IOAI I O TIN 11113SPACtl T HW IS YOUIt PL IIMI' <br />..•fli <br />[I <br />O.Unlil PILL <br />