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',ERAl CON1RACTOR NO. <br /> 'ame <br /> MECHANICAL CONTRACTOR MAIL AODHEIS PI40%E LICENSE NO. <br /> m <br /> PLUMBING CONTRACTOR U a',IL ADDRESS PHONE LICENSE NO <br /> CLASS OF WORK <br /> CO V,131 N A TI'0 N <br /> 13 OU'..DING PLUMBING MECHANICAL 0 NEW ❑ADDI!ION ❑AL TERAT!ON CIREPAIR <br /> VALUATION <br /> EMO LIS H E NC E El S I G-4 E]SWIMMING POOL <br /> io I coo.00 <br /> DESCRIBE WORK <br /> 20'x40' Addition <br /> PROPOSED USE <br /> MECHANICAL <br /> LEGAL DESCRIPTION OF ROPE PT Y BE LOW OR ATTACH <br /> TYPE OF ENERGY OGAS ❑E LEC. <br /> _.N&T____T_ypE OF EQUIPMENT <br /> L BL OF.. Pecks Bayview Tracts FEE <br /> 1 AIR COND. UNITS- H.P. EA. <br /> 41EFR;GERATION UNITS -h.P. EA. <br /> BOILERS H.P. EA <br /> FORCED AIR SYSTSMS-B.T.U. MEA. <br /> JOB ADDRESS <br /> SPACE & WALL HEATERS B.T.U. <br /> 6121 Beverly Lane UNIT HEATER; B.T.U. <br /> y <br /> PLUMBING CLOTHES DRYERS 3 on <br /> VENTILATION FAN <br /> RANGE HOOD <br /> TYPE —TEE •AIR HANDLING UNIT C.F.M. <br /> 7PE OF FIXTURE P. ITEM <br /> BATH TUBS !$ 2 <br /> CLOTHES WASHER <br /> DISH WASHERS L WA T. FR HEATER I FAC. BUILT FIREPLACE & CHIMNEY <br /> DRINKING FOUNTAINS _4_ <br /> FLOOR DRAINS r i 1 GAS, SYSTEN4:'NO OP OUTLETS-.—.—.- <br /> SUBTOTAL S <br /> KITCHEN SINKS & DISP. 0o <br /> BAR SINKS PERMIT Si. <br /> ROOF DRAINS . RAIN LEADERS TOTAL FEE 51 <br /> I oo <br /> SHOWER BATHS THIS PERMIT BECOMES NULL AND VOID IF W, K OR CONSTRUC. <br /> SERVICE SINKS TION AUTHORIZED IS NOT COMMENCED WIT -a DAYS, OR IF <br /> SUMPS - SEWAGE PUMP i CONSTRUCTION OR WORK IS SUSPENDED 08 BANDONED FOR A <br /> PERIOD OF 120 DAYS AT ANY TIME AFTER WtjRK IS COMMENCED. <br /> URINALS <br /> ...... I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> PLICATION CLOSETS _J PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> WATER HEATERS - ELECTRIC <br /> nn PROVISIONS OF: LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> WASH BASINS 00 OF WORK WILL BE COMPLIED W!TH WHETHER SPECIFIED HEREIN <br /> 08 NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME )'0 <br /> LAUNDRY TRAYS 2 00 GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SUB 14 F 00 <br /> PERMIT12/4/78 <br /> TOTAL FEE $1 14 <br /> WATER SERVICE SIZE B'.,DG. SUPPLY SIZE S!JA' ATURE OFCON tFYACTORORAUTH.AGENT DATE <br /> SIDE YARD SET3ACV STPFETSETBACK IREAR YAROSETBAC PLAN CHECK NUMBER PLAN CHECK F E E <br /> 51 201 I 201 FEE RECEIPT NO <br /> USE ZONE L01 AREA VACANT SITE 78/742 26.00 1 3544-, <br /> R-2 - <br /> FEES VALUATION FEE <br /> T'iPE OF CONST. OCCUPI%NCY GROUP 140.OF DWELLING <br /> UNITS <br /> V-N R-3 2 <br /> "§—IZE OF BLDG. N'). OF STORIES X. OCC. LO BUILDING <br /> I S 10,000.00 52 100 <br /> 20'x40' 2 1 ___r_-- <br /> PLUMBING 14 100 <br /> —F7W�_' ON E BASEMENT FIRESPRINKLERS <br /> REQUIRED <br /> 3 none OYES 940 MECHANICAL 5 � 00 <br /> SPECIAL CONDITIONS: OTHER <br /> PENALTY SEF. 3031a) <br /> TOTAL 71.00 <br /> U7---T_ PE <br /> RMIT VALIDATION -Tt:D I <br /> I P:Pw0hE R L Y V AjW GATED 111;WPAC "ll <br /> 4= <br />