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. . .. .. MAI'LADDRl;S5 ZIP RHONE. <br /> Richard D ' 9311., 3rd Place 355-9130. <br /> "ARCHITECT OR bF.S'GNB MAIL ADDRESS PHONE r.ICFNSF'NO • <br /> GENERAL CONTRACTO.R•' • MAIL ADDRESS PHONE LICENSE NO. <br /> Same . <br /> : MECHANICAL:CONTR'ACTOR: MAIL ADDRESS PHONE LICENSE NO. • <br /> 'PLUMBING CONTRACTOR' - MAIL ADDRESS PHONE LICENSE NO- <br /> PE RMI'T" — <br /> �CCASS'OF WORK ,i. <br /> Q COMBINATION' <br /> QIBUTA.DI:NG [3,PLUMBING QIMECHANICAL • <br /> ' • • • • , Q <br /> •`: . . :NEW' QADOITION 0ALTE'RATION • ®KEPAIR <br /> VAI UAT,IO,N OF WORK .. . <br /> (, ' $ 200.00 Q'DEMOLISH' QFENCE ;QSIGN ,QSWIMM'ING POOL <br /> I, DESCRIBE.:WORK <br /> impair:wa3k ,way replace.. rotted' materiel . <br /> I. PROPOSED USE s <br /> MECNANI�AL <br /> #14i420. family: residence TYPE.OF ENERGY <br /> LEGA LOESCRJPTIONOF'PROPERTY ISHOW BELOW OR,ATTACH. '• QG'AS QELEC. <br /> FOUR P.YES) • <br /> 4 a.2' Ci•.' ' Land'Co. . S 1s No. . TYPE of EQUIPMENT FEE` <br /> • LOT BLOCK,_OF � <br /> ,'.,?!'!•"••,,,•',:,,,,,i,,.',:-::,..:'••••:„.....,i _ <br /> AIR'COND:UNiT.S" H.P..EA.• ' .k <br /> "r : !' .: .REFyRIGERATION UNITS-:.H.P. EA.. <br /> •� i I,, .. BOILERS-H'.P.EA. " :'.}. <br /> ., .. �, . FORCED A'IR'•SYSTEMS-B.T:U.. MEA'. , <br /> •JGB ADDRESS • `'SPACE &WALL HEATERS- B.T,U, ' <br /> 4018 Hoyt " UNIT HEATERS--B.T.V. I''. <br /> �EV <br /> �_ APORATIVE;COOLERS <br /> c - <br /> PLIM�B�NIa` • CLOTHES DR YERS: <br /> 1: <br /> VENTILATION FAN <br /> _ <br /> I%YID : • NO'. TYPE.OF RANGE HOOD' <br /> 1 <br /> 1 <br /> OF FIXTURE OR;ITEM: 'FEE . '•AIR HANDLING UNIT- C.F.-M.' • 1 <br /> v •CLOTHES WASHER • I .•.1 - I <br /> DISH WASHERS - WATER HE4TER. 1= <br /> I;..; ...:,DRINKING MINS 1. FACBUILT'PIREPLA'CE`& CHIMNEY' <br /> .DRAINS i F-- <br /> +. • <br /> • • .'KITCHEN:SINKS a'DISP. 1 GA SUB TOT S ,V: <br /> S SYSTEM:•NO OP OUT <br /> • <br /> AG <br /> ��', i • 1__, _PERMIT $ : <br /> `ROOF^DRAINS RAIN LEADERS ••. <br /> SHOWER'BATHS THIS PERMIT BECOMES NULL AND VOID IF WORK,OR CONST• <br /> SERVICE SINKS • I • .-PION'AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS;:0 <br /> I SUfllll*S'^SEyyAGE,PUMP 1• CONSTRUCTION OR WORK IS.SUSPENDED OR ABANDONED Ff <br /> �. a'' I" <br /> ,. ,tlRINALS ..; „ 1. <br /> PERIOD O�F'�:120 DAVS'.AT•ANY TIME AFTER WORK:IS COMMEN" <br /> I ' ',..MIATEA.CLOSETS •• . ' • • .: : • 1 HEREBY CERTIFY THAT •SAME.READ"AND'EXAMINED TN1; <br /> .WATER'HEATERS:.-•ELECTRIC 1. PLICATION AND LAWS•AHE•SAME TO BE TRUE AND C')RRECTi <br /> • • PROVISIONS OF LAWS•AICD ORDINANCES.GOVERNING THIS 1 <br /> ;'WASH''BASINS 1 :OF :WORK.WILL BE COMPLIED WITH,WHETH:E.R:SPECIFIED':HEI <br /> ... LAUNDRY.`TRiAYS : : OR:NOT,.THE.;GRANTING OF.A ,PERMIT DOE NOT:.PRESUME <br /> • • •GIVE.AUTHORITY TO VIOLATE,OR 51:::4.21-A• <br /> ANCL' THE PROVISION: <br /> � • ANY OTHER'STATEOR LOCAL LAW REGULATINGCONSTRUCJ <br /> 1 ORTHE PERfORMANCE OF.CONST'RUCTI'ON" <br /> PERMIT' ' S 1. <br /> TOTAL FEE I 8/2.6/7 <br /> MA4^TER SERV ICE SIZE BLDG.'SU SIZE SIG .,uRE OF TRACT R•AUTH:AGENT ', DATE <br /> SIDE.YARDSETBACK' STREET:SETBACK AR'YARDSETBACK PLbCHECK.I BER•. .• ' . . , PLAN CHECK•FE.E ' <br /> FEE RECEIPT NO.. <br /> USE:ZONE LOTcAREA ' . _ VACANT SITE <br /> DYES Q. <br /> NO: FEES VALUATION FEE <br /> PE OF CONST: .: OCCUPANC.Y GROUP' NO.OF DWELLING. - 1 <br /> TY <br /> UNITSC • <br /> I, <br /> SIZE OF BLDG NO.OF STORIES MAX.OCC. LOAD BUILDING $• 200..O.0 �_S ( <br /> . • • <br /> 1 <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRESPRINKLERS. •1 <br /> REQUIRED • <br /> 1' <br /> • <br /> • <br /> SPECIAL CONDITIONS <br /> DYES. QND• • MECHANCCAL <br /> `OTHER ) , <br /> PENALTY SEC.303(a1 I , <br /> TOTAL.' I <br /> PERMIT:VALIDATION' ' <br /> • WHEN PROPERL VW <br /> ATED IINTISS:PACELTHISISY, R <br /> .. .\ <br />