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Home My WebLink About9502-18 SITEriDDyyR~~ESS':/n/l~ n~c,/~I_ ~' OWNER: YV i cll,ojw5 I `~ ,' II VlraU~W CONTRACTOR: ~'1'~~~- ~O~e`r CONTRACTOR LICENSE A' S7~V~CC (ZO ~~ OWNER PHONE ~~3~D~L 7~ l E~.'.Yi' L vE7L.A' 1 r, i u.v '. ~PCht)Ori t~..~ ~ CPJC.F~ cf ~oTSJ i - 8 ~ ADDRESS: f3o~1 1~L» ~...s SF. P~_I `/53~~ ADDRESS: EXPIRATION DATE: CONTRACTOR PHONE I>IO. '! TYPE' OF E UIP~3I21T FEE 3V0. TYPE OF:FLYFUItE= : ! 'FEE;' RANGE WATER CLOSET W'OODlFELLET STOVE BATHTUB GAS FURNACE brai: LAVATORY i CON'vcRSiON BURDIER bra;: SHOWER UNIT HEATiR btv% l IQTCHEN SINK CVtli~A4'IfAA 0~ BOILER btai: DISHWASHER GAS PIPING ~ LAUNDRY TRAY EVAPORaT10N COOLERS bra's: CLOTHES Wr1SHER AC UNIT bra's: WATER HEATER HEAT PUMP bra's: roru: URINAL REHEAT BOX brut: I DRINKING FOUNTAIN AIR HANDLING UNIT bar is FLOOR SINK OR DRAIN EXHAGST FANS SLOP SINK RA,*IGE HOOD (residential) ~ ~ WATER PIPIING & ALTERATI OO R:4~iGE HOOD (commerciaD GREASE TRAP/INTER 8 CLOTHES DRYER HOSE BIBBS 1, i~ INCINERATOR ~ LAWN SPRINKLER TEM DUCT ALTERATION SWIMMING POOL TANKS e: ! '} LDG. SEWER (mobile /moved house) REFRIGERATION UNIT ~ R DRAINS OTHER THE MECHANICAL PERMIT FEE PLUMING PERMIT FEE 20 X10.322.100.00) Mechanical Fees X10.386.102.00) State Fee • TOTAL APPLICANT'S SIGNATURE:. $ 5l~ s~ Balance Due C/~\ Plu~, Fees GF.~r to F ,~; . y;;r ,~ . . `c; J,, i ~ D.~ ,~ ~~~ ~-_-- ~-i-95 Received by Deputy-Clerk Date Recd OTJ fi,lo.av i u~o P~s~ ~: ~ t~9 ~i~~ Receipt No.