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HomeMy WebLinkAbout9510-19~~ APPLICANT: ~ OWNER ~ CONTRACTOR ~ OTHER: COMMENTS: PERMIT # G~ ~~~ ~ ~ l + eoal Descxi~tion: ,^r,c;' he 1 l~w.,s,}~ Addition SITE ADDRESS: ~~~ 'r ) ~ ~~~~5"t~~""'x'rT - Block{s) -S Lot{s} Zone: Sfz~cx- rzC ~c-e OWNER:, CUM C"• ~' ~ r-w 1 t v, ~' vl CONTRACTOR: ~ " r~ ~ `~~ CONTRACTOR LICENSE OWNER PHONE ~ k `~' ~S~ ~- ADDRESS: -- - ADDRESS: } ,,~% ~ C~ EXPIRATION DATE: v:. CONTRAGTORPHONE# NQ TYPE'OFE tIIPMENT'•~ FEE !N(3, TYPEOFEIXTLtRE:_ a RANGE WATER CLOSET P : P i'wOCDiP%LLETSTCVE 1 BATHTUB V 1t~'T GAS FURNACE bra's: LAVATORY +Id ~1 I ~ CON"vticSiviv BUiuNER brrrY SHOWER 1) , UNiT HEATER bru5: KITCHEN SINK ~~,oo BOILER bra's: DISHWASHER GASPIPIPiG I LAUNDRY TRAY EVAPORATION COOLERS bra's: CLOTHES W,4SHER r~11 AC UNIT bra is WATER HEAT HEAT PUMP bruit roru: URINAL REHEIT BOX bra's: I DRINKING FOUNTAIN AIR HANDLING UNIT brrs't: FLOOR SINK OR DRAIN j E}G-IAUST FAAIS SLOP SINK ~ RAPiG£ HOOD (residential) ~ WATER PIPIING & ALTERATION RPu'VGE HOOD (commercial) GREASE TRAP/INTERCEPTOR CLOTHES DRYER HOSE B[BBS INCINERATOR LAWN SPRINKLER SYSTEM DUCT ALTERATION SWIMMING POOL TANKS r. BLDG. SEWER (mobile /moved house) REFRIGERATION UNIT ROOF DRAINS OTHER: OTHER MECHANICAL PERMIT FEE PLUMBING PERMIT FEE ~o,~o J10.322.100.00) 016.102.00) Mechanical Fees State Fee T~vrer. APPLICANT'S Balance Due Plumbing Fees State Fee TOTAL `~ C~ c zz~~~~ r ~i Fees Received by Deputy-Clerk l~ ~i S Date R~'d ~LF.G~ y , so 3~ .SQ o~-~' 7/5 Receipt No.