Laserfiche WebLink
- GC3Q!S� HUCTlOCV <br /> PER�'�hIT A�PI_ICATlt�N �3��� Z <br /> COMBINATION • E3UILDING • MECHANICAL • P�UMf31NG <br /> o Nc« ��KS� F���n �l �S�v� �S Mn��nuu���ss �1 `j£1�10 . St�fx-�34s�1� . <br /> 1 �,V p�c ��� ✓MUNk <br /> �i�fl�ZY�_.��i���.—. Sat�,� k�.�'r.t�i:,�_ n,r,�,.":; i>��_ }c:,. y�� . <br /> ANCiiiTfCiuHUISIGNkH �—����qp'UHESS YNONE I,ICkNSENU � <br /> GENIRALCONTRACTUH MAILAO�HEiS YNONE UGENti[ hU. <br /> �� . �- , �,� .� J1�ilwlrr�S � � . <br /> Z'�'7C"i `��j'1c �., � <br /> MEGIIANICAL CONTRA ON � MAII ApDRESS PHONE UCENSk NO. <br /> PW��UING CONTRACTOR MAIL AD�RESS V1lpNE L�CENSE NU� � <br /> PkNMIT C1A550f WOflK . -- ' . <br /> �COMbINAT10N <br /> OUILDING �PLUMBING �MECNANICAL I <br /> __ ❑NEW ❑AODITIUN ❑ALTER�liqN ❑H[1•ni11 <br /> VA�UATIONOFWOiiK - —" -'"-'-- "-----' I <br /> -" �1 ❑OkMOLiSN �F€NCE ❑SIGN ❑;WiMMiN<i �•UpL i <br /> s .�J.`yL��..._�.�,_�� <br /> MSCNI�E WOAK� -- <br /> J�.! <br /> � ` " v,-. j C• _ 5 - - ,.,s <br /> raovoseo usp�`��' OTH R PERMITS OR APPROVAtS <br /> ILGAI l]h:CR�PT�ON OF VqOYEPTY ISNOW BELOW UR ATTA01 -� R� ZONE � SPECIAI USE <br /> FOUR COPiE51 ' <br /> ior1Z�.L�e�ouc�oc Pine Di , . �I.VARIANCE I� SF'ORLINE <br /> � �O �an �f ,- � SEPA tHECK LIST REQUIRED <br /> I� YES <br /> =j NO ' <br /> J08 ADORE55 ' <br /> 'nnEcinNtcn� <br /> PLUMBING TYVE Of ENEHGY <br /> ' ❑aiAS ❑fIFC. <br /> . �.NO _ TVPEOFEQUIPMENT__ FEf <br /> AIR COND. UNiTS ��N EA � �5 �-�— <br /> � NO. TVPE OF FIXTURE OR ITEM � � I <br /> FEE RElRI(.�ERATIpN VNif1 IIV EA. . -�� <br /> ' ISAIN lUdS ,y .. -- .- ' --`�-- i <br /> � CtOTHESVlnSNF.H � _ DO�IEn� HqEq. � � <br /> ��-- � . _ FOHCE� AIp�5Y5_EMS p_T.U_ MEA. �- �_ <br /> � OISII Y!A$HE�2S <br /> : pftINKING FOUNTAINS �— ' 1 <br /> � H.00H OHN�:$ - '�� SP4C[ b WAII. MEATERS P.T.U. _.---T-- <br /> ' KITI�itN SINY,:' p UISN. --�-- UNIT MEATEP$ B.T.U. -^_f.__- <br /> � � HAR_;�NKS -T _--_'-_.'__ __�' <br /> � [Vl�POHATIVECDOLENS —� <br /> � IIOOF UI1AINti NAIN LEADLHti -T ----"---"--'----'"--�-"'- ` <br /> SHOC:EH BATHS � _ «OlHES Ul1vFR5 _ <br /> VENTILATIONfAN TT <br /> S[RViCE S�NKS � �-- J � <br /> RAN=f HO00 1 <br /> __ SVMPS - SEWA.^.E PU"dP _� I <br /> URINALS 1 NHHpNULWf UNIT Cf M � I <br /> __ ..__ .... .._ <br /> LVAIER CIOtiETS �1" . _ . . ,. ._ . � . . . _ _ T^. <br /> _ . <br /> . WATE�1 HFI4TEfi5 � E�ECTRIC � W/�TEF HEATEH _�,._� <br /> ..._ .. __ . . . _... .. _. <br /> WASH f4ASIN5 - � � FAG BUILT fIHEPLACC W CHiWNEv � .. <br /> IAUNORV TlIAYS CAS. SYSTEM: NO Oo OVTL! �5---.. ...-I '" -"-"T�-'- <br /> _� . _ _-____'...__. ._ ...SVO TUfAI _5{ _ .... ..._I._ 1 <br /> � ._ _ -_'_�_...____-'__."_e._ '_'_'"'_"__T� <br /> � iE11MIT $ <br /> � _._�__'_�_."__- __'__.'.__..."__ � <br /> __. <br /> SUBTO� �OTl�LFEk 5 � � <br /> TAL � ..____'______'".. ._"_____'_._"_' "`-__""""__ <br /> PEFMIT g — T111$ YFrIM1T UECOMES N111 !. nrvO VOiU 11 WUr1Y, I�N CUNSTqVC <br /> TOTAL FEE S T�nN AVI�IORI%EU 6 NOI COMh1�NCf O WITHiN 1?0 0.�V':, pR �F i <br /> ..,� CUNSTIiUC11pN OH WO(iK �!: iU::l`f�NDCO Oii ApANUDNC[) FOF \ <br /> WATER $F.RVICE :VC. BIDG. SUYF�V SIZE _ I NPIIIOD OF 1�0 �AYS l�T /�NY liMF AFTEH WUf�K iSCnNmENCkb � <br /> J S��i��UaC uA jY 5� OACK � FlAHYAHp5E1F1ACF I 11[R1�.OV CIfiTIFY TNM � M/1VC HENfI ANn FYAMINlD YIIIS Aa I <br /> PLiCI�TipN f.ND KNOW TN[ SAM1IE TO 114 TRUE ANO CO� �.CfT. ALL � <br /> 1'QOVI';IpN$ OF f.4W5 ANU OROINANCFS COVE11NiM1(. 1r�t5 TVv�I � <br /> _ OF Y/ORK W�L1. BE f.OMPL�EU WIiH W �ETr�F!� ;;VFC�ci J MErtU1� <br /> �� «UN� _�� lUT AHLA VACANI SITF � OF NOT, iHE GRnN'IING OL l� VE��dli I�OES NOT Vf�ESIrNE TJI I <br /> . - ❑YES ❑Nd V�Vk �1UTI�OI��TY TO V�OtAfE OH CANCE� !n[ �`NUvi;iON$ Ci <br /> .�. ANV OTIItiR STAiF. OP I.00/�L LAW rzV.4V1.AT�NG COM.:TnUrilpN <br /> TYPE OF �ONST. OCCVPANCY 4ROUY hO.Of OWLLLING nn 1'���� FF(i�CRMnM10E Of CONSTnUC1iON � <br /> VNITS • <br /> I <br /> SIZE Of p�DG. NO.pF SiORIES MA%,pCC. LOAD �,��_�/\y'� � �� q4 /�//` <br /> .'SKICN-FA4Ui+F t�f�rHn">-CX'-��l]/uLLdll.nf;L� I.S.l._.�.'� <br /> I INt 2UNE-- '- -- r�n <br /> , IlA1:FMlN1 -fIH�.':PH�NKLLIIS <br /> plOUIHf!] • VL.1N CMtIK NUIdUf.�� � vLAN U�6Ch 1 L1.�� <br /> ❑Y[5 ❑NO {�C HECEIPI Nn <br /> SPkCIAt COkOITiONti�. v <br /> . . .__'�__. _'�__'""�.. . _. . . �. ._ . ... . <br /> .. fEES VAWATION FEE <br /> ' .� __'__—,_ _ _�".'T__' <br /> ��.—___.-�_'_._._'.._._., � <br /> ..._"_' _.' '_"' _,__l' <br /> �Y � - . NVIIOINc ` f � <br /> _ ._� -- � '_ .' -__ � <br /> __. ._. ..._—_'_'_.._._ .._ ._._._..r_._, <br /> SEFA RfVIEW COMPLETE � �YES ❑ Np •' ""'"'n'"" � <br /> tOnlacf Pfanninq dapt, e+�cnnNicn�-`..---•- . � � <br /> . _._ ______.._. �.._. <br /> orr<en � <br /> ----'-� .��,. � <br /> �-^._.��., -------'�t— <br /> wtKnbUqµtlrLLu�v r�nno�nuqUYv�� �/weUvlo�peq���.y,l�rr rFN4l7Y S[f. 7071a� <br /> I � __�. . .�.��_��..�_ ' ._._� . �.. J-._ _i._..._ <br /> � <br /> �Qln� 1 � <br /> .. .._.�.-. _ .. ....����. .� _�.� ...i�a.�..���.........r.�L ..�.�v�a.�+m�c���I.�c+ ..._ :...�.�aass.�. <br />