Laserfiche WebLink
CONSTRUCTION <br />PERMIT APPLICATION <br />COMBINAT�ON • BUILDING • MECHANICAL • Pl'JMBING <br />N� MAI� AUUHt;i�i � LIP ' 1'MUh! <br />,QL,Cl� �l� �liC'/l� ��-ii-_l��i�r,9/v' �CiNE - %�'d-' .�S ? <br />: t�� .��.t� �� � � <br />�f.OM61NAT10N <br />❑ �UILDING � PLUMOING � M6CIiANICAI <br />JALUATION OF WUNK <br />__ " . �'/� <br />l0T <br />` 1h',.d�l� <br />�ss <br />IIPTIUN OF Yf10PkRTY <br />I t� ���i� <br />e�ocK�'� or_i <br />�_.<. �,._� f <br />r <br />E� CcG <br />„ <br />;!J'��0]p� <br />N U. <br />WORK • - <br />❑NEW ❑4DOIi1UN ❑ALTE11nn11N ❑I�U'/��11 <br />❑OEMOLISH fENCE ❑$IGN ❑9WI0.1MIN:: 1'UO�. <br />� OTHER PERMITS OR APPROVAlS <br />j� REZONE �{ SPECIAL USE <br />IH ATTACH <br />j. t„ �IVARIANCE � SF'ORLINE <br />SEPA CHECK LIST REQUIRED <br />1� YES <br />yj NO <br />� � �. s <br />����� <br />2 d3 '� MECHANICaL <br />TVVE OF CNEHGV <br />❑t:n5 ❑kLfC. <br />. NO. TVPE OF EUUI7MENT � FEE <br />AIRCONp. VNITS-/I.P. FA. � _}5 I� <br />_._. ._ ' _""_.. ."__._ ..."_" ..__�-�.�-_ '._�t� <br />fEE qlfRl4lRATIONUNIf: RY_LA. __'_'"_____i <br />- 'DOIL6R$ I/P EA. � <br />i. _ ' ' _ _ '_._'T_ <br />FOBCED AIH S�STEM': O.T.U: MEA. __L__ <br />1 � ' _"�'. "_"_ _�� _'�_ � <br />SPACf b WAIL NEAiERS - N.T.U. `�- <br />� "_ _ <br />� UNIT 11EATERS N.T.V. � <br />�— EV��'ONATNECUO�ENS —�— <br />� CLDTMESDRVCHS � I <br />. — ..�.,..-..—�-- TT <br />JUMY.l �- .lt WPUC YUMY ' - <br />. <br />UIIINAL$ 1 _...AINIII�NDLINGVNIT. .... C.f.M_..._.. _ .^__J <br />WATFH CIOtiLTS � � <br />—_ "'_' .. _. ..."__. _ ' _..__ _._ _..._T <br />WATE�111LATEIIy � ELECTFiIC � WATEN 11EATEH _ y___ <br />V/ASM BASIf.S • — � FAC. BUILT FIREPIACE A CIIIMNEV .�..�. .._ I <br />LAUNONV Tf7AY5 - f.AS. S�STEM: NO ON OUTU IS � � T <br />� _ ' ____'"" "" . L__ <br />_ _ GUO TUML 5 I <br />_ _ ' _' ____' "_____'__'_" '__"""' <br />� VERMII 5 �— <br />� _. '__'__'_"__ """'_.'_..._...."_'_' _'___' <br />SUF� TOTAL 7OTnl. FFE i 1 <br />PERMIT S 1��I5 VFfIR11T IICCOMES NVI L �NU VOIO II WU��Y, �iN f.UP:!:Tf1UC <br />70TAL FEE S —� T�nN nun�Uniten is Nor CO`.��1LN[[D Wrt�UN no o.�vs an �v <br />... . CUN!ii11UCIiON O(i WORK IS SU9�`I Nf1Ep O11 AflN�ppN[i� [pR A <br />WATER SERVICE SIZF. if�vw� O�Lf7G. SUP{'LV $12F. YCn100 OI' 170 OAvS AT ANv fIMF A1 iE�i WOfiK 4:f.nVr,�FhCEU. <br />���. intt� Sl111ACK HkAHYANDStiUACK' I IICRLIIV Cllil�ii f11rtT 1 IVN! HlI�U ANI` E'anA+INI n tlli5 AP <br />PIIC/�TT.N P.NO KNOW TN[ 5�\p1E lU Itl T(lUF ANO Cf�liliFff. ALL <br />PfIf1V1!:IONS Of 1 AWS ANb OIIDINnNCF.$ GUVCfiNiNG TNIS TVVE <br />T_ OF WOHK WILI OE CO\1Pl IEO WIf11 Wr�ET11ER SP[CIRIEO ��ENEIN <br />USf LUNL W7 AHLA VACANI SITL Oq NOT, irlF (if11�NTING f>F A PERMIi pOCS NOT PPESVME TO <br />GIVE AUTIIU;�ITY TO VIOIAfh ON CANCtL f1�E Pf1pVISiON$ OF <br />❑VEti UNO ANV OTIIER STA7E OR LUCAI lAW HL(:UL47iN�: CUM:TIIUCTION <br />TYPE OF CONST. UCCUVANCY GqUUP NO.Of OW6�LING ��� �ME VCRFORMANCE 9f CONSINUCTION _ <br />uui�� � <br />",I'111Nk11.11; xGNATUfICOfCUNf11ACTOiIORAUTN.q[iENT DAi[ <br />UIHfU InNCHII'KNUAIII!{I �'IANCMtI'KILL <br />V[5 ❑NO <br />I �4C I��ECE�Pt Nt� <br />SPGGAL CONOITIONS' <br />SEPA REVIEW COMPLETE � ❑YES ❑ NO <br />contacl p�anninq depl. <br />FEES <br />UUILOING <br />riuMniN�ti <br />MICMl�NIC/�l <br />OTI�EH <br />PENAITY <br />TOTAL <br />—_ ._. —_—__ <br />S � �' � <br />----.__._ =_.._. r-- <br />i <br />i <br />I <br />. � <br />�._ . <br />� <br />I <br />—__.T__ <br />SEC.JO]1�1 � <br />_. __._'__ . _ _—"_ L__ <br />I <br />,�</�CL' <br />i <br />h <br />