Laserfiche WebLink
I ;lre fvergmerr � <br /> � =�TY o� CONSTR UC710N everet? <br /> �ver�tt PERMlT <br />�� ULY 4nLl ]5�)E[4] <br />� R'[F.f ii.":4'JI:I.�LC4 <br /> I 5P.:ul <br /> °`°' ""°"'°'°""` gUILDING MECHANICAL PLUMBING <br /> o�vnoruexr <br /> OWN� �R� MAIL ADDflE55 ZIV PH(JNE <br /> b�'a00 �"'R?�.G"'.��i F�AY <br /> ARCHITECT OR DESIGNER Ml�IL ADDfiESS PHONE LICENSE NO. <br /> IGENERAL C�INTRACTOR MnIL ADDRE55 PNONE LICENSE NO. <br /> 1 p� }� �y� ��p e!�� <br /> 8�;��[� �Jil<f W! L.liV .� �Iy� .�� <br />� MECHnNI�.AL CONTiiACTOH MNL AUDRE55 PHONE LICENSE NO. <br />. PWM�ING,:ONTRACTOA MAILADDflE55 FNONE LICENSEN0. � <br /> W <br />' m <br />� PERMIT CLASS OF WORA � <br /> � <br /> z <br /> �OUIIDING ❑ PLUMBING �MECHANICAL }� F <br /> ❑NEW ❑ADDITION �JALTERATIUN ❑REPAIR � <br /> VALUATION OF WORK <br /> S � ❑DEMOL�.SH ❑FENCE �SIGN ❑SWIMMING POOL W <br /> DESCfiIBF WOfiK <br /> G. <br /> `�n'� �aa` rm�"'' su� U 13 <br /> PFOPOSED USE <br /> MECHANfCAL <br /> 'GAl OESCRIP;ION OP PROPERTV ISHOW OELOW OR ATTACH TVPF OF FUEL �OIL ❑GAS ❑LPG. �ELEC. <br /> FO�'R COPIE51 <br /> Lo7__ BLOCK_oF N�� n'PEOFE�UIPMENT FEE <br /> AIR CON�. UNITS-H.P. EA. g � <br />, REFHIGLRATION UNITS-N.P. EA. <br /> - DOILENS-H.P. EA. � <br /> GAS FIqE�AC. VNITS-TONNAGE EA. <br /> __ PORC[L Alq $VSTEMS-B.T.U. M EA. � <br /> JOD ADOR[SS �by) r.y�� WAL� HEATERS-�.T.U. M <br /> �7� <br /> UMT FIEATERS-B.T.U. M � <br /> PLUMBING Evnron,anvE coo��as <br /> CLOTHES DPVFfi$ � <br /> VENTILATION FAN <br /> RANGEHOOD � <br /> NO. TVPE OF FI%TURE OR 17EM FFE A�R HANDLING UNIT— C.F.M. <br /> WATQN C�OSETITOIlET1 T— INCINERATOR � <br /> BATHTUB � <br /> �AVATOR\'IWASH OASIN) � <br /> SIiOWER — <br /> KITCHEN.'�INKt1015P. SUBTOTAL S � <br /> DISIiWA511ER <br /> i <br /> — PERMIT S <br /> LAUNOq�' TRAV -- <br /> CIOTHE£WASFiER - TOTAL KEE 5 � <br /> Wl�TER HEMER THIS PERMIT UECOMES NUV. AND VO10 IF WOfiK OF CONSTRUG <br /> — — TION AUTHOIiIZED IS NOT COMM[NCED WlililN 120 �AVS, OF IF <br /> URINAL CONSTRUCTION OR WORK IS SUSPENOE� Ofi A�ANDONED FOR A <br /> DPINKIIlG FOVNTAW P�R�OD OF 170 DAVS AT ANY TIME AFT[fl WORK IS COMMENCED. <br />- . FLOON-�SINK OR DRAIN I HEREOV CERTIFV THAT 1 HAVB READ AND EXAMIN[D TNIS AP- <br /> Vl�CVUid (JqEAKERS °LICATION AND KNOW TNE SAME TO OE TRUE AND CORRECT. ALL <br /> ROOF I:�qAINS-RAINLEAOERS 'ROVISIONS OF LAWS ANO ONDW/�NCES COVERNING THIS TYPE <br /> QF WORK WILL �E COIdPLI[O WITH WHETHER SPECIFIEO HLREIN <br /> SINK ISFRVICE-OAP,ETC.) OF NOT, TME GRANTING OF A PEIIMIi DOES NOT PliBSVME TO <br /> �iIVF AUTHORITV TO VIOLATE OP CANCEL THE PqOVI510N5 OF <br /> - 11NY OTMER STATE OR LOCAL LAW RFGULATING CONSTRUCTION <br /> — _ UR TI1E PEqFORMANCG OF CONSTRUCTION. <br /> SUB TOTAL <br /> PERMIT $ � <br /> TOTALfEE $ �' <br /> x , / 7 !6 <br /> SGNAIU(iEOFCONTHACT�fiORAUTM.AGENT OATE <br /> SIDE YARU SETBACK STREET SETOACK REAR VARDSETBACK PLAN CH'.CK NUM�EP PLAN CHECK FEE <br /> FEE FECEIPT NO. <br /> USE ZONF LOT AREA VACANT SITE <br /> ❑vE5 ❑No FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCV GROUP NO.OF OWELLING <br /> UNITS � <br /> SIZE OF 131DG. NO.OF STORIES MAX. OCG LOAD BUILDING 5 � � I W <br /> PLIJMDING � <br /> FIREZONE BASEMEN7 FIRESPRINKLERS <br /> REOUIREO <br /> ❑Y[5 ❑NO MEI:HANICAL � <br /> SPECIAI.CONOITIONS: OTHER I <br /> I <br /> PFN=LTV SEC.30�lal 1 <br /> TOTAL � � � <br /> PERM1IIT VALIDATION <br /> — WNE'J PpOPERLV VALI�ATGD IIN TMIS SPACE)THIS IS VOUR P[qN1T <br /> �PPLICATIONNCCEPTE00Y'. >LANSCNECREOBY: APPNOVEfIFO ISSU/+NCEBY. I <br /> VI S� M �+* �N� V� a I <br />