Laserfiche WebLink
r:�PPLICATION f01� �l' �J�{ <br /> "ry`�'°'"° CO�NSTRUCTION �" rrerrtl <br /> r tt PERMIT O <br /> eve e <br /> BUILDINO OEPARTMENT <br /> 259�8A10 TO BE COMPLETED IN INK - PLEASE PRINT <br /> ❑ DEMOLITION ❑ COM8INATION fY�UILDING ❑ MECHANICAL O PLUMBING ❑ SIGN <br /> owwnn�r.�iinn��Hrn • � I.S��.�i ��nnr�Z�P4v aJl^'�tWy c�aS�O/Lf �C� �51�1��t �SZ—��97 " <br /> � � J`� <br /> — - ---'F�t te.- Z52�?A 10 <br /> RENf1��lGON10�L�Of1 Me�l nINf1155 �:��.-- .�� �'��/��11 iiCINSI • <br /> Sc�-F --- - <br /> Gl.c�uqv:M r.�n�uinrJnq �un ennnl��.•. �n. nr � runql i ua q•:r . <br /> PIUMpiNqCON1O�r;100 MLq�ppfl[55 ���� !�1' M�ONI 10.1N5[ • <br /> G_U5/501 WOOr --� <br /> lY NEW ❑ nooinor+ ❑ nuennnor� ❑ nrrnm ❑ ui.Mrn.nww ❑ wuonsiuwmu�i.u�sim ❑ uuaoiNc: ia.�ucnuun <br /> WtU�tinNJl WOnr�r0:1� � rA�IUUMf.PLU51�Ornp _ <br /> ����_ __--_ —__ .__--_ <br /> fll 41:111111 W�IIIM <br /> b,,..�,. 2 Cs/ �r���--- ------ ---- - <br /> ust oi nunnivr //�� I HER[AY C[R�If V THAT 1 IMVF PEAD AND f_%AMINED 11115 AP� <br /> V M s PLICATIONANDKNOWTHESAMETOBETRUEANDCORRECT �LL <br /> uaeio[5cnirnnr�o�rnovcnrvis��owr�nciownneneavouncnrns� PROVIS�ONSOFLAWSANDORDINANCESGOVERNINGiHI51YPE <br /> n .�..�b �'--- OF WORK WILI.BE COMPLETED WIiH WHETHERSPEqFIED HERE <br /> io��1-.eiocr_/�[�Oor — INORNOi. THEGRANfINGOfAPERMITDOESNOiPRESUMETO <br /> 1 GNE AU7110RITV TO VIOLATE OR CANCEL TNE PROVISIONS OF <br /> t�LSGd� . ZS9I►5� �87� _ ANVOTfI[RSTATEORLOCALLAWREGULATINGCONSTRUCTION <br /> OR i}IF._Pf:RFORMANCE OF CONS7i7UCTION. <br /> 6h�qn`wn ,ny,nin� n�nonnuuiniu;lunc�ra I�nt� <br /> - X �,��� e.�-�s <br /> PROJFCI�ODRE95 �Orylf.�ll�[.l P JNISti1�I.INtilqO <br /> I 11 O C��'� EWvL1�� <br /> ___.__� <br /> PLUMOINO MECHANICAL <br /> NO. ttVC OF FIIITURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER ClOSET(TOILET� MC—�iMNOIC UNITS—H P <br /> B�THiUB f1E(I1IGERIITION UNITS—N P EA <br /> UVATORY�WASM B�SINI OOILCf15—0 T U iH P <br /> SNO\YER GAS flqED A C UNITS—B T U <br /> KIiCNEN SiNK 8 DISP FO�LED nIR SYSTEMS—B T U M EA <br /> DISMW�SHER WAII NEATEf1S—P TU. M <br /> '� UUNORY TRAY UNIT/1EATEfiS—0 T U M <br />� CLOiHE5WA51/ER EVAPORATIVECOOI@�5 <br /> UA�NAL CLOT��ES OnrEnS <br /> DRINRINO FOUNTA�N VENTILA IION FAN .. <br /> FL0011 OA�W RAN(iE IIODD <br /> BACNFLOW PREVENTERS W�TER NEATER <br /> ROOF DRAINS—R�INLEADERS M'000 STOVE <br /> SINN ISE�VICE--0��.ETC� M[TAl fIf1EPI.ACE A CHIMNEY <br /> FIRFPLACE MSEf1T <br /> NEAIPUMP <br /> GAS PIPINO <br /> E%NPUSTf�N <br /> fUs T0T11L f 9UB TOfAL <br /> PEPMI7 { PfRMIf <br /> TOT�L F f TOTAL FEE <br /> �POr�tg[�� n��nset .K � 5ioc�+r,h �'LANCMC�BER�� FEE D�b RECEIPTNU <br /> � p � �5 � � 7 � 3a�1 � <br /> u°��E �°�" �" v�r.�Ht:m FEES VALUATION FEE <br /> �, ' �rvcs�a �� <br /> �U�LDING S L <br /> �vor o�[or�st occuru¢r.nour NO Of UWf llIRO UNIIF � <br /> � /'� Mr/ $� PLUMBING <br /> SiZE D�BI DO y�G rio or 5�om[s M"• �cf �f'+� MECHANiC�I <br /> � NA <br /> �Tn�� <br /> fIRE SPRINNLEfiS qEUUItiED ❑ YES �O STATE BUIIDwt:5Uf1C11AnGE <br /> STAtE ENf�r�Y SURC11I1fifiE <br /> �rnnr�uoN��? n. r�u�scner.ernnr erro� �nnis�.u�r¢� m /'� <br /> � runi ic wonKs v <br /> � �� <br /> �� TOTAL <br /> PROPEf1Iv OWNff15 AOG RESPONSIBLF fOfl DETERMININO ALl <br /> PROPFf1iY IINf LOCATIONSAND f7FL�lEO E�SEMENTu <br />