Laserfiche WebLink
�� APPLICATIb�I FOR CONSTRUC'�r07�1 PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PlEA88 PRINt <br /> BUILOINO DFPARTMENT � HEATING SYSiEM: U GAS U ELECTRIC U ___� <br /> 259 BB70 <br /> DEMOLITION COMBINATION BUILDIN6 MECHANICAL PLUMBINd 91ON <br /> �nmtn u�turoness orv rw --rrunE — <br /> I�oEiN�� <br /> i191M1� 4.14�OIMF55 !nV IiP >e011f <br /> •M �RfCtORMSpNlN W4�[IDPE55 CIIV !q Rlprt <br /> OfM'N4LPItRR:IlM M�4�OOPFS! Ulv TP fl1:.11E St�1FlCf�SE� <br /> 2�%�'`a'' <br /> MECI.INCYCOyIR�CI MM�pIMF65p tll� !IP ' P�qMf g/(;/µ) SI�IEISfM$EI <br /> �F����/5�� l�'a9'• 7/CR /F�kAIeHE ��_yy_,,�L�fJcl��'so52 _ <br /> n�miuccmtnnc��m u�aumnEss niv r�o r�«wr st�rtiKfHsr• <br /> ClA55Il!WtMM <br /> NfW ��DITION ALTERATION REP�IR OEMOIITION WODDSTOVE'FRPLINSERT BUILDIN(IRELOL�TION <br /> � [I1M11 VFNYW��NUVMAA..N�'f nM 1'� cp <br /> LCNIP1ClVPICIUfN(.'nM ���' ((r� /�/�� OV,�O/� _ <br /> OfSG lN011�I.NUSq11R[l�1GfMV(MVff� <br /> �y�;.K(-�(�-�Pn . �v- 9JfnrEvY_" <br /> rnaro��uu nu tMr, f i HCREBY GERIIFY TNAT I NAVE READ �NO E%�MIN[D iN15 <br /> r,�`�� ���n/Ay�/� _ /g��Zl y S-0 y APPLICATION AND NNOW THE SAME TO BE iRUE RND CORRECi ALL <br /> I[ONO[.Y.NIP11CHdP11!%'Flrvis�rowMxionaa�n�cern�ncmws� PROVISWNSOfLAWSANDOR�INPNCESGOVERNMOTHISTYPEOf <br /> WORIt WILI BE COMPlETEO WITH WHETHER SPEG�IED HEqEIN OR <br /> •�� M�" __� NO�.iHF.GN�NiING Oi A PERMIT DOES NOT PRESUME 700WE <br /> �UiNORI1V TO VIOIpTE OR GANGEL THE PROVISIONS OF�NY <br /> O1MER STAiE OH LOCAL LAW RFGULRTING CONSTROCTION OR TNE <br /> -"'- PERFORMRNCE OF GONSTRUCIUN THRT I AM AUTHORIZED BY TNE <br /> OWMER OF THIS PROPE�TV TO PERFORM TIIE WORK FOF WHICH <br /> RPPLIGATION IS MADE �ND I COAIPLY WIiN THE ST�TE <br /> CONTR�CTORS l AW 18 2�RLW RND 796 P00 W�C <br /> _ ' / <br /> — --- �"'=�'" " f - � /'��-Yz- <br /> --- - <br /> vnt4lfr�ppq[59 /� �. .� <br /> ' 3 L- �to � �S!S- D . _ .- ---------- — __ . .- -- <br /> PLUMBINO MECN�NIC�L <br /> NO. T�PE OF FII(TURE OR IlEM FEE NO. TYPE OF EOUIPMEN7 FEE <br /> WAtFRCt05l11TOqE71 AC ANNDLGUNIIS-NP � <br /> __ . . . ..._____--_-_ _ .___ ..__-_—__ —__— __ __._ ' . <br /> On1�rtU0 _ _ __', _ _ �Oi10E�RIRSVSTGM587U ME� <br /> -. ___.__-_-- ' ._ __.___ --__ ___ .'_. <br /> I r1VNORv iWASH B�SIN� � UNIi NGTENS-B TU M ' <br /> SHO W f R CIUiNES�RVERS _ <br /> KrtO�EN 9NK 6 OISP VENTIUTION FAN <br /> '_ — --�._ <br /> OISHW�SNER R�NGE MOOD <br /> l AUNORY TR�V WATFR NEA7ER <br /> --. . ___.__— __' _ - _-__—_— � <br /> Cl OtNES W�SNER WOOD STOVE <br /> UqlrypL METAL FlREPUCE 6 CHIMNEV <br /> DRINKING FOIINT�IN FINEPLAGE INSERT <br /> iIOOR I)RRIN HE�T PUMP <br /> � PnCk�LOWPREVFNIERS GASPIPING <br /> � Rfx)�pRniNS-R��NIEADERS E%H�OST FRN <br /> ___ SMn�SFqV¢f�.8l1R.ETC) �� - <br /> SUBiOT�I f ' SUB TOTAL f <br /> ___ . . ._ _.__ . __--_-- T_- ' ---.__.: . <br /> PERMIT f PERMI7 S <br /> _ _-_ - ___ _ . _ .. -- _ -_ _ —__—__—_ "__'____ :.. <br /> T07ALFEE f TpTpIFEE f <br /> FOR OFFICE USE ONLY: <br /> 111t�1��i1�11n�• n1�i1t1�P�1.N 6NIEY�l�1R I�N11�liRNiIYMIR Itt IIlt.frr.IM1 <br /> `` (/��. <br /> _ __ ..._—_._- .... ._...__...__ <br /> os�nwi im�nee vee.w�sn[ FEEB V�.UIITION FEE <br /> BURDiNG <br /> r%q(f/I�SYIOWWI IrftpCLMf�LfW4 rc[�au"� n�uw�w " _ .. . <br /> �� PIUIMBiHG <br /> fiSf�Yfl�M HOR6ip11F5 lASF4EN� MfGN�NIGId � � � <br /> _ . — ..._. _ _.._ —y <br /> �r'[1R.WCvIOb fN1f fMIMlFPSMOD HFpHi Wi1�IMM 11OUIIIOH�I PII�NCMELN �' C•J ;J' ( <br /> l <br /> _ SPRIfMIEN _�'�[� �i f(7 <br /> NI�RiWlOnS>PMFlfNS - � <br /> Slet!BW101lq SURCN�ROk � <br /> wu.tn. nex �rµoveon. CIIYOFEVERFTI pueikwonrcs <br /> ,r� LOGIL S�LES <br /> l' � �� T�lf CODE IS J105 roTu �'o I � <br />