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- CONSTRUCTION ,l �, ti <br /> PERMIT APPLICATION 3 °, ��/ '' ' <br /> COMBINATIOPi • BUILDING • MECMANICAL • PLUMBING <br /> ONNbf� MAILADC�NhSS ZIP ✓MUNt <br /> 1 <br /> r� . J . i-�c�ck-=�dc;-� �u� c����� ,�v� �i8zo i � 2s� - �9 <br /> ANCHITECT ON OEuI(iNER MAI�AOONE55 PMONE IIGENSE NU <br /> GENLRALCONTRACTOH MAILADDRE55 PMONE LICENSENV. <br /> ���. 0 G �u�i� i3Z ► !-1� 1 � .,e_ 2� �7bh' so�-„�;a��� - <br /> MECHANICAL CONTHALTOR MAIL AODRE � PMONE LICENSE NO. � <br /> /LUMtlIK�CONTRACTOR MAIL ADONE55 PMONE . L�CENSE NO. <br /> YE:RMIT CLASS OF WORIC ' -- <br /> ❑COM6INATION , <br /> OUIL�ING ❑PLUM9INC �MICNANICAL �NEW 'p�DDITION ❑IILTEIIA�IfIN NU'nlil . <br /> VALUATION OF WORK <br /> S 1� , rv\ UC3� ❑�EMOl15H ❑FENCE ❑SIGN ❑'.IViMMiNff f`UOl <br /> DlSCHIOEWOFK ' <br /> 11ew �Cck � \c�cP. �coni��oc � <br /> vaoroseo use OTHER PERMITS OR APPROVAlS <br /> �'�.�r�Ctl��Y� �1 REZONE � SPECIAL USE <br /> L!G/�L UtSCHIPTION OF PROPEHTY ISHOW BEIOW UR ATTACN <br /> FOUqCOP�E51 �VARIANCE L� SI'.ORLINE <br /> wr 13-I BLOCKZ2UOF �tc hCi .-,c�c� -l1, ��'t��='�� <br /> � SEPA CHECK LIST REQUIRED <br /> I� YES <br /> �j NO <br /> O c. (' c. I b�t _�{-�i , <br /> !OB ADORES�-S� <br />,. �MECNANICAL <br /> PLUMB�NG rvve oF GNEFGY <br /> ❑�;ns ❑e�ec. <br /> NO. TVPE OF E�UIVMENT FEE <br /> , _� .._._. ___ <br /> AIR CONO. UNITS-M.P. EA. ___�5 '__�_� <br /> NO. TVPE OF FI%TURE OR ITEM FEE FLtRIGERl1T10N UNIIS �_�_Cn. _ ._^_ <br /> 8AIN1UDti S -"— OOIlEP51/.P. CA. ' I <br /> CLOiHES WA:iHEH � FOHCED AIR S�STEM'J U.T.V. MEA. _���T� <br /> __—L <br /> UISITY✓/�SHFH$ 1 • —_ _-"'__— __._. .____ 1 <br /> pNINKING FOUNTAWS � SPACE d WALL MEATEHS - Fl.T.V. T-- <br /> Fl OOH DNAWS � '-- -- 1 <br /> KITf.��6N tiINK$ Po OI:P. i UNIT 11kl�TEPS H.T.V. ____ , ._T� <br /> H/�NtiINKS i EVAPUNnTIVECOOlEHS ____ __ _ � <br /> NOOF DRNNS f7AIN L[Al7CN5 1 CLOTHES DRVERS -.._— � <br /> T <br /> $Hn1VEH flATF15 VENi�LATION FAN � <br /> Sf:fiVICE $INY.S RnNGE HOOD � <br /> SUMP:i - SEWA(iE PUMP p�R NANOLINC UNIi Gf.M. � <br /> ..."_ __'_. ""._�_ <br /> UflINALS 1 "_' '_' " _"__"_"" ""' I <br /> LVM4.n CIOtifTS � ' ' . .'_._. ..._.. ___ . . . ' _ ." .. '_ -T <br /> . _ _.. <br /> WATE� Hf.AlEliS - EL[CTRIC 1 ,._ W�TEH HEATEN _ . ,_ . _. _._l.__� <br /> WASH BASINS � � __ FAC. BVILT FIREPLACH h_CMIMNEV _ I <br /> 6A5. S�STEM: NO OP OUTLI �5 T <br /> InUNDRv l'11AV5 _ " ___.-'-'- . . .- . - �'— <br /> iUfi iOfnl 5 _..�._—T—� <br /> _ ____" "_"- fEiiMlT S � <br /> t _"__._____— _--TOTI�IFkE S ."--� <br /> $UO IOTAL T1115 PEHMIT UECOMES NU11 �Nf� VOIU �1 WUI�Y. ��H CUNSTRUC <br /> PERMIT $ TION AUf110f112GU IS NO1 CO"dA1lNC[b WITIIiN L'0 UAV$. OR tF <br /> TOTAL FEE � CONSillUCfION OH 1YONK I:t SVti�9�NDED OIl A[Il�NDONEO �OP A <br /> W�TER SERViCE SIZE BLDG. SUPPI.V 512F: P�n�oO oF �ao oA�s �i nrvv ruvit Al Iffi WOfIK I:{CD4i6iFNCtU. <br /> � � UACK NLANYARUStiF3ACKr I 11[r1lOV C[fiTIFV TNl�11IIAVE NLAO I�NI� F�(AMiNlD flu> AW <br /> - PUCL710N AND KNOW THt 1:n�1E TO Ilh 7NUC nNU Ctl��i�l CT. ALL <br /> VNf1VI51pNS OF I.AWS 4NI) Of1pINANGF,ti GOVEiiNING 1H15 TVPE <br /> OF WONK WILL BE COAIPLIED W1711 WHETHEH SFlf.IF�lO H[fiEIN <br /> Ut:E 2UN6 � LUt ARLA VACANTSI:L �— 0t1 N07. T�It fRAN�ING �)F A PERMIT pOCS NO7 PNCSVME TO <br /> GWE l�V1i�DfllTv TO VIOlf�ft ON CANC6L TRE �'��UVISIONS OF <br /> - ❑VES ❑NO /�NV OTIIkR STATE OB LOCnL I.AW i1lGUl4TIN(i CON::T��UCTION <br /> OHIHlPLfiFORMl�NCEOiCONSTNUCTtON , <br /> TVFE UF CQNST. OCCUPANCV(:RUUP NU.OF DWLILING e <br /> .'>T " OL«I�� UNITS <br /> EC� <br /> 512E OF OLDG. NO.OF SiOR1E5 MA%.OCC. LOAD . .' /> ' �r ,y <br /> x 2"7�1 l �- U <br /> �_1_: <br /> SIGNl�T fl OfC NTRACTORONAVTIl4lifNT DATE <br /> /IHkZUNt IIA::tMINT IINLtiI'HINKI.L11.^. <br /> � RCOUINlU �AN CNkCK NUM11L11 VLAN CIILI'K � L! <br /> QYfFi ❑NO ��� f1ECE1P[ Nf� <br /> SP6CIAL CONDITIONS: '�— <br /> - .. . ..�._...._��_.._ .. . ... . .. .... . _. . ... ..... . r <br /> FEES VALUATION FEE <br /> _. ----,-- ---T- <br /> i <br /> _��--- <br /> -'_._-- — -- "_-- <br /> � <br /> --"—' UUILDING s I .v�^��-� lV � -� <br /> I "'_.__._".__.._'_ " "'"__1-"_' <br /> � PlUMf11N(i � <br /> SEPA REVIEW COMPLETE � ❑YES ❑ NO _.._ ..__....._ � <br /> i <br /> contacf Plonni�q de{��. MlC11ANIC/�l ' _ i-- <br /> - I <br /> OT11CR I <br /> ___'T�_ <br /> /�MUC�IIONIICU�1lUY1: YthNYlllllR\UY�'. N'�OVIp ONI'yU�M{:IYY PEr7ALTV SEC.J071d � <br /> _�_'_.���. <br /> ' ' _�.��� � �..��'._���...— _� ' <br /> �. C: TOTAI I f� � - <br /> f <br />