Laserfiche WebLink
� APPLICATION FOR -,�,�„ <br /> �verett �NPERMITTiON • e <br /> n�rr o� co�,n,uvn� u�cuo��nu�ut sievic[s <br /> cnr iinit �;�n-a� <br /> [�'[e[ti. �'rn�:�s�ot �COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMITNO. <br /> (lH'AIR M4LnLl'NI>i CI1T ]II' 1'�W�I <br /> �� a ? � %�ir> �- /i / 'J `�✓�J� � F ...r.z �27" ��'?1^l 'f 5 ._�-S`�<:. ,- <br /> n�nr�uo�eic�ie mnnno�eis+ �'�- uir nr �iin�i <br /> c��liyy cm�xnU��4 , mn�lnourets's atr 2u� r�ro�� nu.:� n <br /> V/ <br /> n��'����C10N Myl�pUflL55 UiY LII i I 1 1 <br /> PIL'ntprvGtO\1pAliOR MAILAOf.NH> CIIY ZIP I'l10'.I IIi.ItiN � <br /> 1 t 1c5 JI NON1. <br /> �NlN' ❑ADUITI.7N ❑ALTCRATION ❑REPAIR ❑UEMOLI710N �FFNC[ ❑SIGN ❑G�RAGE CiPUILUING NLLOCATION <br /> V'�W�110Y OF VVONM <br /> ��� � <br /> UISCRIIII KOFA <br /> I � � 7�C <br /> runrosn�vtii �n ur� n�c I HCREf7Y ERTIFY THAT I HAV[ RkAD AND fXA61WED THIS AP� <br /> PLICATION AND KIVOW 1 HE SAME TO[lE TRUE AND CORRKT ALL <br /> nr.+.i ui.r:amurnoi rxortxt��ts�+owvouowoa ettnunouecorusi PROVISIONS OF LAWS AND ORD�YANCES GOV[RN�NG THIS 1YPE <br /> OF WORK WILL [lE COMPLIED N9TH WHE1H[R SP[CIRCU Nf.RCIN <br /> io�Z(�-�yZniur�. ,37�4'�oi � - ' OR NOL THE GRANTING OF A PFRMIT DOFS NOT PHESI�ME TO <br /> GIVk AUTHORITY TO VI0IATE OR CANCCL THE PROVISIONS OF <br /> ANY OTHER STATF OR LOCAL 1�W RFGUL�TING CONSTRUCTION <br /> OR THE PERfORAtANCE Of CONSTRUCTION. <br /> SIGNAIURFOfCO41HAC70ROHAUTIlOR171DAGLNi OAit <br /> 100 npt)RI55 /�� y - / � r� <br /> �/ � A ��i�t--4l-S'-1 - ��P_�7 �-�-��79�Il��o � / ` • <br /> Y./.s��C�-C-�-f�11�i _ <br /> PLUMBING ! MECMn:lfAL <br /> h0. iYPE OF FlkTURE FCE NO. il"PE Of EQUIP.MENT fEE <br /> wniiaaostr�roi.itt� niacotin ���vns-iir �n <br /> 04iH1Uf! NfIRIGIR171(lV UM1I7S-HP FA , <br /> UV'410RY(1VA5H ISASINI H1111I I<c-H P [A <br /> SHO�YtP. �:A2iINfDnI' CNI75-�OVNAGFIA <br /> KIi(HI.N51\KAUISI' IOR(11) 41NS1hi1Nd-0TU �1U <br /> UIS\1'ASM[H 11'A1I111�11H5-B1U ,U <br /> L!1UNDnY iBAY LINII HfAIINS-IITV M <br /> UpI"ISN'ASHIR "'— (\'�Pf)8.V1\'IC(1O11H5 <br /> N'Alf N IP AIfH (I1171;1 S DRVI RS <br /> URINA! b9MIlA71UN IAY <br /> URItiKING IOlIN7AIN RA4[,I IIOqD <br /> IfOOft UNNN ^IR HANUI InG 1'�YI7- C f'b1 <br /> V�CUI�nI IINI 4A f NS SiflA'I i <br /> HOOI UNAINS-RAIhIIAOIRS h1f7AI IIHIPL�C[ 6CHIMNIY <br /> SInR 6I RV9O-i{AN.C7C 1 <br /> SUB TOTAL SI1B TOUL S <br /> P[RMIT S PLRMIT S <br /> TOTAIIC[ S IOTALiL[ S <br /> SIDC1'�nD5t1P�IX SiNLI1SI111nCK N��RSAHDSIIifAC1: I'14NCHICNNUMtlfR PL�NOIICKFI.L <br /> �tt NtCl�rt no <br /> USFZONk IOTARt4 l'AGN751i( <br /> f.i5(5 i�ti0 fff5 VAIWTION 1[[ <br /> IYPE Of CON57 OCCUPO.�CY GNOUP NO Of D1Yf ILING UNI1S <br /> IiUILUitiC S <br /> SIZ( Of OIDG. ��O.OP STqRIlS h14k OCC LU�I> <br /> PLUA1I11NG <br /> Ilkl ]ONL 11AAMFN7 Ipl]HUOh15 REQUINI�I)KIINS .vIO41MCA� <br /> I 'SI5 '� 'NO _. <br /> APPROVALS BY UATL O111tN <br /> t IN\9kONMlNTAICHfCK1.157 flNAlll UOC <br /> SLC.103�a� <br /> z nuuoinc ruvs <br /> TOiAI <br /> 1 IIHI M�[)NAN7 <br /> a I IHI PBOi(f710N 5�571.�1 PLNMIi VAIIDAtION <br /> \YMl4 PROPLRLY\'AI.IOAICU I�N 1HI5 SPACL�Tl115 I$VOUR PfRMIT <br /> ; �:NADIrv[::IRCnvnLn'.6:IIAHIK(.'GNUI1HIn"; <br /> b pH.1l`:Af,l <br /> 7 1 ti\'120NM{N7A1 IAfI'�Ci S7A71 M1II N7 <br /> 9 HInU11DI5fNICT <br /> 4PPIIL171JNACC IIY YI.AYSCHICKID!!`' API'F IUNISSUANCI81- <br /> i r <br />