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� <br />- CQNSTRUCTaON <br />; <br />P�RMIT �PPLIC�,�TICa�! <br />COM[31NATlON • OUILDING • MECHANICAL • PIUMDING <br />a n� <br />OD <br />_ f Z <br />VGR�dIT � CLASSOFIVOHK • -�— — <br />❑CO/dpINAT10N � <br />�-0IP�pING �PLUMOING ��dEC1/ANICAL <br />' ❑NCW []AOOITIUN ❑ALTE/II,71UN eTl('I'.vll <br />VALVAf10NUF WUR✓. —' - �-�-• �-^----- <br />5 �'G i� GDE610115N ❑cENCE ❑SIGN ❑'.\Vt6�MINfi vf10L <br />� �PHpPOSEU USE <br />FOV� �OPI�S IPTIUNOF P(ipPERTY �SNOW OEL <br />LOT � BLOCK_OF <br />" - �U - e <br />�f_I✓E C'>�,_. s6c >A w ?✓c, �. <br />JOB ADDRE55 <br />D O C't ' , , <br />IPLUh7f3(NG � <br />I <br />� NO. Tv�E OF FIXTURE OR ITEId <br />IIA7N Tl18ti <br />CtO1r1E517ASHFH <br />UISN l'.•.15HEH5' <br />I7111N!:ING FpUNiA1N5 <br />I-1 OOH CRAINti <br />KI111HhN tiINK1 f4 D15�'. <br />IIAIi til'JKS <br />� IIOOF DHAINS {7MN LEAIiElIS _ <br />!� � OTHER PER/AITS OR APPROVAIS <br />a nrracr, � RE ZONE �( SPECIAL USE <br />#4'ARIANCE L� SY.ORLINE <br />SEPA GHECY. LIST RE�UIRED <br />v./ d �;. ,rd" .� YEg <br />,,r,,n I� NO <br />2�, ' �� ,� "J <br />� A7ECHANICAL <br />TYVE OF [NERGV <br />❑tiA� ❑ELEC. <br />_ —_—'_ .. _ _ . _"_ <br />NO. TYVE 4F EOUIPMENT fEE ' <br />nincorvo.�NiTs-r�.v.cn. .. ..__�._ S _� '. <br />_— ' ' ""_'. '__" "'". ...__ _ _�—_ <br />_" flLiRlp[FPTR)YI.NIfS IIY.EA___V _ _ <br />_ OOI�ERS 11.P EA. � � � <br />FORCED AIN S�STEb/$ f1.T.U. MEA. �— <br />'—_ __.. ._—._. _.—... _ I <br />� Sp/Cfl d WA�L HEATERS N.i.U. —_—�— <br />� <br />UNIT�iE1�TERi N.T.V. � <br />CVl�PONAIIVE COOLENS � <br />CLOTI�ES UnvEHS ""--'--- - --"— i <br />� V[N7ILATION KAN � T— <br />RANGEMOOD 1 <br />SU6'�V$ .. SEN'A(iE �Uh'IV NH HANOIING UNIT C.f.M_ <br />_ UIIINALS � '_ """'_. ___... . _._ ,..__. ._ _..�_ 1 <br />tYAI C 9 ClO5LT5 � . . . _ . ...'_'. ....... __.. . . _ ._...... . .._ _ . <br />_—'tYAI_FN Hf.AIEHS - ELGCTHIC 1 WATEP NEATER _T— <br />WASH UASINS - � FAC. OUILT FIREPLACE h C��I/dNEY �� �-�— <br />LAUNDHY THAYS . • GAS SvSTEM: NO OP OUT�I IS'--' '-T�-- <br />' _ """" . . .._L_ <br />� . :UO TOMI _.5. _ ._.. . ' . <br />� "'_".'_'" PEIIMIi . __5 .._"_"__� <br />— � _____'_'__'_.__...'__.. .._—! <br />SUR TOTAL TOTnI Fkk 5 1 <br />� 71115 YfIVdIT U[C0�1E: NUI1. I�NO VON 11 WUIIY. ��41 COY$TPUC <br />PEIiM1T S IION AUl11(,Iq�1EO Iv ND� C(IM�ILNCf O WITIIIN 1.'D U.lv!:. pq IF <br />— TOTAL FEE 5� CUrySinvcfiON On WOnK ic: SU6�'fr�OCO cin flfINJOONCI) F(lq .1 <br />WAiCR SfRVICE SV[ e�!�ew�w� :BLOCi. $UFPIY $IZh ������00 U1� 170 OAVS AT /�NY IiMF AF �CII WOIIK �!:Cf�A�R�FNCLU. <br />���` +� a^ �n�ti bl�IIACA NtANYAHUGtiUACK ������FIIV CERiIFV TH41111AVL IIkAU f�NDC�A1.+iNfD �1��$Ai <br />PUCA7IUN I1N0 KNUw TIIF .Ah1E TO 11h TIIUE ANU COHNfCL AI.0 <br />� Vf10V1!ilpN$ pF LAWS /�NU QIIOINANCE$ GUVCRN�NG T111$ TVP_"'. <br />USlZUNL � ' - � OF WOi�K WI�.L BE COfdY�IEO WIt11 Wi�F.TNER SY[CIFifO M(HC�\I <br />W7 ANLA VACANf SITk OR NOT. TIIk G�14NTINf. qP A PERAt�i p0[S NOT NHCSVME TO� <br />' ❑VES �ryp I�%�VE aUTnON�TY TO VIOL4f6 ��H CAN�tI. i11E �'NpVISipNS OF <br />' ANY OtllCfl SiATE pR LOCAI L1W HLGUTATIYti CONtiT11U[TICNI <br />Tt�f OF CONST. OCCVVANCV (:NUVY NU.Ui �Wk��IN(i �n iME PLOFORMANCE O! CONSTfII'^.110N <br />��NITS � <br />I lllh lONk <br />SVkC1Al CONOITIONS: <br />>%. OCQ LOAO � `y� <br />X (y���J2� ��xrL� �—l'— <br />Hl:.l'111NK1.L119 +IGNA UH'OGCUNTR�CTDIIOqf�UTIL/1GLNT pdTL <br />�OUIRLU IPL.tiNlllllRhUM�)tll I'LANGLLCI:III <br />Ov�s ❑no �ec Ir�eceirtnn <br />_ FEES <br />`_ . � -� I uUI�DINC <br />SEPA R[V(EW GAMPLETE � ❑YE$ ❑ NO � P<<�FIIIINII •— <br />contacl p�o�ninq depL Mtcn�N�c�i <br />' oni[n <br />��IK�bUN�INAIyYY /IANiV11UW�Y Nfi1pV10�jYY p[NAl1Y <br />��..""-." '•"� _.__._�_ ... . TOTAI __ <br />� VALUATION �I _.FEE__ <br />5[C_JO]Id+ ..V..I^_—..-.. <br />C <br />� <br />