Laserfiche WebLink
,� <br />P.PPLICATIQt! FCR I'ECNAi•ICAL PERIdIT <br />(Te be fillcd in cer�pletely by applicant) <br />DATE � ��Lo��T7 <br />IFf',E (O�mer)_C{ �'"O}'1 L��Q.�11Lj PHGI�E t!�h;EEf?d��-1%p�(� . <br />CC�I'TRFCTQR����'.QJ� �D�`1CYL0�]C�I PNCPlE �`L'i'P,ER�� „ <br />ADCRESS_ `7 %�o`� - i-I(.! 1(,f �`! ��. .%%�SO I LICE�!SE f'ur e�r.���_�R(,—��-- �' <br />TO DO 410FiY. FtT THE FOLLOI!IfIG <br />L'SE OF 6UILGING <br />GESCRI�E I�CRK <br />rE�'ei-� ❑Addition LG�'lteratio� rJ."<epair <br />G' <br />il Cl P�atural <br />' J .. C C L <br />s5. rc. ;� Guilding r��•;�rT rrrs <br />'riote: Fuel piping is not included in this f!o. TYPE CF E�UI�'(',[!'�i <br />F•FFlication accepteri <br />by <br />ECILDING PERFiIT ;,+ <br />Flans Checked <br />by <br />I HERE6Y CEf.TIfY THkT I FiHVE READ f.l'D <br />EXf,P�IUED THIS APPLICF,TI('�: F.ND I:�'Ol.' THC: <br />SFh�E TO GE TP.UE AtiG CORRECT. �LL PRO- <br />VISI0�15 CF LF.I-� At!C Of,DI"FPECES COVERING <br />7NIS TYPE Of'41C•RK l'ILL 5E CCIiFLIED VITH <br />�'HETHER SPcCIFIGu HEREIN �(; t1.CT. TS:E <br />GRAP!TING OF F PERh;IT GGES hCT F^ESUfSE TC <br />G'lIE RUTHORITY TO VI�LA.TE CR CP,I'CEL THE <br />P'rOVI°I��lS Gf AI��Y GTt!GR STF.TE OR LOCAL <br />LiU� kEGULPTIP�G C01!STROCTIC(: OR THE PFP.-�• <br />F�Fi�.PP.LE CF CCt!STRUCT1Ci'. <br />Sianature of Contractor or F.uthorized <br />Fc•ent <br />Sianature of C�mer UkTE <br />(If oi�ner-builder) <br />------------------------------------------• <br />Permi t ,',' ,�.��D / <br />--- ------_ --- --� ------- <br />Forced Fir Svst�ns <br />13. �.u. ����Y..''. <br />Floci• Furnaces <br />L'.t.u. !'.�� <br />�'r?1� I�iCdt01"5 � <br />i.t.u. Y..N. <br />Ur.iC N^ators <br />f.t.u. Y..I?. <br />!:an�e Hooc(Commere:al) <br />Fii•e Srrinl:ler Sys'cems <br />Fuel Sioraoe Tn.n�s <br />Size ir Gallons <br />Roof U��its <br />Q.L.u. K.4�. <br />(;is:. <br />PECI1iT <br />FEC <br />%� <br />