Laserfiche WebLink
�''�� F°°',�������.,� CONSTRlJCTION <br />CIiV OF pERMIT <br />�ver�tt <br />CI1 V 111LL 2:i98]4!t <br />evr.HeTr.wn tw�oi COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />�wNer� n�ni� Nooi;Ess zir rHorv� <br />-�1 1.2'�l'� 9 j"1-�COl <br />4PCHIlEC1 pH DF51 aN@R MAILADDRESS u��nn�c ..,.�....� <br />v�'� <br />�ING CONTRl�CTOR <br />❑CONL..'LATIGN <br />�6U'LDING �PWfvIBING �M@CF1qNICAL <br />/ALVATION OF WORK <br />S <br />1FSCRIBE WORK <br />SA:•� <br />LEGAL DESCflIPTION OF PROPERTV (SFIOW 6E <br />F O V fl COPI ESI <br />LOT BLOCK__OF <br />[t.� l�ii ]�3 �i� C�{ <br />J06 A�DRESS <br />�%�:io ��*�nc��rr ttnY <br />PLUMBING <br />NO. TVPE OF FIXTURF_ pR ITEM <br />LICtNSh JO. <br />LICENSE NO. <br />LICENSE NO. <br />�N�W ❑nooirioN ❑n�rE�nrioN OnENnia <br />❑DEMOLISH ❑FENCE ❑SIGN L]SWIMMINr POOL <br />CVPYeIf <br />MECHANICAL <br />R ATTACH TYPE OF EN[RGY <br />❑GAS ❑ELEC. <br />NO. TVPEOFEQUI'MENT FEE <br />_ AIR COND. UNIIS-H.P. Eq. 5 I <br />REFpIGERATION UNITS -H.P. EA. --T— <br />noi�er�s�-r+.r. En. � <br />FORCED PIR SYSTEMS-�.T.U. MEA. —T— <br />— I <br />S�'ACE fS WALL :1EATERS - B.T.U. <br />VNIT FIEATERS 13 T.U. � <br />EVAPORM'IVECOULERS _ <br />CLOTHES�RVER$ � <br />VENTILATION FAN T <br />Rl�NGE hi00D � <br />_ PEE AIRH�INDLWGUNIT- C.F.M. <br />i I <br />t <br />'NATEF HEATER <br />� FAC. eUILT FIREPLACE & CHIMNEY � <br />_ � GAS SVSTEM: NO OP UUTLETS__ ' <br />� SU6 TOTAL 5 � <br />i PFRMIT 5 <br />i TOTAL FEE 5 I <br />TNIS PERM19IT fl[COM[5 NULL .,NU VOID IF WORK OR CONSTFUC <br />TION �1VTf10R17LD IS NOT COMMENCE� WITHIN 120 DAVS, OR IF <br />CONSTftUCT10N OR WOHN IS SUSPENDEG OR n6l1NDONED FOR !1 <br />� PERIOD Of 120 �l�VS �1T ANY TIME AFTER WOFiK IS CONrMENC[D. <br />� I HER[AV CFfiTIFV THAT' I HAVE READ ANO E%AMINED THIS !�P- <br />---1-- PLICAiION ANC KNOW iHE SAMG TO L'E TRUE 11ND CORRECT. ALL <br />� PROVISIONS OF Ll�WS PND ORDINANC[S GOVERNING THIS TYPL <br />� Of- WOHK WILL �E CONPLIED WITI! WHETHEFi SPECIFIEO HEREIN <br />OH NUT, THE Gfil1NTIP,G OF A PERMIT DOES NOT PRESUME TO <br />� GNE �UTIIORITV TO VIOLME OR CANC[L THE PROVISIONS OF <br />� ANY OTHER STiITE OR LOCnL LAW qEGUI.l1TING CONSTFiUCTION <br />_� OR TIIE PERFOflMANC[ OP CONSTRVCTION. <br />� � r si X T3i.' C;{'T;CI�� <br />WATERSC-RVICESIZE HLDG.SUPPLYSiZE SIGNNUFLOFGONT <br />SIDE YqRD SET�ACK STREET SET6ACK FLAR VAqDSGT�ACK PLAN CNfCK NUMI3[(i <br />1 <br />3 <br />SPECIAL CONDITIONS: <br />n <br />no <br />�YES ❑�IO <br />FEES <br />J <br />AGENT U/1TE � <br />PLAN CHECK FEE <br />FLE IRECEIPT NO. <br />VALUATION <br />FEE <br />.T <br />I <br />—1— <br />x. pCQ LOAD (3UILDING 5 l;11 � <br />�— <br />PLUMDING I <br />[SPRINKLERS � <br />)UIRED — � - <br />]V[S ❑NO MECHANICAL � <br />� <br />OTHER � <br />— _ I <br />PENALTV SBC. a011a) I <br />TOTAL � <br />l�1� 00 <br />PERMITVPLIDl�TION ���� ���.�P�� � <br />wiiervrnoaeni.vvn�innn:onrvi ce� aLTrlCfir <br />YcaxU R. REC@tF� <br />���„�a„�-;����,�-� ��r • ThiANK YOIi �_ <br />JJ ' <br />� . � � <br />" () M� f 7 <br />