3416 FEDERAL AVE 2018-01-02 MF Import

CONSTRUCTION PERMIT APPLICATIO COMBINATION • BUILDING • MECHANICAL • PLUMBING 3237 OWNER It �MAIL ADDRESS ZIP PHONEn 0, `S ---- A�DESIGNER C MAIL ADDRESS PHONE LICENSE NO GENERAL CO NTR�CT(OR MAIL ADDRESS PHONE LICENSE NO. MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. \~ PERMIT CLASS OF WORK ' ❑COMBINATION BUILDING []PLUMBING ❑MECHANICAL ❑NEW ADDITION ❑ALTEIIA TIUN ❑HCI•NTl 40.4 ALUATIOOF--- '------_— VN WORK I I C! ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL S F�— DESCRIBE WORK PROPOSED USE OTHER PERMITS OR APPROVAIS RE ZONE] SPECIAL USE LEGAL UESCRIPTIUN OF PROPERTY (SHOW OELOW OR ATTACH FOUR COPIE [VARIANCE SHCRLINE ocK�bF ��" r $EPA CHECK LIST REQUIRED Q\ u 1� YES _ y1 NO JOB ADDRESS MECHANICAL PLUMBING TYPE OF ENERGY ❑RAS ❑ELE C. — TYPE OF EQUIPMENT._ FEE AIR COND. UNITS-/f. P, EA. _ .._- ter= pNO. TYPE OF FIXTURE OR ITEM FEE -- REF R;GE RATION UNI IS II.P_EA. n 7A1H TIlBS 'I SI+', BOII ERS H.P.E A. - --^=T • i7 CLOTHES WASHER q�' DISH WASHERS IQ 1 — - - iORCED AIR SV STEM'J li. T.U. MEA. —L-_ - URINKINGFDUNTAINS 1 "— ---' -• �— SPACE & WALL HEATERS- P.T.U. FLOOR DRPJNS KITCHEN SINKS & DISP. 1 —� 1 L7 UNIT HEATERS tLT.U. 1 -.-' ----- - BAR SINKS 51_NKS I _ E_V APO_HATIVE CUOL_E N_S CLOTHES DRYERS I___� HOOF DRAINS RAIN LEADERS SHOWER BATHS .. VENTILATION FAN N V RANGE HOOD I SERVICE SINKS SUMPS -- SEWAGE PUMP AIR IIA NDLING UNIT C.T.M. URINALS _ WRIER CLOSCTS WATEn HEATERS -ELECTRIC 1 '• _ .__. ..... �•�- T- _WATER HEATER WASH BASINS I FAC. BUILT FIREPLACE & CHIMNEY _ _ _—_._._..... __...____._.._.._... LAUNDRY TIIAYS-� - GAS SYSTEM: NO.OP OU TL475 _ .-_ ... —_ ....DUR 10IAL 5-.._ 5 -.__..._-_T—� __ .L-- -- �.--_-____. TOTAL FF.E - SUB TOTAL PERMIT_ S _--I— - _S ___ THIS PERMIT BECOMES NU1 L ANO VOIII I{ WUIIY. OH CUNST R'JC TION AUTHORIZED IS NOT C01,11MLNCID V11TI41N 170 DAYS. OR IF _ TOTAL FEE CONSTRUCTION OR WORK IS SUSPENDED O11 A(IANOO::ED FOR A FLR1UD OF 170 DAYS AT ANY TIME AV TER WOFIK IS COMMENCLO. WATER SERVICE SIZF. RLI7G. SUPPLY SIZE I IILRLRY CERTIFY THAT I HAVE READ AND EXARIINI D TIIIS AP PLICATION AND KNOW THE SAME TO BE TRUE AND COI;111'.CT. ALL -$ r, _ UA K RLAH VAHD SE IBACK' PROVISIONS OF LAWS AND OIIDINANCF.S GOVERNING T141S TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN UI;L ZONE LUT AHLA -- VACANT :H TL OR NOT, TIIE GRANTING OF A PERMIT DOES NOT PRESUME TO AUTIIORITY TO VIOLATE OR CANCEL TIIE PROVISIONS OF ❑YES ❑NO GIVE ANY OTHER STATE OR LOCAL LAW IILGULATING CONSTRUCTION OR I H E PL It F O R M A NCE OF CO NST f1 UCT'UN. f. i YPC F OCONST. (CCU PANCY GNUUP UNITS DWELLING D uOACi ? r� SIZE OF BLDG. NO.OF 9T61 IES MAX. OCC. LD DNTE SIGN URE OF CONT RAC OR OR AUTII. AI.;F T TE IIA::l MINT REOUIHEp KLLIID f IIIL lONt------ I LAN CHE C NUMULH PLAN GHLGr, FLL DYES ONO / -/Y7 -• _ FEES_ FLE - VALUATION IIECEIPT NO , FEE — I SPECIAL CONDITIONS: —__ - BUI LOING - —.--------- SE PA REVIEW COMPLETE DYES Q NO r PI II MITI NII —_._..._ I contact plannlnq dept. MLCIIANICAL i - - OTHER PENALTY SEC. 00J 101 .. '— •I'Nl1C}bbHIICUf1W tlY' YIAN:OIIGgUYY: AXNOYI II1UN Iy;,VY1ICI YY 1 I I �..—_— _"_ _ TOTAL-.-•_�� I ;