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CONSTRUCTIOfV <br />PERMf T APPLICATION <br />c��� z� �7 <br />3 � �' d' <br />COMBINATION • BUILDING •, MECHANICAL • PLUMBING <br />�'��� N /� �/� � . <br />iCHITECT Oq DE�IGNEH <br />�NCRALCONiRACTOR <br />;'�uK �- C°'c�t�vr�y s' <br />F �G <br />❑COMBINqT10N <br />� UUILDING � PLUMUING � MECHANICAL <br />LSG`— <br />z�� X ��t pF_� /�i cye� <br />�� ut:icHIpTION OF YfiOVERTY �< <br />FOUq COVIt51 <br />LOT BLOCK__OF <br />ADDRESS <br />l � f/_-"l� nl <br />MBING <br />��, �'T� �=vr,���-rr. -- <br />vHOH6 �iitEn <br />PHONE � LICE� <br />�°�r�� - <Yyni�<<,_n %41'!1JJ — <br />�NEW ❑qDDITIUN ❑ALTEfiA11ON �q�pn��� <br />❑DEMOLISH ❑iENCE ❑SIGN ❑f:WiMMtN(; f•UOL'-' <br />��7�Ar,�= . �� <br />1 — -�J <br />01 J)- l-=�(�r';� ri <br />TER SF:RVICE S17f: _ (��p�;, gUPVLV ;;IZ <br />ZUNk • <br />SPtCIAL CONOITIONS: <br />7 AIiL <br />_"'� _' _.'_ .,-�:_ <br />11CANT y176 � <br />❑YES ❑NU <br />E i ❑NO <br />SEPA REVIEW COMPLETE � ❑YES ❑ Np <br />contacl Plonninq depf. <br />0 <br />._._ ._.._. . _ _'.'_ <br />� <br />�THERF�RMITS ORAPPROVAIS <br />j� RE ZOVE � SPECIAL USE <br />�( VARIANCE � $NpR(.INE <br />5 E PA CHt'CK UST REQUIRED <br />.CL' YES <br />L�'NO • <br />,3 }"s`- s"1'Gs <br />- es -/.3 z� / <br />'MECHANICAL <br />TYVE OF [NEHGY <br />���'�� ❑ELF.C. <br />_'-_'""_ -....._"__' <br />• NO. __ TVPE OF E�UIPMENT � FEE <br />___ ....-"'•- <br />_ AIR WNO. UN1T5-h1.P, pA. }S �- <br />HFFRIGEFATION UNIf!: II.M� GA. -�-- - "'-�-- <br />-�- <br />_� _'"'" '_____"_'"' "' � <br />f1011ER$ H.P. EA. '�".-..�•"-'-"" - -'- <br />- I <br />__ FURCEO Alq SYSTEM!: li.T.0 MEA. ��--T"" <br />. _..._._-___ """ <br />. ...___"'_ ' _'_'L-_. <br />_ _ ' .__ I <br />SPqCE & WAIL HEAlEfiS P.T.U. �'--T` <br />UNIT 11�l�TER$ H.T.U. ��-`�- <br />� — I <br />CVnVpqniIVECOOLERS T <br />CIOTHES DqYEPS ...."-"-'-"'-- -""'- � <br />I <br />VENTII.ATIONfAN � 'T <br />__-_ i <br />fiANGE HO00 � <br />-._ _"__�__'__'_".. _�__�- <br />Alft MANDUNCi UNIT T-^' <br />_ .. .-_._ _'_'_... __._.._ _... C.i.M. <br />.._._._..__.. �-__'__'._J.�� <br />. . .. . ...... . . _. . . . _ : <br />WATEH HEATEq -..•�... ..... ._. <br />""T�__ <br />_.. _. .. . ..___.. _ . <br />FAC. BVILT PIREPLAC[ N. C/11MNEY I �� ��� �^ <br />._._ ._. . _ . ..._._... __" I <br />_'"_" <br />GAS. S�STEM: NO OP OVTLl.IS ��� T"- <br />"'___...._.. iVfITOfAl..S+._... ._. ....;'__ <br />-""____"___ PFHMII 5 f-'-' <br />"_'_, _"-T07AL F6E _5 .'_-- 1 <br />_ I <br />1H�5 VF.Nn,t1T [IECOMES NUI l 4NO VOIU I{ WUH✓, pN tUNSTRtiC <br />TION AUf11pRIZEU I: Np7 Cp`ARILNC[D WITHIN 1?0 C\V$, pq �F <br />CONSTRVCfIpN OR WORK I!; ;Ue;PF:NDED nq nfiN�00uE0 �ps q <br />` PERIOD OF 110 OAYS ni ANY tIMF. nF TF.RIVOfIK �!:C(�ht1,�ENCEJ. <br />�1 I 11[RLOV CEfiTIFY THAT I IIAVE HEAU AND E'lAtdINE D T1115 �.P- <br />' PI�CATION AND KNOLY TH[ 5,11.1E TO lik TlIUE ,1N0 COI:HECi. ALL <br />PROVISIpN: OF 1.4WS ANI) O(tnINANCES COVERNiNG i1115 T\'�E <br />_ Of Yl0{iK WILL BE COh1PLl[O WIfM W11tT11FR ::PF.CIFI;D FIEREtry <br />'� Ofi NOT, THE GRANCING qf n PF.RAt�T pp[S NOT PRE$VME 'O <br />GIVE /�UTIIORITY i0 VIOLAfE ON G1\CEL T11E i'qpv15lON5 OF <br />: ANv OTMEq STATE Oq LOCAL LAW 11LGVl11TIN(i CONtiT11UCTION <br />ORTHjP[RF MAN EOFCpNSTPUCTION. <br />— ��' �( o- v�rr � Y si �6( ,��A�,1' � / , <br />� � Q <br />X� � l� � -t.� ° Liy � 7 <br />'j_ .Ct' <br />- 57r�JY��'lREO CUNT CTOf10RAUTli.q({[NT DAT[ <br />_ ' ' - ���-� InECE�PiNn. <br />�j � '�_� � 4 .-) <br />- -- . _ .... . `ti <br />FEES VAlUAT10N I FF.E <br />___ ' __'__.,._.__� <br />__... _...T.__ <br />— � <br />... _. ._ " .'. —___ _'_._ <br />� _. L"_' <br />tfUIIDING § 7% �/ _ "-""r I „i <br />�]l0 Jf/ . .�,[/ 1 <br />---i -- ��--- --- - r-._.....—� -- - - r-._. <br />�'IUMI)Wti +r. <br />. _ __..__.._ i <br />MlC11ANICnI , T' <br />_ �_ l <br />OTMEN � <br />_—__ I <br />YY. VEN41.T'/ <br />TOTAL <br />SEC. 707 tal 1 <br />_ . ..... .. _.._._ . __. _ _ _._ . _. l..___ <br />