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- �QC����l�R �1CTft��' 9�z�/y� � <br /> P�����T ������1.�/��E�E�'E y3 � G� <br /> COM[31NATION • BUILDING • fJIECHAIVICAL � PLUMQING <br /> OWWhHy 61ALLAVUIILSS � LIY YMUNt I � <br /> l�� '` /'�'� � 1 f U N ���/ 1 � ' ���.v <br /> ARCHITECT UH UESIGNEfI MAILAODHE55 �' �HONE LIClNSE NV <br /> Gl.NCf1ALCON�RACTOH . MAILADDIiE55 PMONE � UCENti[ NU. � <br /> -So H n ��, 1'-�r,.,:,,� ';� 21?_oCtw J.,. 2S7 —����J' SU�lIJ-I_?!?-!.'Z 3 � <br /> MECNANICAL CUNTRACTOR � � MAIL/WORGiS PHONE UCLNuE NO. <br /> / • <br /> f'LUMUING f,ONTRAC70R MAR ADPfiE55 FHONE UCENSE NU. <br /> VERIAIT CLA:S OF WORK • —'-"-- ��- - -'-'-- <br /> �COMBINATION <br /> �OUILOIl:G ❑ PLUMOING ��.ihCNANICAI <br /> ❑NEW ❑ADDITION ❑nLiEflntl(W LPnIH <br /> VAWATIUN UP WORK <br /> S � � D � ❑DfA10U5N ❑FENCE ❑SIGN ❑'.lYlldMING Pf101. <br /> DESCNIOE\'fON /�, L/,+ <br /> r- ('�. o J I `. . <br /> PROPOSLLIUSE OTHERPERMITS ORAVP�OVAIS <br /> ' � RE ZONE � SPECIAL USE <br /> �LlGAL Ph:CRIPTIUNOf PROPEf1TY 15HOW ELOW UR AT7ACM <br /> �OUR7C-U�P��.E�S[Ii - � J #VARIANCE L� SKORUNE <br /> LO7L.S=--'�OLOC1:�OF �r u l'S'1 � � �'r %' -- <br /> / SEPA CH[CK LIST REQUIRED <br /> �-d � � v `-�^� ✓ 'r �:.r Y E S , <br /> �j NO . <br /> JOU ADOfik55 '�' <br /> � Z � � . �, �MECHANIC�L <br /> 'PLUta781NG TYME Of [NEN(:Y <br /> []tiAS ❑ELf.C. <br /> � NO. TYPE OF [DUIPNENT f[L' <br /> I ' AIRCONO. VNITS-II.V. FA. �S-'---� <br /> � NO. TYPE OF FIXTURE O(t IT[�d PEE R6i'RIG[HATION UNltti 11 P fn --� <br /> -�- <br /> . <br /> �_ ___'_" " _'_ . _ '_ __1 <br /> I1AIN 1UHS IS OOIlERS H.P. [A. - '_ "-'-_----_i 1 <br /> CIOTME$ 17A'iHhll � FO(iCED AIR SYSTE�A$ ❑.T.U. MLA. --t-=T <br /> � <br /> QISH l7A:iHLitti ' _. _"'_"— "_"' "'__"___" _' -1 <br /> UHI�:�IN(i FUUPJTNWti � - -' ' ---" '-'"'� --- <br /> � -- $PACE f. WALL HFATGHS .. f1.i.V. � � <br /> Fi_oo��ni�nir.s � ----- '— � <br /> KITUMtN tiIN�5 fi UISP i U1JIT nGA1iR5 ILT.V. ____ _ <br /> �-- BVl�PO��ATIVECJOL[HS —_r- <br /> lIAH !iINK_� -� _ '- --'-___""'______".-_ ._"'_--l— <br /> {IOOF DNAINti RAIN IEAUF.115 � CLOTHGS IJ(lYEfi$ __ � 1 <br /> $IIOP.FHOAIIIy -~ '- VFN7ILATIONFAN _�-�j,___ <br /> tiF.RVICE SINY,S nANG[ HOOD � <br /> _-'_"_ .� <br /> SUMPS -� SE\VA(i!i PUfdP I '-'---------... <br /> ___ AIH 11/�NOLING UNI7 G�.M. � <br /> . ...... .."� �._ '_"��_ <br /> UI11+1,11.5 i " -'.._'.--.-'-'.... I <br /> �Yl.(FqCIOti[7; - � . . . ... ..'__'. ._..' . _" . . . _ _...,.. . "_.'T <br /> WT1_hli Hf.NElIS - ELf.CTHIC � .._ �vn7E11 HEntEn_.. . . ._ . �. _..1-�- <br /> l7nSH OAtiI1Jti - ��- �AC. DUIIT FIIIHPLl�C[ l4.CIIIAWEY .. . 1. • _ 1 <br /> ' _"_ ._ .. .. . "_' .. __. .... . . _ ' " ' . .._ ...-L�_ <br /> Lf�U\UHY TIIAVS - --� _ 6AS. SYSTEId: fJ0 Of' OUTLI 15 � <br /> ' ' - ; .. __ " '._ .. . "�Uf{ ibML 5 1 <br /> - � __._ _ --__... --._ P[RA1R ._5..._._�..._T-- <br /> I _. ___' '".___ _- � <br /> 1f1TA� f EE _5 � <br /> -� $UO TOTAL � - '11115 YF.fi1dlT 11EG0\'1C.^. NVI i I1Np VOIU �I lY�J1O: Oq f.U\iTRUC <br /> PERLIIT S TION AVIIIURILED IS NUI CO`dr.11NClO \Yrt111N 1?0 U.\Y;:. O11 iP <br /> TOTAL FEE � -� CUNSTIlUCf1UN OH \'1ON: C: SVS��ENOED Oli Af1nNDpNCO Fpf: 4 <br /> WAT[RSCRVICC :17f: U(�1G. SUPPL\' S17.[ {•CRIOOOPI?OOAYS /�TANYIIhtEAFiF.I!�vni�r: i::C��'d.�FNCIU. <br /> .�.Ibt'pi�tU''.si`i1J.l�A $ �Nl�~��IUM1Cwu�A��IkAN YAHU]liflACK" I IICRLfiY CCfiTIFY TIIAT I IIAVL H!.l�7 AND f:`(AI,�iNID TIItS A� <br /> � PUC.1110Y ANU I:NO\Y lllC SANE iOIII: TfiUF. fNU CUI:IiCCi. AI.L <br /> PpOVISIpMi Of IJ.\YS ANI] OIIDIliANC=.S GUVLIiNttJl: 1H�5 TY�`_� <br /> ' : OF C:OIiI: YJiIL �E COh1PLIE0 \YI711 Y:�I:�:T1�EH ::Y[CIFIlU MEREtVI <br /> Ul:l ZUNL�•. LUi AIILA -- VACAIhI Sll l -�- OR i:Ul. Tllf�. GR41u.-WG Of A P[RMiT ;tOf 5 NOl YIiCSV!:E T�I <br /> + (i1VL nUT11URITY Tb VIOI.Afh ON C/�WCbI TIIE 1•ItUVi5iOH5 O�� <br /> � ❑Y[$ ❑NO c{ ANY Ul ltC�1 titATE OR LOC4L Ll�\Y Hl(iVLI�T Wti COM:TIIUCTICN <br /> TYPC OF CONST. OCCVYANCY GNUUI' f:U.OF DWLILWG +. OH TIIE PLRFOfOdANCE OI' CO ST��VCiION, <br /> UNITS <br /> /� ' / ((yy�� <br /> :i12C OF ULDG. NU.OF S70filE5 �tAX.00C. lOAO . '� , <br /> � � �� •� � (�'�_��O �_��_. <br /> :IGN.�'VHEOfCONT {nCTO(10(1AUTII.ALiCNT OATC <br /> I�UIL'{1jN1 IIA1:khllNi Ilnl,•;I'IiIN�:l.l.11; �.�,,e,r�f, ., . �n.�..v.vu�++..�.s..e--a-�R+.�:�++"• <br /> � RlUUIHEU ^ � I'L.1fiL11lCKWUMIILH Yl/1fVO1LCI. ILL <br /> ❑Yf$ "NO �4[ IICGEIPiNf�. <br /> GF(;CIAL CONDITION:'. <br /> ' ""-�__FCEti ._... VALUATION �I . •.. FCB ... <br /> — _' _"_-_ _._""�— <br /> _ I <br /> _____"___'.�_' _ _....___ _ '_ __—_I—_ <br /> �___" —I ❑UILDII.G —_ r_ s_. .'.�_"'�.'_ .� '_" � <br /> -• r--- <br /> SEPA REYIE\'J COh1FL[T[ � ❑YES L.I NO' ������1°�"`: ....____.._ i <br /> i <br /> I./LCIIl�NICAI <br /> conlocl plann�nq dapf. _ . .. . i.._. .. . <br /> ' . I <br /> � Ol'llCll I <br /> ----r— <br /> wucn��w�µurltunr riµsn�u�luuv .i• ^Vr�OJuM�Ax���41ur PCNALTV SFC.�OJIa) � <br /> ' � � _.�.-_�_'" ._""..__.__..._.... ...._.._..i...� <br /> 1 YnT..�- � <br /> '_ _.. . ._"_ ' ._""'.'__'_'.'.. . i........___...._..._..._.-._..,.�....«..._....,._.,.................._„�.,...l,�w...:_ �. <br /> —�. <br />