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- C�t�tSTR �CTt��: � _ _ <br /> . - �ER���iIT APPLICATIC�1�! � <br /> COM6INATION • BUILDING • MECHANICAL � PIUMl'ING <br /> .OWNk1t MMLAUUNhSS� ZIM PHUNG <br /> :�ti'1�Liirij!< l�); r .d � ,� N /3% i /�.n:n. . �'o .y �S�J � .i ic '% <br /> ARCMITlCT Ufl DGIGNt1� MAILAUDfiESS PNONE UCENSt NU. <br /> GENFNALI'ONT/NACTUR MAILAOD�1E55 � PHONE • LICEN::ENp. <br /> �� f.'i.<' /V :�i�� e ..i-^y�,i.:. . 7 J7/'/ ?� - ,./ � .iSJ'.';27Y -> 27�� �/- i.li-��r _,t�.,-K3i17C <br /> MECHANICf.L CONTRALTUfi � MAIL AOOAE55 VHONE IICENSE NO. ' <br /> PLUMIIING CONT,HACTOR MAIL ADORE55 PMONE l�[ENSE NU. <br /> �VENMIT CLASSOf WORK • <br /> ❑COMDINATION . <br /> � QOU�LDING �VWMOING �MECMANICAL <br /> . ❑fJEW ❑nDD1T1UN ❑ALTEt1A�lUN ❑HU'nlfl <br /> VALUATION OF WDRK � <br /> � ❑DEMOLISH ❑FENCE ❑SIGN ❑'itV111MIN(i PUOL <br /> S <br /> OESCRIOEWORK ' �-�'� �, A�jf/� ;�J�J'/�'T�=J <br /> � / <br /> /7QV� �04_ �c /�Io/yG. _ _ OL� � '� v <br /> "vAoroseo use OTHER P�E MITS OR APPROVAIS <br /> ' �j,RE"ZONE � SPECIAL USE , <br /> LfGA� 1165CHIPTIUN QF VROPEHTY lSMOW dELOW OR ATTACl/ <br /> fOURCOPIE51 ��VARIANCE L� SHORLINE � � <br /> LOT � BLOCK—OF �r�" ' FwLi �� i / � � � <br /> 5 E PA CHECK LIST REOUIRED <br /> 'z L ? fi !.t 1-oT 1y �Fss o� e {_[' YES . <br /> L� NO <br /> ac w. a��r�✓r�,� ��o„ 4 \n/Pc� I�nc� ' �3LK . <br /> JOB ADOF7E55 <br /> QZZ.� C.owcyt Cic. � -t1� �MECHANICAL <br /> PLUMBING / TYVE OF ENEFGY <br /> . . ❑t;n8 ❑ELF.C. <br /> , NO. TYPE OF EOUIPMENT FEE <br /> . AIFl COND.VNI75-��.P. EA. ^ �5 � ' I <br /> NO. � TYPE OF FIX7Ufi8 Ufi ITE�d FEE �� RtihiO[aanor+uNir,; ��N. En. - --T <br /> : __._1_ <br /> 1 HA I H l l ltiti S G U OOII[PS H.P. E A. � "'�"--�'--_i 1 <br /> CtOfHEti V+ntir�EN ��7 -�• � FOfiCED AIR SYSTLM'J O.T.U. �A[A. -�— <br /> u�SH vL15tiEits - --" - --'-' -- -' • � <br /> ONINY.IfJG FOU�ITARJS � ' ' ' "-" '-'�"' "' - � <br /> FIOOH D��NNS � SPACE b YfALI HEATERS �� fl.i.U. r <br /> I KITI:HEN $INKti P OISP. /,� � .' i/ UNIT IIEATERi �H.T.LL _ _ � <br /> EVAPOHATNECOOlEHS��� � <br /> IIAIt SINAS � __'___'-'--'...-_---- -' <br /> IIOnF DRNNS FIAIN LEAUEf75 ' � � ttOTHES O�vERS '����� <br /> _ . SHO�1'tH BnTHS VENTIlAT10N FAN �, <br /> tiE12biCE SRJY,S qnNaE r+o0o - —� � <br /> SUhapS -� SEWaGE PU�.iP Aiq HANOLING VNIT 0.f,At. __�— <br /> UIIINALS ' � _' _""_'--"_.._ _ ._... ...____. <br /> � LYAIFH CLOtiCTS �' �i���, . _ . ' _"_'. ..__.._ _" . . . '_ .'_" - ' T <br /> - � �� WATEH _HEATER <br /> WNLH NFAT[Ilti - ELGCI'RiC "�;^ :-� .._ _ . . . _. - . . . . . '-� "'1"'"--' <br /> -' FAC. OVIIT FIRHPI.ACC !4 CNIMNEY � I <br /> WASt/ �ASINS ' '' i ! �' __ � _. _ _. -_ . _.. ..."' '__._.. ' "'. "'_ <br /> LAUNUFlY 7RAV5 GAS. SYSTEAI: h0 OP OVT11.15 -T <br /> ' . _ _ _._'_ ' . . .iVfITbML y.. ..__ r"1__ <br /> . - _ . . ` 1 p?C� <br /> � ___-�_ � VEFiMR 5 �. �— <br /> � "—"�� TOTnI. f EE 5 _�'1(1 (�� <br /> $U6 TOTAL �V T1115 PENIdIT UECO\1Ei hVl�l. AND VOIU II WUHR ilN CUNSTqUG <br /> PEIiMIT S � ��U iipN nurnU�iz[D �s Nnr CpMMLNCEl1 Wrt111N f?Oonrs. on iF <br /> TOTAL FEE � i� ��� CUNSTIIVCIION 0�1 wonK u: su�:�•frvn[O on nnnr.OP��eo FOn .� <br /> NATER SCRVICE SIZ[ �' UlDG.SUPPLY S12E P��100 OF 1]O O!�'IS N �^+v ��mF A1 TEitNO11K �::Ccttd!dlNClU. <br /> �qm�� +�� I HCi1lIIV CEfiTIFY TNM I IIAV! ��EAU AND C%AMINf O �M: q?� <br /> o�u¢ v��f: .s�`�"���:.'n 57` S� UACK HLAH YANOYtiGACA�. p���pTiON AND Kf:OLN TNE 5.\h1E TU IIl THUF. ANp CC111liCCL ALl <br /> � � ._r. G�,,t,_ .. , �'``_ PRQVI!iION$ OI L11\YS ANf) OfipINANCE$ GOVERN�NG TMI$ TVPE <br /> �-� �' i OF WO�iK YlILL 13E CO�A�'UED WIi11 �ti'��[TMEfi ::PCCIFiEO ME��EIv <br /> USL 2UNt LUi AHlA VACANT 51Th OH NOT. TH6 GRnNPING OF A PERAIIT ppE^ NOT P��CSV'dh TOI <br /> GWE AVT110FITY TO VIOIA�E O�� CI�NChL TIIE �'�UVI$IDh15 OF <br /> L-' ' � ❑YE$ ❑NO , ANV 07HCR STATk Ofl LOCAI lMV HLGULMW(iCON::THUCTION <br /> TYPE UF f.ONST. OCCVYANCY C:RVUP NU.OF UWE�LING OR TNC PLRFONM/1NCE Of CONSTRUC710N; , <br /> UNITS I <br /> 5�2E OP OLUG. NO.OF STORIES MA%.OL0. LOt.D ' <br /> z�� x�,;� � � x.i�AG'.('�'�_.:y1c1-.�'���_— L–,s_.=_ <br /> ~ ` $1GNAlUfiEOfCON1Rl1C10f10fiAUT11.AOCNT nnTE <br /> Illlt 2UNL IIAl:4MlN7 I IHt!il'HINKLLII.S e <br /> HkOVINEU YLAN OILCK NUnl�ltll PLAN CMLCK f ll <br /> '.' � �/(J . ❑YLS �NO � ��[[ , HECE��f N11. <br /> „ <br /> SPEGAL'CONDITIONS: �l� ��,D �L'• :.��.' . _.. .. .... . . ' <br /> i � ..--/—�....--�. . .VALUATION FEE <br /> P(-�/i '��lil .I� _ FEF.S .Y '_ -'T_ <br /> ��C'/� .� [ ' :l- ' � <br /> __ ..-.`. __ _....'___ — . 1 . <br /> ..� <br /> ��'-' IIUILDING s . � . . <br /> � 1l��'�l : �`v_. Lr i -- <br /> --..._�..___ _ .__._. ;--. <br /> SEPA REVIEW COMPIETC � ❑YES ❑ NO ' "`""1°,'"_tO ,..l�.._ ��� �� <br /> i . <br /> [ootocf p p MLCIIANICAI ' (: �' � <br /> Pla�nin da t. . _. . �.._...:. <br /> - . i <br /> , on�cF� i <br /> —�— <br /> 'nuv.tmnA�uruu�r. _ .uwaua�a�u.r^.-- �m.v�o onwu•wU-+r pENALTV SEC. JOJI�1 .-` y�M � <br /> ' � � 1 '�_�" . _�. ""'...._.»_ ..�. ".�•.._..L.�_. <br /> TOTAL �L <br /> ' _'_ - f <br />