Laserfiche WebLink
- Gf���� f�zl C i�i��� <br /> ' � % �' PER�ViIT APPLfCATi01`J � <br /> �-- <br /> COMBINATION • BUILDING • MECHANICAL • PLUMI3ING ' <br /> OWNLI� MAILAUUNtSS� 71F YIIUNh <br /> � JI/, � �//J � �Y (' �[� <br /> �C.Y_h_h_ �L• �•J1� VB /CI� � L/JT_'J ��J7Y/�HG /c'H � .1N�! <br /> AHCHITEC7 UH OLSIGNtfl MAIL ADONE55�� PMONt I.ICENSk NU. <br /> /y/ � �� I / <br /> L=L'�__/�% 1^1�� 4 ].S�?� /�:J Gr..Lr /�i d r - /�� .�S 3 - �{lo.S'� <br /> GENGRq�CONTRACTOR ( MAILADDitE55 V//pNE • LICENSENU. <br /> MkCMANICALCONTflA�TUft MAI� qL'JHE>5 PHONE LICENSE NO. • � <br /> PLUMtlINGCONTRACTOR MAILADORE55 PMONE LICENSENU. <br /> 1`ERMIT ' CLASSOFIYORK • --- <br /> ❑COMBINATION . <br /> �'I�UILDING �PWMBING �MECHANICAL � . . ��'/ . . <br /> ' ❑NEW �/1ODITIUN ❑ALTEIIA�IUN � �tiU•nlil � <br /> VALUATIONOFWORK . • -�-_.. ..__ <br /> . S � �= ❑UEMOl15N �FENCE ❑SIGN ❑!{\VIMMIN(i YOpI, <br /> S � cJ <br /> DESCRIOE WORK . 1 <br /> � i r iS �l �a tc — c° � �, d p, Qa u�c.r w�4�! � N � <br /> rnoeoss use OTHERPERMITS OR,APpROVAlS <br /> FOUHLc p��eS�CSI�PTIUN OF VROPERTY(SHOW BELOW OR ATTACH '� RE ZONE .� SPECIA� USE <br /> �or_.2.L_a�ocK_oF �.VARIANCE � SHORLINE <br /> S` PA CHECK LIST REQUIRED <br /> , � .✓ fo u � YES <br /> ~ Li NO � <br /> L�-.�f�o� — -0 1 . <br /> JOB ADDPESS 1 . <br /> .... �..�...� <br /> � �ti ,, H..e �MECHANICAL ~ <br /> PLUMBING � ' ' TYYE OF ENEflG V � ��� '� <br /> � ❑�:AS ❑ELF.C. <br /> . . ��. TYP[OF [DUIPMENT —�L � FEC <br /> AI R CONU. V Ni T Y-H.P: E A. . .-•.-�-T$.•'--'�.�-�� , <br /> NO. TYPE OF FI%TUR[ OR ITEM FEE � qEFFiGEanTioc� UwfS ��.N. En. --� <br /> RAiH IUpti S " ' - ' - ._..._"'_ —~ � <br /> 0011 ERS II.P.�EA. <br /> CIOTHE5YlA5MER � , _ �i � <br /> --� FOHCEn AIR.S�STEMS O�_T.U_ MEA. T--i— <br /> UISH WASHEftS , � <br /> DItINK�Np FUUN7AINS � � <br /> F1.00H D(IAI��S � SPqCLb �-IALI. NEAtERS H.T.U. -�_ <br /> � <br /> KI7C��hN ti1NKS & pISP. � UNIT IIEATEH$ N.T.U. .� <br /> IIANSINKS � FVAt`OHATIVECUOLENS —1 <br /> ItOOF DRMAIS RAIN IEAUEOS T� CLUTIIES DqYERS -..'-----'—' '—j <br /> SHOIVENHATNS ' VENTILATIONFAN' T'�- <br /> 5[RVICE SINKS -- "I - ___ � <br /> SUMPS -� tiEWAGE PUMP -��-- �7NGE HO00 � <br /> ' URWALS -� _ n�� ��ANDLING UNIT �.�_q1_ � �-� <br /> WA7Eq CIASLiS � -' --.'-. , . , _. .._ ._ _...__" , <br /> WATErI HEATEHS - [LECI'HIC i WnTER NEn7ER .... _� . ' " -""' " J..--T— <br /> ' WASH 6ASINS . .._ _. . .. .._._. .. .. . . . . . _. _.-J._� <br /> � FAQ AUIIT FIqEYLACG K C1111ANEY ^ <br /> LAUNDRY TRAYS . -_ -. ' .. . .—._ -_...___....._�_'_......_ _... __._._� <br /> • 6A5. SVSTEM: NO OP OUTLCIS T <br /> � '.._ _-_ ._____ ._ ..�U(ITOMI.__5..._ ..__ _..1-_� <br /> �_ � _""______"—P[RMIi �=5 .._.��_��� <br /> SU6TOTAL �— ., _ _ � TnTALtFE 5 i <br /> PEIiA71T $ '- T1/1.^. PGf1A11T UGCOh1E5 NULL AND VOiU II WU111: UII C045TRU[ <br /> TOTAI FEE t�nN n��T��VAI7FD IS NOT CO`d�1LNC[D WITIUN 170 UTY:, pq If <br /> CUNSTII�ICIIUN OR \VOfiK It: iUtil'f:ND[n O12 AOI�NOONEU Fp(t A <br /> �'ATER S6RVICE SIIE BLDG.SUPPLY 512E � PEniOD oP i70 OnrS nT nNv nMt nFTCItNOnK R:Coh16�F:NCEU. <br /> +�++� 1 IICPlOY CER7IFY.TNA7 I HAV[ 11''AU AND C%AMINI D f1115 A�. � <br /> � � � < •� 1 ' OA K NhAH YANOShTUAGK- p�����i�pN AND KNOW TIIE $nNE TO II[ TfWE ANU CblillF'CL All <br /> PBOVI(:Ipp:$ OF 1A145 ANU QRDINAHCE$ GOV[nMNG 11115 TVPE <br /> JSL ZONG nF WpHK YlILL 8E COA1PUEn WIT11 WHETML{t ;;P[CIFIEU HENEIN <br /> LU7 AHCA 1/ACANT SITf OR NDl', TIIE GRAN7ING OF A PEHMIT ppF.S 60T VIIESUME T(i <br /> ^� ' GIVE AVi110RITV TO VlqlAfF UH C4NCkL T11E YRpVI$1qN5 OF <br /> ' . � ❑YES �yrtc) � q4V OTNER STATE UR LOCAL LAW IILGVI,ATW(i CONt:TfiUCT10N <br /> fYVE UF CONST. OCCUPANCY GHOUP UNIO�F OWELUNG OR TME YEIIFORIdANCE Df CONSTNVCT�ON4 <br /> �V .v dZ - 3 � . <br /> iKE OF BLDG. ' NO.OF STORIES MA%,OCC. �OAD _ ��y/-�/,I� ' <br /> �INt Zi)Nk•.— ' ' SIGNAT�ft Of WNTqACTOf�H.4(:CNT �TE ? <br /> IM:iFMLNi . IINk.•:1'tUNKl.11iti <br /> 3 �/ �_ n HF.OVIHLU � I l lN CHtCK NVMUEI/ PLANCHtI'A �h! <br /> �`iT/ �YES O PEC <br /> . HECI'I�f Nn. <br /> �PECIAI CONDITIONS: ' <br /> . . .. _"•.-...._.�_.�.... . .. ... ... . _ .. _.. .._.. , t "_. <br /> , FEES VAIUATION FEE � <br /> _..._ - . .- '_'__�_ i <br /> -�...�� . � 1 <br /> �.�.��.'��� """'_' _ � <br /> '. _.� . I OUILDING _ s._.�_,... �..�_ ' ' <br /> 1 <br /> -••r-- � <br /> SEPA REVIEW COMPLETE � ❑YES ❑ NO ' ''"'""!!!""' _ � <br /> l <br /> confact Plonninq dapt. M[c��nN�cn�'�..__ . 1 <br /> - . _ . �._.... <br /> � ' OTIIEH � � • <br /> '�IIG111UM�GLIfIlYY1': YUN)pWll4lUY'I: YfIqY1D�1 YY MFNALTV iEQ.JO]��� � <br /> � 1 <br /> .�..��. <br /> � <br /> .�._._ __ � C.. TOTAL . -...._.-",_..._. _..__ 1 <br /> � _.._._ �_,__.�_� •' <br /> f <br /> . h <br />