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tl <br />COMf31NATION • F3UILDING • MECl1ANICAL • PLUM3I�G <br />. <br />r•C.r ., <br />�GOMOINATION <br />Q'OUILDING � PlUM01NC � MECHANICAL <br />VALUAT1C11i{so WONtA <br />$ .r! F'�••q ' . <br />� �; �._ �--„ ; �� <br />PP: � 'C_.O USE ' / <br />. LI/�L Ci/) .S G10 /? <br />�li.nL Ok:CR1PT10N OF YROPLATY <br />f:;UR COPIESI <br />LOT BLOC �OF� <br />:��_J.,t �'= c=i: C- <br />� ,•� ,Y <br />AODRE55 <br />"� o. •" � ��' _ , - <br />,AODNE55 - �MONE LICtNSk��NU <br />.AUDHE55 PHONE • �ICENtiENU. <br />/,l � ��:'1 �V <br />.ADORESS VHONE UCENShNO. <br />❑NEW ❑AOOITIUN OO-��7Ef14f1t)N ❑ItLPMii <br />nOEMOLI;N I-IFENGE ❑SIGN C�I!:NIMMINfi VOOL <br />� . <br />� �; r-,�>>� ; ,�; ���-� �;�., , ,� <br />�TH[RPERMI75 ORAPPROVAIS <br />.� RE ZONE �j SPECIAL USE <br />�$VARIANCE � Sh'.ORLINE <br />SEPA CHECK LIST REQUIRED <br />.� Y ES <br />� NO <br />;; � ; '�, ' � M[CHANICF.! <br />�Ll��` . TYVE OF [NEHGY <br />7[3ING ,,.. ❑r.ns _ OEicc. <br />� . NO. TYPE OF EOUIPMENT FEE <br />. _� .._'___—_ <br />l.IR CO��O. UNITS-H,V, EA. __��4 __�_ <br />fJO. 7YPF Of FIXTUR� OR ITEIA FEE HEffil(:Ef1t.TInNUNIfS.11.Y_CA. _ � � <br />II/�1H 71705 S � OOILFn+ '�1.P.EA.- ' '- j 1 <br />a:COTt�ES %ASNF:fI �• FURCED A7H SYSTBi.L O.T.U. MEA. � -�— <br />(]!tiHC:.5HER5 _-+ �--� __ _"_' .'__.... _�., . I <br />DH(1L;IN(i FUUfJTAlhS � t'- -' ' -'-"' "-""� -- - . T-� <br />FLOOki UHAl1.S � � SPACE b WALL YtATF.RS �• O.T.U. __ � <br />KITCne:�! tiiNKS 2i UISP. r UNIT HFnTEPS N.T.L. �._� __ � <br />EVnPOi�A71VECODLEHS^- �-- <br />Ilf.il51NY.S � ..'--�-�-'-•- " � <br />ItOOF D��A�Nti f1n�V L[AU[FS T�- CIOTUCSUR�'ERS 1 _�__ <br />SHnY.Efl ISAiHS VEN71LA710N FAN � <br />SE�{V�CE SINY,S qqNGE ��000 � <br />SUI.�Y$_.-SEY:AGF PUh7P / NH IInNDLItJG UNIT S f G QP.M. _ _"_" �O <br />UtuNALS � ' _""_ _-._. _...._ ..."'_. <br />I <br />F:A7E9 CLnti[.TS i . _ . .. . _�_. .�.._ �.. _ . _ _...' " '_.'�_ <br />\VATEI7 HEAlE115 - ELECTf11C � _ WATER HEATEN_ . , , _ , �. �,J___ <br />1':<wH OASIKS - . � FAC. BVILT FIREPIACE !4 CwIh1NEY ... _ ... _" I . <br />LAUnUftY TNAYS - GnS. SYSTEM: NO OP OUTLI.15 ___ -r-�- <br />L-_- <br />� • __'_' �UDTOMI 5..__._L�/IOO <br />� ' PEfltA1T S r- <br />_ 1 <br />SU6 TOTAL �__� -"— '_- '-TOTAL FEk 5._` C�Ci�J - <br />T1115 YF.f11dIT [IECO'.1@S NUI 1. AND VQ�U 11 1VUIIY, tlq l:UNSTqUC <br />('EH1d1T S � TIqN AUfllpii�ZED IS NOi CpAAA1lNCE0 Y�IT111H 1?D U.\YS.Oq iF <br />TOTAL FEE C--� CONSrPUG��ON OR WUnK I:: iU:��`I"ttDED OR n1�n4OP::CD FOq � <br />:AT(ER SLRVICG SVF: AIDG. SUPPLV SI7.E �En�OD OF' 710 DnvS nT nrvr niaF. nFtl'RPf0111: 16Cn1AUENCED <br />��L Y7i�Uo[�1�u1�6' ""'�"-"'�""� -' I IICI1k0Y CEf1TIiY T/IAl I IIAVl fICAU An:O E%A1.11h1[.D Tfll$ A� <br />-�i�ilT���Ui.l'K 73tARYAIIUtiEIUACK CLICATIpN ANO KNqtY i11E SAME T0114 TfiUE ANU CUI:NCCT. ALt <br />PItOVl510t<S Oi LA�YS ANU OIIDINANCES GOVEfiNING 7N15 TYPE <br />-' OF VJONK WILL EE CO�dPUF.O Wti11 WML'T�1EIt 1:PECIFIlU �+EiiEl� <br />JS! /.ONt LUi AHLA VACANi 51T! �- Oq NOT, TIIF CfiAN71NG OF A P[RAUT pOES NOT PHE.VfdE TC <br />�' � ,�� i GIVC AVTIIpRITY TO VIOIA(f: OH CnNChI f11E �'ROVItiiONS pi <br />❑Yf.S �NO I ANY OT��CR STATE OR LOCAL LAW IIIGVIATINIi CONti7�iVCTIOD <br />fl'1'E OF COkST. OCCUYANCY (:NOVP N0. UF UWELlIN4 � ��i TNE PCIIFOH�AANCG Oi CONSTIIUC710N; <br />� �-/-��:. 8- Z <br />it[ ot oToc. no. oF/ stoai <br />l <br />IH6Z[)Nt IM:ilMLNI <br />. 2 — <br />lC1Al CONDITIONS: <br />flLOU1NtU - <br />❑Y�. o,� <br />_ � �:,. <br />X ' <br />SICiNATUHCOFCUNTf1AC70ftOHAUT11.qGENT Dl17F <br />vvo�m�._• <br />�'L.:N C1�LU1: NUMULH YLAN CI�bCA 1�4! <br />� � LC � uCCE�ri r+�+. <br />3 �. &� <br />.. ..__._....�_�... .. . _ .. .. ... .. - ... ....... <br />FEES VALUA71ON FEE <br />_ �_—.-_ '_" ��-_ <br />1 <br />' ��. ..:___- � <br />"^'-'-.�- -- IlU1LDING S���j�. !J� �i� <br />�I _. ,.—_ ... ---•-- — •—.._..r--• <br />' .• r�uMniN�� � <br />SEPA f[V(E�Y COMPLCTE � ❑YCS ❑ N� •••- •••--•• Gf i CO <br />RILCIIANICAI <br />cunlotl planninq dapt. � . _. i._... <br />-- . " i <br />� UTIICR 1 <br />��n <br />�tICAIIWIAI�VIW�Y. ruqpUqUIUH Ih'M�'I"4U/ IYY PFNALTY <br />• �� � 1 __'_.�' <br />j i _. <br />/ "\ . <br />t .. ' � TO7Al <br />�j � ,. � _.. _ .�.'_ <br />SCC. �071�1 <br />