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IlUI\J I tl Uuu I iu1V <br />PERMIT APPTI'C ATION <br />COMBINATION a 13UILDING III AIECIIANICAL • PLUMBING <br />mnlu nUunlii' 11Y 1•HUNE <br />IITLCT <br />AIICI Oil ULSI(:NL11 MAI L AUUIILSS YHONt uc-Ci SL NU. <br />3EfiC nAL CONTII ACT OIJ MAIL AUUHESS PHONE - LICEN-511 —No.' <br />a95 ocL- 6FA�� <br />cANICot <br />-��� <br />NLCIINICAL JTRALTUR MAIL l.DUIIEoS V <br />rrIONE LICENSE NO, <br />'LUI.I16IN6C0NT.RACr01i MAIL AOURESi PHONE LICEN5ENO. <br />'ERMIT <br />CLASS Of WORX <br />COMBINATION <br />OUILOING PLUMBING fLECHANICAL <br />❑NEW ❑ADDITION []ALTERATION I(1'Alit <br />/ALUA iIUN OF YJORK <br />--' •----• ---� <br />❑DEMOLISH ❑;ENCE ❑SIGN O';WIMMINII POOL <br />IE SC(U6E WORK <br />.L S it �S <br />ROPOSED US1LV <br />OTHER PER)'AITS OR APPROVALS <br />REZONE SPECIAL USE <br />EGAL OkSClNPT1UN OF VRUPEnT ' ISHO' BELCL'J O TIT rnnl <br />OUR COPIE51 /�• ..{�, <br />� RV{�1''Is <br />.�( <br />$ <br />OT - /1 <br />VARIANCE -'I SHORLINE <br />BLOCK�_OF-�` <br />• <br />P U' <br />5t V Y CHECK LIST REQUIRED <br />c S <br />NO <br />3aAoon SSL = <br />MECHANICAL <br />LUMBING TYPE OF ENERGY(]ELE C, <br />NO. _ _TYPE OF EQUIPMENT FEE_ <br />- <br />' Ain CONO. VNIT$-ILV, EA._-$--- I <br />.0. TYPE Of FIX TII)IE OR ITER, FEE nlr_nlcE nAiiorJ ---T— <br />IIII lit liiUti 5 -�- - - _ �--------•--•--- <br />OOII En7 HP. A. <br />-_ OI 4%;4FH CIh1ESI - - - _ .. ---j--_�- <br />FORCEO AIR SYSTEId5 U.T.U. LIEA. 1-- <br />UISII ;:ASH F, 11$ I - I <br />FU(J:ITAINS <br />F \': COit UiIAIr:S --�-- SPACE LALL HEAtE nS U.T.U. <br />-. -� <br />itii!:YS Y UI <br />_ VN-IT HCA—TEn$ <br />---'-T- <br />RARSINK$ EVAPORATIVE <br />_COOLERS <br />ROOF DliAINS RAIN LF.AUEIIS I CLONIES DRYERS __••-------� --•- <br />SIInIYEJI(A111S VCiJTIIF ION FAN Imo- --T—� <br />ti@IIVI(-_E SINY•S <br />RANGE HOOD I 1 <br />P$_. SEWAGi: PUMP —T <br />F -- _- i--- <br />•_--C.F.M. <br />_SU7: <br />URINALS I Ain RANDLING UNIT <br />--VJATL_H HEATERS ELGC TRI(; i 'WATER HEATER •_•. -_, _ __•.__ __-.---L-- <br />----- <br />P!,\SH B,l$IrJS- I FAC. GVILT FIn EPLACE Yi CIUr.iNEY •- - - I <br />LAWN URY TRAYS - GAS, SY STE61: NO OV O V TLE 15 �— <br />_ __ ._____ •.. 'SUIT <br />TO rAL S <br />• I -- pEn1.11r ._5-•-.___-._-_r- <br />$UOO TL1L rOinLTOTAL FEE <br />.ERAUT S T 71115 PERMI I BECOMES NOT 1, AND VOID IF WORK OR CWj':TnIJC <br />TION AU r11OnIZEa 15 NOT rOMPAI, NC(rl WIT FIIN 120 L)AYS, On IF <br />CONr7nOcr1UN Oil %VOIiK V; SLINPFNnED Oil Ar1ANDONED FOR .\ <br />.TEn SERVICE SIlE -CLOG. SUPPLY SIZE. •T`Cn100 OF 120 DAYS AT ANY TIME. AP TEH WORK i;) COI:e.IENCL D. <br />'--,"Oil r- = I IlEnEnY CERTIFY n1Ai I RAVE READ AND CSAtnN( n nn.^, Aa <br />Je•T'-iPHLJ iCI U:.Cn Si11L[i b[IUACK6L IItAN YAHU 5L lUn C.. <br />PUCATICIN AND Y.NOVJ THE SAME i0114 TRUE AND I-OIINI CT. ALL <br />Pn()V1.•.IONS OF LAVJG AND ORDINANCES COVE nN1NG THIS TYPE <br />•C ZUNk - LU7 AIILA VACAN(Slik OF WORK WILL UC COMI'LICO VAT11 VJIJLTHEII I:YC CIF I(U HC,1El`:I <br />On NOT, TIIE GRAN7ING OF A I•ERidir nOCS NOT PrIESV.!E TO <br />GIVE AUTIIORITY TO <br />VIOLATE UII CANCLL TIIE PRUVe:IOrIS OF <br />• OYES ❑NO i <br />; ANY 011rtn STATE Un LOCAL LAY! RLGULArING CONSTIIVCTIUNPE OF CONY GINS7. UCCiII'AACTUUP NO. O� OYItlUNG Oil TIIE I'LnFOHMANCE OF CONSTRUCtION. <br />UNITS <br />!E OF ULDG. NO. OF �TORIF.S MAX, OCC. LOAO 4/5-A <br />TUNE IIACL MLNt IIIIL 'I'111NK 1Lill-� 'If.NAT VRE Of CUNT RACT011 SiENi D.1rE <br />I•L-IJ LRLLK NUMtllll PLANCILLCKI'LL <br />❑r(r, ❑r10 <br />- ILE RECEIPT NO, <br />e DIAE CONDITION:: <br />FEES VALUATION FF,E <br />-_ <br />-• (WILDING S 1 <br />;EPA REVIEW COMPLETE DYES ❑ NO I'L`IL'11N17 <br />contact planninq dept. MECHANICAL^ <br />orHER <br />I <br />.(AI NN1LLIr11U YT •InN1 L.n ulu v: u.Nrlo o,li. r[HALTY SEC. 703 lq 1 <br />TOTAL 1 <br />