Laserfiche WebLink
�F _ TO BE COh7PLETED ItV INi:— PLEPSE PRIP!T <br />�� .,.N :' ra.v�nocaess cuv _„ rr�or.=_ <br />� <br /> C T-( v r C lJ=2 r T T ci*v zia vHor+E <br /> iENLNi NRILAC�FE55 <br />�� <br /> ',i cFCHRECiO DESIGNEF C M1�R�LADOPE55 ���Y Z�P P����' <br /> yoH CcN S� O�iiY4 f/'Jf �//7Sw //�1'� .5�+��`� 9�/'7G �S' 3-SSSG _ <br /> ['��J �GENEPRLCONTAACIOR � MAILRDOPE55 GIiY ZIP FNONE 4CEA5[• <br /> .� .. ,� r9h ��`—� _ . <br /> ��`�i ��H IlE�MANICALGONTPACtOR MAIL0.00AE55 CITY LIP PNONE LICENSE= <br />�s r <br /> 9Hcn -- <br /> H ;y+r PI�48^IGCOMFACTOH MAILADDAESS CITV ZIP PMONE LICENSE' <br />.,y�i^'.• y ZH <br /> F�S""` J� � y'�' CLNSSOGWOFK �q, � <br /> � H� ❑ NEW ❑ AD�IiION ❑ ALTERATION ❑ REPAIR �L�7°�EIAOUTION ❑ �400DSTOVEJFRPL INSEHT ❑ 9UILDING RELOCATION _ <br /> ^'` [/1H iENANTIMPPOYEMENTOF1YiER10RPEMODELONLY COhTApPEF50NA110PHONENO <br /> !�'V `• � z� CONiPACTPR!LEOFWO�K � —� --- <br /> � �ESGRIBEYIOAKANDSOUAPEiOpTRGEINYOLVE� <br /> � nt7 �/ �MU�151- lri�'�F Re51DEA:CE :� ra:tiR.i'T7cJJ� _.... <br /> F..� ryn PPOGOSEDUSEOiBUiL�ING IHEfiEBYCERTIFY?HATIHAVEREADANDE7(AMINEDTHISAPPLICATION::1:D <br /> �1� C /�� KKONJTHESAMET09ETRUEAN�COFFECT.ALLPROVISIONSOFLhl75AND <br /> h1 h C-L-AR�lJ4 ��� F�R FJTURE 4��-'S�������� ORDINANCESGOVERNINGTHISTVPEOFWORKWILLBECOMPLETEDWITH <br /> a y� �eca�oescaivnorvoFaFoaeaniseov�une�owoannnc��vouacovies y,iHETHERSPEGFlEDHEREINORNO7THEGRANTINGOFAPERMITDUESN07 <br /> 2 PRESUME TO GIVE AUTNORIiV TO VIG.ATE OR CANCEL THE PROVISIONS OF <br /> � Hy ',\ ior_�Y� Bto�K_�L— ov �L'T v� - qNVOTHERSTATEORLOCALLAWREGULATiNGCONSTRUCT10NORTHEPER� <br /> d � ADD � D�UIS\0 FORA7ANCEOFCONSTRUCTION.THATIA�dAUTHORIZEDB�THEOWNEROF <br /> � Fy THISPROPERTYTOPERFOR1dTHE�YORKFOPWHICH„PpLIC4T10415'dADE <br /> n typj _ - - AND I C01dPLY WIT4 THE STAT'c CONTRACW�B Vd� �02� RG47 A�JD <br /> ❑ 5 29620J WAC. <br /> 3 l'1 L� SiGN��OR[Cf CO4iRALiOR f.B<ULYOPQCD AGENL <br /> t�� � <br /> HO� X <br /> a -- <br /> � --- � -- –_ . _..___ .--- <br /> '\C �POJEGTADDPE55 i _..rtSCiv(�'�:L..:U_ �: "J .'ALU..i� 1�:.•�! <br />�t'. <br />�n'.;S'a'•ay X �iyZi Ha��Y' �rZ <br /> " S��\ PLUMBING MECHANICAL <br />��j NO. TYPE OF FI%TU�7E OH ITEM FEE NO. lYPE OF EOUIPMENT FEE <br /> WATERClOSETQO�LET1 _ NC-A/HNDLGUAITS-NP. <br /> �a� BATHTUB FOPCED AIR SYSTEMS-B.T.U. 1d EA � <br /> �ad LAVATORY�WASHBASIW UNITHEATE(75-B.TU. M <br />��,���.^�?�C SHOWER _ CLOiHESORYERS .. . <br /> -'� KITCHEN SINH d DISP. VENTILATION FAN _ <br /> �4 �q -- <br /> � R ' DISNWASHER _ _ PANGEHOOD _ <br /> } `-a� WATER HEATER . <br /> LAUNDRVTRAV __ <br /> . CLOTHESWASHER __ __ _ _WOODSTOVE <br /> '�� URINAL _ — METALFIREPLACEBCHIh1NEY - <br /> cra a� ORINKINu FOUNTAW FIREPLACE INSERT <br /> � � fLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS _ GAS PIPING _ <br />���'�.�' '�O ' FOOFDRAINS-RAINLEADERS _ E%NAUSTFAN __ <br />� SINK�SERVICE-BAR,ETC) - — <br /> k. <br /> � , �-�ma _ <br /> j --— <br />� �- ��� _ <br />.,_x�.,,,� SUBTOTAL S SUBTOTAL S _ _ <br /> �� PER1dlT 5 _ PERM17 S <br /> C� ?- TOTALFEE S <br /> �.� TOTALFEE 5 <br /> s., iRONLS[iBAGI( FEANSEiDACK S�p[SEIBAGtt PUNCNECKNUMOEP FEE AEC[IPTNO. <br /> M' f � <br /> °y,,_� usezot�e LOiARER vncnr�rsrtt FEES VALUATION FEE <br /> n r[s ❑�+o <br /> BUILOING <br /> nP[CFGONSi OLCUPANCYGPOUP NOAF�WELLINOUNi15 . -- - - - <br /> r ucv:aai=rnGtUni P W MBING <br /> SiZLCt p�OG. ��QOFBTOMES 89Mi. OC4LOAD � <br /> p y MECHANICAL <br /> ❑N — __ <br /> --— Heic�rtiunitnriorv OTHER <br /> i.�,:.,..a.r, —. <br /> � n�n�.srnrt�KtERsneomaeo o ves ❑Ho _ STATE BUILDING SUHCHARGE <br /> 4Y��,� ' STATEENERGI'OURCHARGE _ __,_ <br /> � . _._ . _ .___.. _ - — <br /> w I-11'.Cd➢t ! :C Jl � 1'L/NSPPPO.�Y <br />�y}���l�yi, PUBLIC WORKS <br />���4 � <br /> TOTAL <br />�'��.1 i - <br />���� �,���� <br /> "` ti`��'�:�� . - ,,;," `rt� <br />.,��y��y�, ������' �, �' �� � .. , _.. � .t< �c �< � v� n' l � �� % r ���e.t. <br />"i 4 � s 3'.1C4S.��eAk+li'".a.x-�� .,,,,�.�hi.��{.,.i F ;i . { ti{um Kfc�i�'� '� . s^",R�."' s i;e�,. `G�� -.�ti 4� ' t q� . <br /> ���'� �� ..; Yr � � :a {���1��{Sy� ����q� iht ..�, t � ''�it t4 � (tl�i�' <br /> �`� 6� is ` <br /> � � "5�,.� ����'iA4b'�' u:. - '�,f . � � ..� 4.l�lAy`�k.»ayw ���".f v ' .. / ��,�. <br /> r <br /> }��i4'�'�.k'"'.i*`'� V .,l a`��t �`� r 'S�v�ry'�.'��.ia+. .-»..': +. <br /> { { r <br />�� ,�y � � i�sY�Y�I y ..4 F ^ �" dA.>z e ._� `� � '@ i.L lj: <br /> �y-` ��Cs. .�_ '2 �q. /� X 56u <br />