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L ull"I i tCUI.' 11U1V <br />PERMIT APPLICATION <br />r / COMBINATION - BUILD <br />n e /�- go!/� . <br />MAIL AUUNL'.. � <br />UII ULSIl:NE/1 MAIL AUU11E�s <br />GENERAL CON f IIACT VII <br />.T❑T1COMOINATION , <br />P-0 UILDING ❑PLUMOING ❑MECHANICAL <br />VALU11Tt617OF VlUFIK <br />s -00 <br />DESCIIIGE YlURK /� <br />LEGAL l7k SCRIP TIU:JUF YROYERTY (S NC <br />OUn C� iE-1 <br />{. OiiT��---(!_L�/GIOC)CJ.I�OF <br />1// ✓I / I 11�. /,/D /Ln.,nP - <br />v <br />0 <br />• PLUMBING <br />.OF WOJIK rl N[W ❑ADDITION ❑ALTEIIAf1UN ❑11C 1•AI11 <br />❑DEMOLISH ❑FENCE ❑S1GN ❑•;IYIMbUNR P(IOL <br />OTHER PER, .ITS OR APPROVALS <br />Oil AT7 CH '1:1 REZONE .:�j SPECIAL, USE <br />VARIANCE tI SHORLINE <br />5E PA CHECK LIST REQUIRED <br />a e' rt YES <br />NO <br />' MECI1ANICAL <br />7MMOING TYPE OF ENERGY <br />❑DA" _ ❑E LF,C. <br />NO. __ _ _TYPE OF EOUIPMCNT _. FEE <br />A(RCONO. UNITS-II.P• EA, —s "--' <br />NU. TYPE OF FIX TU{IE OR ITEf.1 REf RIc;E RATIO.•J VtR rS H V� L\, --C--' <br />FEE <br />(:IOh1ES I:ASIIEII acitEns ILP. EA. --'-- 1 <br />_ <br />UIS11 :'::_SIIE IIS 1 FORCED AIR 7y5TEi,1S <br />17111:-1^:'i fUl))ITAINS — --- ---��• —�—�- L--- <br />FICOH U- ICti I ACLL IIEATEFIII.T.U. <br />K_I IL:IIF:a Slt.r;S Y. SPE --t.t':,\------•—SS t <br />,I UNIT IIEATER$ <br />I EVAPOH.\i1VE C_U_ULE145 <br />SHCltt <br />it V R AI;_S RF,ItJ LF.AUE115 ' ` — CLOTHES OnYEnS--- _------- -'- ' <br />;il l;L (i47/1y <br />_ SERVICE SINvS VCtJTILAiIG:I FAN I —T— <br />s <br />U.'_6E PU.11P I � -_ FIANGE HOOD <br />UI IINALS ( AIR IIANUUNG UNIT _--C. F.it. T <br />L'lAJCII CIO,IS <br />Vl.17 L1111i.ATE II. ELECTRIC , i •WATER HEATER •_ -"T <br />GASIAT <br />LAUNDRY Tl1AFAC, GUILT FIREPLACE Y. CIIIEY - _ - --(-- <br />YS I - - LIN <br />C.AS, SVSTEr.1. NO OV OVTIt IS <br />.7...�- <br />_ PC TIM I r '-5 --'----•'--T— <br />__ 1 <br />SUD TOTAL r---_-----_---, TOTAL FCE 5 1 <br />PEHLIIT S llu5 YE fu.11T UECOMES IfUl 1. ANO VORi li WO1114 nH CONSTMIC <br />TOTAL FEE $�---I TION AV fnOnILCD IS r:Ot r.OM,IL NCLD Cn f IIIN 1?0 DAYS, OR IF <br />CONSTItUCf1Ut, Oil WOIIK P:'Uww'NnCn Oil An ANDONED FOR A <br />IITEn SEit VICE SITE _ ULOG. SUPPLY SIZE PCIt1D0 OF 170 DAYS AT ANY fill. AITEIt WoTIY, q:COr.vaENCED. <br />Jacr, 74 u 'bz I [j;,Cr,�~ a7I CY�[7tl ACri���••�•1,A i1 YAHU:a I IIC it nv ' <br />CEO f I FY (IIAT I IIAVE IIEAD ANR EKA:d RI(n fi115 Aa. <br />P 1.I CAT IC)N ANO:, NOW T11E .^.AME TO if TIIV T, AND CD It 11f CT. ALL <br />PnOVISIONS OF LA145 ANU OfIOINANCES DOVE FINING THIS TYPE <br />GC TUNE LU7 AIILA OF WO11K IVILL UC COMPLICO Vll fit VJIICT11E11;;VECIF IE I) {IEnCI`: <br />V ACANT SItE Oft NOT, ill! GRANTIfJG OF A PEfV.11T ODES NOT PfI <br />(:tVE AUT11Uf11fY TO VIOLATE UII E%ion TOI <br />CnNCEL TnE YIIpVISIONS OPI <br />OYES ❑NO ANY OMER STATE Olt LOCAL LAW RLGUt.Ar4N1; CONtiTRUCTIUN <br />IPE Uh CO NST. UCIUMA NCY (:IIUUP m0.0� Orel LUNG 1� Olt 711E PCRFOIIMANCE OF CONST f1UC riot,. <br />UNITS <br />'7t ll7Nk �- <br />UUUI HLO <br />❑YCS ONO <br />ECIAC CONOITIONS; <br />%L L �9 <br />SI .NATUfIE Of C471tl•UII AU A(ENi D.\fE <br />isLA N t.HLCK NUMOLPLAN CII(�L'•'1 <br />C IIECEiPI ND• <br />V.ILUATION FEE <br />�� IIUILDING <br />iEPA RCVICW COh%PLETE DYES ❑ NOcwoct Pu1LuuN1) <br />I P MLC/IA NICA( <br />OT11(11 <br />AAINY.111/IIY Y/ 1A41 U.1 \IY Y• 1 +/r+YYIY oY�(n PL IIALTV <br />I1 <br />TOTAL <br />f <br />SCC. 303111 1 <br />i <br />