Laserfiche WebLink
OY/N6 H <br />���' , <br />IAL <br />COiV.�.tTEZUu310� <br />PERMIT APPLICATlGI�! <br />COMBINATION • BUILDING • ML:�HANICAL � PI.UMBING <br />� mNll HVUHt:s:s / <br />; � i I l� � � _. �' / L l <br />MA; L A�D •_';S <br />' i MqILADDHE55 <br />LC�' — ��'C C. !, <br />- -J " <br />MAIL A�DHESS ' <br />MAI� ADORE55 <br />CLASSOf WOnY. <br />❑COM9INATION <br />QOUILD�NG �PLVMOWG �4+6fHANICAL <br />VAWATIONUf WORK <br />"._ 5.:=1r'�`J ' C70 <br />,-� <br />7 �). 7/% / <br />_ �i j`7 .. � � �; � <br />> L <br />� j. C. 1 j c(,. <br />,m� <br />❑NEW �AODITION ❑f�L1EflAlif)N ^�IqPnOI <br />❑DEIdOL15H ❑LENCE ❑SIGV ❑';�Yi�dMiNr: ru01. <br />i �� <br />/ (f <br />��il �Z.!�S<) }'J���, �IC�//Cv <br />' �I��THER PERMITS OR APpROVAlS <br />�IPTIONO�ROPhqTVISMOWBELOWOHA7Tq(:M � REZONE � SPECIAL 1�5E <br />S � �d D � VARIA�iC� '1� SNORLINE <br />BIOCK�pF �-�"�•.' I G.� �' <br />SEPA CHEGK LIST REQUIP.ED <br />� l� YES <br />_( N O <br />�uu nuuHtas 7 <br />`���C' ��, '1; � : f L < <br />PLUMBING �� <br />N�. TYPE OF Fl%7'UR E OI <br />❑AIH lUt{ti <br />,. CLOirIFSYlniHEH <br />UISH l7�tiHEIlS <br />UHII�R:IPJV FOUNTAIfJS <br />_fIOOH DHAIN5 <br />KITCHhN SINY,$ & I]ISP. <br />I{AR SIP�K$ <br />. IIOUI� Df/AIfJS NAIN L@AI: <br />_ _ SHpV:hH E3.1THS <br />SUiVICE SIWK$ <br />]UM1�Vti - SEIVAfif- PUMP <br />UHINALS <br />4\'l1lk'It CLOSBTS <br />_ WnlCll i1f.nlEliti - ELF:CTR <br />Yb'1•iH BASIfJS " <br />LAUNONVTRAVS _ <br />_ -- suo Toi� <br />PERMIT <br />-L�'l• .. t.�/ <br />' MECHANICAL <br />TVVE Of CNENGY <br />[,GA_ ❑[lfC. <br />-__ ______" .. ._.. <br />-�__'__ ___ <br />. NO. TVPEOFEOUIPA7CN7 FEE <br />F— -__'__" - _..'__'_'_�__ ._'_ ' <br />AIl1CONO.UNITS-II.V.E/�. t5 I—_ <br />FEE qLlqIGERl�TIOYUNIlS IIYtq."-_--~--�--�— <br />5--� .._ . _._. '"__.___ __ _"_""""__""_^___1__ <br />❑ORLRS NP CA. � <br />i• '__ - _. _ _ _ _.--"T_ <br />FOfICEO Alft SVST[h15 (t.T.U. MEA. <br />� _ ___- .. _.—_'_' __l"__.� <br />� � <br />� _ SVhCG R vlALL 11EAlERS H.T.V. _� <br />i UNIi UfATER$ li.T.V. �� � <br />� [VAPOHATIVECUO�EH$ —� <br />- —T— "�-- CLOiRES DRvkPS-�"'---"--""—'�-�"' � <br />'- VENTILATIONF4�N-- —T-' <br />_ � <br />fit1NGE HOOD � <br />___"� <br />._. '" __"'.'_�_ T_ <br />� .. AIN �IANOLWQ UNIT .... G(.M. <br />1 _ ' '-_.' ___.'" __... . ._ __ __.. j___._____1 <br />. .... _ ._ . _. . _ _ ._.. 1... ._. _T� <br />� I <br />� . ..WnTEN IIEnTER � <br />_. _. "_. .. ." ' _' "'"L___- <br />----r-- ..- FAC. �UILT (IRCPIAC[ W CIIIIANF.V � 1 <br />--- GAS. SVSTEM�. NO OV OUTll.15--_._....-( -' _-'-"T-- <br />.. _ _'___._. ___. . <br />- � . .iVft IUfA.L_.S� .. ... ._..''_ <br />1 _ . . ..___.�,_ <br />PEHh11i �'"'--'��-- <br />� ._ ' ____'_-�'" _' _ ___'._' .___'__'. � .!-___-. <br />- TOTAL Fte 5 � <br />, -- - ------r--.-- <br />5 l lil5 VF,fIC11T UECOMES NUI L �ND� VO�U il LYt)nY, UH CUNSLnuC . <br />- ��- i�DN AVI'llbfllZED li NOt f.U.`.��dINC[D WITIIIN 1?OIJ.IY':, p0 if <br />�_ CONSTRUCfION OH NOIIK I!::iU'3'I:NDCD O11 AUANDO`JHl f;1f1 A <br />wni[ns[i�vice,i7[ e�n�SUPCLV$IZf. i'[l110ODF1]OOAYSnTnr,vnau,nFrerawon:c�scn:•a,:uc�u <br />S � ..t l�A n 5T 1� 5�TOACK NLAHY�1HU561BACR ��I[Hhitv CCfITIFv T��AT I II/1Vk. NLAI) AhDC`(4M�NfD T��iS.\�I <br />PLiCATiON ANn KNOW l llC :b1NE TO IIL TlIV! �\ND CO�:Nf�.fi..1L1.; <br />PqryVI51ON5 UL I.A':Ji f1Nfl OIiDINANCES GUVEIIk�NG i�:l'i Tv'L� <br />l�:tL/UNL�•. LUTAIILA VACANi.^,R! � UR`NO'TKTIIF f:RAN-.OING`q1�A P1F.,qMIT�pp['; NOT IPRESUME1E'� <br />. C:W6 AUTHf)fIRV i0 VIOIAft OH CANChL IIIE PRpVI$IOh: pfl <br />❑VEi ❑NO �I ANv OTHbR STATE O!1 LOCAL I.A\Y 11Lf:U1.nTiNti CON::TIIUCTi:�•.� <br />TYPG UI CONST. UCCUYANCV (iROUY NO.pF DY1Ll.LING U�� THL PLRFOHMnNCE Of CONSLNUG�ION i <br />UNITS � <br />SPtCIAL CONOITIONS' <br />SEPA REVIEW COMPLETE � <br />contact Planninq dept. <br />-� . > , <br />o��. �o„o ;. - , � /� �i; � c�� _�� _�—, , <br />� , , <br />X 'l �=c= i = /C,�(t;., L — —�—� — <br />I�'NINKLLIIg � SIGKATU(ICOfCONTRl�CTO(IORAUTIIq[iENT OA�E <br />INEU YL.:NCHICKNU�11)Ef� YLANCILLI'✓.iL� <br />C i ❑NO i <br />�� ��� �f LC �l�EGEIPi N(f <br />��1 F ��_. <br />f•EES <br />-. FiUILDING <br />_—j - ---- <br />❑YES ❑ NO � P���MI11N<7 <br />IMLCII/.lIICAI <br />onicn <br />,'�MIICAl1UMA[����GUYY Y�/1NSCNI�SWYY. 1Mqpy�U OX�yyp�N[IYY PFNALTV <br />� � _____ <br />1 <br />TOTA� <br />VAWATION I F[E <br />—_____ _ _'_'_1 '__ <br />" <br />5 . _ � �, � � �., <br />� _.:_._.... _..-- — -- - r-._, .. <br />i <br />i <br />I <br />. � <br />�._ . <br />� <br />SEQ70701 � <br />_."'"__'_'_' '__'"..,.LY__. <br />I <br />1 <br />O <br />