. � , . _. . . . . .. , . � , , . . . i �,
<br /> �'���� ���;T !`,f-'�'I.IC��TIC�i�. � �- ,,-:�, � � ,�. �
<br /> �_ _ ;� ,
<br /> -;
<br /> COi�1E1WATION • FiUILDING • M[Ciil1NICAL • PLU��ICSING
<br /> 1 �NL11 � MAIIAUUIII'+� LIY IMUNI � .
<br /> /
<br /> ��� �,s..�.i_c;C ���� �, 4'� I � �] �' '`����1. �u_ � �.c`_�— � � �� -�� `i �� � _
<br /> AHC���7[(;i U11 U1511•Nl11 MAI�AOUIItS1 P��ONE UCLNJL NU
<br /> l�titt�re5sic, �( �� ,�c� N �SACKSO��°S�i3n'�,Ab"•353- 3� �0 _
<br /> LLNLIIALCON11111Ci011 /AAILAODHL55 . YNUNE • LICCNSChV.
<br /> i> ��n1 ��T�.i�s�N �sul 5���_r� . �k. S-te�ehs 33qi,1�4 Nn-���-�c - ��<-r�t
<br /> .�1�11ANICALCUNTHACT013 MAI�hCD11Ei5 PMONE IICLN5FN0. '
<br /> 'W1.1OItaGCONT,RACiON �.�AIIADUNE55 VHONE Ul'ENSGNO. �
<br /> 'E f�.'.V E C1n55 UF 1YOHK • --- _ —_- -�-�--- -
<br /> �xCO•.�II�NATION . ,
<br /> �,,U'JILOIf�G � PLVh1pING �MECIIANICAL �N'`W ❑ADGITION �.�t�Ef1Af1UN `,�ItCI'nill
<br /> �Al.UAfIUYUFIVORK .J , .JU —" ...-_.. ..____"- .__'-'"_-_"_
<br /> %G� CDEldOl15H OM[NCE G+IGN ❑":1YI•.VnINI: PUOL
<br /> S �___ _- __
<br /> �ILC(4p!W I1K ' - �
<br /> E�v�ec� a ���lex 1� ���� c� l���f v� 5��e --_ -
<br /> ��ui•usEnuse —r OTHERPER�'�ITS GnAPPrOVAiS
<br /> S00.-I�_ u E:E 'LUNE �`,:j SPECInL USE
<br /> f GA1. DF•:CHIPTIUN O( Yf10PERT1' 1'uHGN UEL01'f OR AiTAC11
<br /> °1iCO1''�'' _1 ' ��VARInNCE L� SNORLINE
<br /> oT�Z_ o�ocK�ov }� � �VIT5+Uv1z ( C' i'N"' \(e -------_—
<br /> SEPA CNE�K LIST REQUIRED I
<br /> �1 YES
<br /> --- 7� NO
<br /> �o nooiiis' .. .. — -- �..—_._---�---
<br /> �i / / Z.�� P'FI t.r� C �'�„1 r�i t' � !.1kCHANICAL ,--
<br /> LUL"RRQG T•:ve or e:enev
<br /> ❑r.n5 ❑ttr.c.
<br /> � NO."- _ T•IPGOFF.QUIVtdENT�"'--�-- '-'FE!_____
<br /> • f-_ _' ' _ _.' _._ . . _.__'__�'_ '_'.' '
<br /> � .\IIif.JNI). V::I15-HP. pA. 'S ' I
<br /> ;U. --7YPF Of fl%llJfiC ON ITEtd fLL ��lfniqE��nnO!+ V':�t: r�v EA. — —' r—..
<br /> . __ ... __--"__"_ '_'_—� . "'_____—_ '_ "_"' _"'_"_'_�'_—L__'
<br /> .J HAlll Itltlti w�1H SNQwG2$ �3 �j. . .— � itOill�H 11v FA — 1___1
<br /> ( OI��I Ir .'I�FIi _�,i�(L_ . .fOr�CEO ���� `..`r;.TEr.iy n t V �.1C�i. T—""
<br /> plSll \ HL111 --��.�C�� � " - — '" - '1 ��_
<br /> i nirir. .i . � ruu:irn:vs � — }i3Astl �,ARP . AS Nl{Dt.l�___ --- ---
<br /> - � i-- $t;:CE .. �IAL1. r�EAtFnb ❑.i.U. "1 '
<br /> '1 If l C.O 1 1)11l I -' 1 � . -._ _ __--"-__ _ __" _L-.__
<br /> F IICu ! 'Ifi P. UI'�r' �i' iU�-- �U nf �� AfERS �LT.U. ____' . ___ . __._.r__"
<br /> 111111 n5 —�------- i--_ VEVAVOit TIVf. �UDLE115 _ _�_ —
<br /> crrl ��iiir ui+�i � - r{.vr.—itni�[i!�; ---; -tc�.on�� onvc� ._-'_-- -- fz �GG
<br /> L. 1�rr..Lit , � ��5 - - —�� — y[•�T�tntio ��Ynr� __4_�C7(J
<br /> _�_'_'_"'""__"-'__,____'_
<br /> - I�7�i:i�v�c�� �,ir:�i5 -�-- iinr:cr ��non � 1 I�� � >
<br /> --I s:�r.�d;tiEr�.:c,i, Jur.i�� � � -a" -- -----�---- ----�--k—_.�.��
<br /> �__- nm ��nr:u�.ir:!-. ur�rt � Cr.t�.
<br /> lnl` L �� -". '-" -
<br /> 3 _Ti � ci� c,—s .� �— . . . . __ '
<br /> � � Cl O? •rn7er� r�cnrt�a .- . . - ` . '.'t---
<br /> 1 � _71 t If 1if11 EILCI111C ��i`__ I r
<br /> 7 'T:,M I7 � If.o ' J �� 1'��. Fl.0 OUILi fIPCPI�IC !: G�ItVJLY ... I . ___ 1
<br /> ll�U UfIY TRAVS �" ��5_Y SEtit� r10 Ov OV Tlf 15 I -
<br /> lT
<br /> - -- -- i _ � . . J(t ipfAl ` _I�j I J1. J
<br /> _ _-_ __ _ __ __'_ FCitfli _'_S� _." �1! - _
<br /> � �------ _--TI1tllfFk 5{ - �/I� .. .
<br /> _ __ _SU11 tOTAL � ) J .- .._"'- '_-__" _- "__.____'__1" -_'_��{
<br /> NEft!dlT 5 T�_�� T��� . YFP.vi OECO': NU11 A 'f� v�14f U 't)�u )�t � t).a illUC
<br /> 1--_+{ 110 1 l.Ufl L I .[) I Ilf CCl`.1 IIM1CIII C/II11 ! 1 0 U\Y OI\ IG
<br /> roin�� r[F: _ ;1_�� ?5(I_ c,u �•:niucr�ou on i�r,� � i.- :,u. rnuin �n ,ti,� no �v u ron .�
<br /> ifflSfHVICk517E IL )C �UPPI.YSIZh f•UIiUUUi I:ODnvSnflrr t� �rNilH� 'nr� .C[ .t .r:�k;
<br /> ..ilL.�ilu:.i.�'r.� ' N�� iilu.'.�K�w��r�A�iY�:iW kltlAGu I I ��CHtli'/ CERTIf � t � T � ul�Vl � l �U '.�. ) � 1. iNFf> .i i
<br /> nuc.nn:. n��.o ✓.nu � n�t �,nnv. ro iu� �ui� �. i t•i�iu L � .t
<br /> L� 1 /� PfU1Vl:lr)f'. DI lA\" �r�D tlll[ INl � 'F . ( U C � � G t I r r
<br /> J � l� c� `� � O( Y.OIIK19iLLOL �]. �� L�LI: YJIfll � rt.fr�Ci ' Lfll ! Il � I .��
<br /> �.1 /UNl --_-' LUl MILA vACANI :1�4 � ll Wi NU1. 1nF GRnH:Ir1G (1i n PCH•,'ir I:t1fS •:t)i 1•uFS��`.•C :JI
<br /> �' civ[ nuruonir� ro vioi.�ri ou c;,,:r� i. rn� ��no,.��:i.>r.; cFl
<br /> I �.- n r r[.S ❑rio F�� nrrv p�r�:n Lr.:�l nn �o^nl �,-.ti•� ;�� G��i.nii':.; �:�r.�..��i�u�nON�
<br /> �/,� ��--- '�-- "-' -- -� Of11rILPL11lOIIh1ANCCO� CUNSffiUC��ON
<br /> L UI COI .aT. UCI.�UVANCY (�NUVI' 4U.UF UWLILIN� i
<br /> UNIiS
<br /> \����r� �' QLl- �r.0 y,�_ � �, 1{ . . y
<br /> OG L'LOG, NO V��iO�UtS h�n�.00C LOAD 1 //� �
<br /> l X 1KL�A �_L / = a ✓' / I'J
<br /> .(� _ ♦ :t _. . ___..
<br /> .�_f )y,!�_� I __�-� ..I(���UflfO( CONIIIp�IO�CONAUIII /�l�!.!f I`.ill.
<br /> i :U:lL IIA:IlhlLLlt illit'.I•�lihrl.l.l�:. _ T��y.R.r��_��,.�__.�.�. .�...� -+'�+-_.'�'^^�•. ..'="""��
<br /> ' 111UUlf�tU 1 �L..ryl,lllCnflJ'dULN --w' -���'LAI�UrlVl. 11t *
<br /> � 1�1 '. L]ris �:�o �Il[ . nicEirrr�n
<br /> �-�nL COnOiT�Or.s %��II �I � �. -��� � �Ic� `/
<br /> _ '_' -_ — '— . '-"-FCES �.. VAI.UATION I '. ._ FCE. .. . .
<br /> _.'_'_ _ ' __"____' „"_' _'_"'"I.'__
<br /> _ I
<br /> ________"_"_ . .._'___l_'_
<br /> _"'.'_'_' - � 1 �
<br /> ' _�"_"__ � , UUIIOINC =_'__ . ��' � 1' '
<br /> ' _'_"_ '_ ... ."'_"'__"" _ '__'_"�"_'_ '
<br /> �• Pl11Aq11N11 � . � .
<br /> �EPl� FGVICW C01,1PLET[ � ❑YES ❑ hl0 _ ._._�-•--- J � �
<br /> ConlnCt q p � r.�tCiin��iCni ' / � �� �
<br /> Plnnnin de 1. _ I �-_. .
<br /> . i
<br /> � oniu� i
<br /> -•-----i----y
<br /> ..�i-..,��urii�r� �n.�.i.n�.�u.� �weov�nlo ._(r� r111ALTY :EC. ]OJId --- � �
<br /> . . .___ .L.' __ `
<br /> , ...'_"" _-' - _' ' . .. I
<br /> � �
<br /> , 1CfAL
<br /> _' .'- _"__ �._ I__ . . _ ___. .._.. � �. .. _....f
<br />
|