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- �ONSTRUC i iCl:�! <br /> � � - <br /> P�Rh�lT ,�{';(_l�����fC�!� <br /> COMQWl�TION • E3UILDING • ��I[CHl1NICAL • PLUMf311JG <br /> UWl�Lfl . MAIlAUU11lSS 11Y ' <br /> YIIUt1L <br /> '-.�,.:- �. : . . - : • r :'� - � - , . <br /> AHCIIITLfiUN�pLC.I(:NlN�� - � ' I�. l �..�� �`-> `- Z �:. �� - `' � � <br /> MAILAUDNL�S PNONE LICl1J5FNU"'�-- <br /> �f. �. <br /> GENkf1A4CUNTFIACTON MAIL/�UDf1E..5 PHONI � —' <br /> UCEN!:E NU. <br /> �. l., f��-'.�_ . <br /> MECIIANICALGONIHACTt�.A MAiIl�D0�1ES5 PHONE <br /> LICENSE ND. <br /> \�. �' . <br /> PLUMIIING CQ�liRACTUH � NAIL ADOfttSS PMONE ' <br /> UC[N;E NJ. <br /> �.•: I-l.:_ <br /> Y�ER/!d1T � . C1A550F WVPK . ------- • <br /> �[.OMOINATION <br /> QOUILOING �f'LUMO�.�f. 'L�]MtC1/nNl�q�. <br /> __ . ' ❑NCW ❑ApGITIGf1 ❑ALTEftAlIUN ❑HCPnill <br /> VALUAfIONUFWURY, � — -- .._._.. ..._._____ <br /> S '. i- �) � ❑OEId01ISH ❑f LNCE ❑$IGN ❑':1V�1dMINfi VOOL <br /> OESCNI(3[WUHw� — ---- <br /> Grl..J <".. . \ C :J . r. .' <br /> 7� ., <br /> (_ i ir - <br /> FkOPOSED USE <br /> . OTHERPER!hlTS ORAPPROVAtS <br /> �ItGALUEv:Ch!rf;JNOFPP�pEfiTYISHOWf1LLOWOHATTACII '� REZUNE � jPECIAL USE <br /> FOUR CO�`.hSl - <br /> wr 9�ocK_oF—_ -�� ' � �T. �ARIANCE � SHORLINE <br /> SEPA CHECY, LIST RECUIRED <br /> �i- r- � _ i' ., "7 I� YES <br /> L� N G • <br /> �'-��.�ii=- � - �i�, i" i�� i�i� 11 <br /> IJOO ADORE,`�5 '-'- <br /> L <br /> - ' _� �.r-h` �'�, �MECHANICAL <br /> PLl!MBING TY1". pF ENERGv <br /> � ❑�:na pe�ec. <br /> ' . , NO. TYPE OF E�UIPMENT —� FE[ <br /> AI�iCOND VNITS-�HV Ep _�-T$ I <br /> � t O. T1'PE OF FIXTUftE Oq �TEht FEE qEpFll(aERl1Ti0Y UNrtS �av. En --T-- <br /> PAIhI lU9S S DO�LEt1 HP. [a. _ '_' —.'""�---...1—" <br /> �i CIOI�HEbC.A:iNEH i i - 1 <br /> I FU�CEO FIR SYSTEMb lt.T.V. MEn. --L---� <br /> UI::H Pl.1SNERj � i _"""___ '__"' "_"" <br /> ui±u,r:inc Fou��rnws —�-- <br /> , Fl COH DIIC.I�JS � SPACF. h WALL MEFiERS O.T.U. �— <br /> ��� <br /> . KITC��EN $IN:1 R DiSP. � VNIT �IEqTERS H.T.0 1 <br /> _ UAR SINK$ � EVAPOHnTIVE COOIEN$ —��- <br /> NOOF ORnINS Hn1W LEAUcft � CLOTMES ofirERs ------�—'— � <br /> "__ 51101':FHf1ATH5 VENTiIATiONFAq � --T <br /> _ 5[NVI(:E SINY,S � <br /> _ tiUM1�VS �- SEWA(9E PUhiP I R4NGE HOOD __ -� �. . <br /> _'-_ <br /> NH HI�NpIING UNIT C.f.M1I. <br /> UHINALS � '""_"'____.'_'"' <br /> ' .. lNAif]f CL.OSCT$ � . i . . . . ..._ ..__.-. _""_' � <br /> - _. __ _._.._ " " "_' '_'.. . __ . . . _ __.'. _ 1 <br /> � Wnit�� ��f.A7EHs � EL[CTRIC � WnTER HEATEN � T— <br /> VJASM d.1tiIN5 -____ _ .._ _. ._._... _ . ._ . _. _.-1-___ � <br /> __ � FAC 6UILT FIREPLACE R C��IRINEV I � <br /> _ _IAIINUNY1f1AYti -- - - (;A$ $V5TEb1: NOOPOViLlI$ --"... . -"-"'T—'- <br />' � .. `__ 1 -__. ____'_ _ SUfi TUfAL i 1- L_ <br /> PERl.ilf 5 -' -T_--� <br /> 1 <br /> sun ioia� "� rnrni. rtt�_s --i <br /> , PERM1tIT 5 -'T T�ii: vFiir.tiT u[Co1�[S!Nt l pNp VO4)ii tVair✓. �iq CUbtiTHUC <br /> TOTAL FEE 5j--�- ���v �Vn�OR�LED i5 r�or C(11,tA1LNClU WITIIIN �70 c.�r:, pq :F <br /> -- _ con�srnucnor� on wonn r.� s��:rr�ro�o ��n nanaoan�tn ron n � <br /> ��AiER SFHV�CE SIZF a_-.ran� etl)G. SUPPIV ;IZF� vrnioD oF i;o onr5 nr ntir nr.it A4 (Cfl}yp��K q:Cl�'.V.�ENCtU. <br /> �����. ..Ln TIt��� y��UACK 1l6ANYAHGS[it)ACR I IICRt11V CEt�tIFV T�IAI 111RVE IIk4U nNq f.v,AR�tNlD Inl: r1% <br /> PUC4TIUN /�NU KNON THf .`.ANF i011� T(IUF. ANp C(�lil:(Ci, q�,� <br /> ' ' . ' Pfll1VI;JON$ Of 1N45 ANU �]RpIN:1NCEti OUVEIIN�NIi ��u5 TYP�' <br /> USl2UNh � �jj q�j�A - - OF WOfIX LVILL BE C'JhIY�IFU W1f11 YJnF.iMER !1V[CIFItU MEHE1�� <br /> V/'.C.1RT SITI T- OR NOT. THE GIIAN:ING Of n VF.iIALi DOLS NOI 'H[.',VME TOI <br /> /, ' - (:iVE nllTnnnlT� i0 VIOLAfh Oh C/�NC[L �IIE i'�tUViSipNS OF <br /> � '- � �J___!.� ❑YES ❑tl0 ; ANV p1uER STATE Ufl LOV.I LAW IIIGULATWieCDNSiNUCiION <br /> T'aYk OF �ONST. 'OCCUVqNCY(:HUUY NO.Of DWdLLING Oi11Nt PEliFOqMANCE Of CqNST11VC1iON • <br /> UNITS a <br /> : .. ; . . �� .=.�.�ILt.1 I {'�1 t:lr'`! ._�..� .j <br />■ SIIt pF UIDG. NO.OF $TOqItS MAX,OCC. lOAO -, <br /> R � <br />� - - ' :, . � / X � �_� � :�U , . <.. � . ' , .. - ' <br /> IIHt,ZUtVt-- IIA.^.kMLlJI 1i11p';1'IUNXILl15 �IGNATUf1EOfCONTt14CTO110HAUT11.4GCNT OI�TE '• <br /> f '. - HFUUIHLU I •L.�NCII(CRNU41i11H 1•LANCnICAIIt <br /> - � ' ❑YC$ ❑NO 1 kC IIECEIP� Nf� <br /> `�'lCIAL CONOITIONS: ' � � j <br /> —I �,� �' b�' . . . � ' <br /> _. FEES VALUATION FF.E <br /> _____—__ - — _ .T_ _"'.T__ <br /> I <br /> —!-_'— . OUILOING = _ — ----� <br /> � <br /> -- � .. . --- - _.. .----"'-"-- - ._. ..._..r__ <br /> SEPA REVIEW COMPLETE � ❑YES U NO � ��<<�MIIIN�7 I 4- <br /> . ._ ...—�--• i <br /> Conlact planninq depl. M�a�nN�cni • i <br /> -- . .. �.._..... <br /> � � OTIICII ' I <br /> I <br /> - WUUINM�tUf11UYY �=MYlnIIyUYV _--�NfrryJVlO0eLLY1�µ,lYY FCN�ILT� 5EC.7071�) —_--T1- <br /> 1 I 1 . �. .. . . � • . r <br /> 707�L '___..._..1 <br /> — ' � - �...1�. <br />