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- ONSTRIlCTifJN <br /> PER�T � � . . <br /> APPLICl�TION <br /> COMBINATION • FiUILDING • MECIIANICAL � PLUMF3ING <br /> OWNkN MAILAUU{:LSS � ZIY YHUN! � <br /> �Ip fl . L-oW .�07 }-��Aih•�rl_ (!D. l�lG':. � ' zS'z-�6'`F6 <br /> ApCHITLCi UN OLSIGNtH ' MAIL AUDNE55 /NONE {,ICENSk NU <br /> ����L <br /> GENCRALCONTRpCTON MAILADDIIC55 VNONE � LICkNSENU. <br /> `,�IUiC . . <br /> MECNANICAL CONTR4CTUH MAIL AOORC55 YHONE UCENSE NO. <br /> ����/� • . <br /> PLUMtlING CONTRACTOH MAII ADDflES1 VHONE �ICENSE No. <br /> .�i]P,1 i_l. . <br /> VERMIT � CLASS OF WOAK • --- <br /> Q OMflINATION � <br /> ❑OUILOING �PLUMBING ❑MLCHANICAL <br /> ' ❑NEW AODITIUN ❑AL7ENAl10N ❑Iq1•nU� <br /> -__._.. .._.._._ _' " '_._.. ..._..-._ <br /> VALUAfIUNOf WORK <br /> S (gO00 O� ❑GEMOUSH ❑iENCE ❑SIGN ❑'ilY1MMINt: PUO� <br /> UESCHILLE YlUNK <br /> f.v=�s.� ,a.�s, ��n��..�i ;,.-..• • q,�,� l�r�..r� ; ie �r •� ' vr_ <br /> PROPOSEOUSE OTHERPERMITS O APPROVAlS � <br /> t�r�>2aor� A�vo gaTH. �( REZONE � SPECIAL USE <br /> LfGnL Uk5Ci11PT1UN OF VROPERTY ISMpW BELOW OR ATTACN <br /> couac�/o/wts #VARIANGE � iF'ORLINE <br /> �orLOLOCK�ov ���� AD��aI 7u , <br /> SE PA CHECK LIST REQUIRED <br /> t'V�kEii N�.;: - Vi�:�/ P_iU�e �cbir+,r �� j� YES <br /> �-VF_'�'E%T �l�o% �l. l��c /o�f�. <br /> I� NO ' <br /> JOD ADDRE55 ' ` " ' ' <br /> '''-�7 ,y�.i?:>�`.r. 'c:r<1 C �MEC4ANICAL <br /> PLUMBING ' ' TYYE OF ENEPGY <br /> ❑�:n:: LEC. <br /> . NO. TYVE OF E�UIPMENT FEE ' <br /> - AIFiCOND.UMTS-/I.P. EA.�.. . -�$..-- �. <br /> .�.. ._... _"_"�_'""_� "__.. . ..__ ; � __��� <br /> O. TYPE OF FIXTUHE OR iTE�d FEE ptFRIGERATioN UNifS ��.P. En. <br /> HAIH �IIUti ' -' OOIlERS H.P. EF.- '-'"'--�'-� - � <br /> CIJiNES :::. �licii � __IFOflCED AIFi SYSTEM 11.T.U.I.tEA. _^- �— <br /> i OISHVJI$HEHS' � __'_--'""'__ J{_�- -i <br /> Uf11N1;ING FOUNTAINS � � 1 ' � ' <br /> � Fl OOH Df1AIL15 � SPACE b�YALL HSATERS �� P.T.U. }I- � <br /> KITCIItN SINKS f4 DISP. �� UNIT 11El�TERS 9.T.U. I • I <br /> ��A��S�NKS � EVl�POHATWECOOLEH$ �-T- � <br /> �ianF onnins RAIN L[AGERS � CLOTNES DFVE�S <br /> SH01';EH EIATHS �/ 00 VENTiLnT10N FAN ��--���j�-- <br /> ' S[HVICE SIN✓.5 pnNGE HOUD � I <br /> i SU��iPS -� SEP1A(iE PU`AP MN NANOUNG UNIT G�.M. �T <br /> UfiINALS � <br /> Wn1EH CLDSC.75 � � U " _".'-.__.�_._ ._-._ .:.._.._.. ' T <br /> WATER NEATE115 - ELECTHIC i WnTEF MEA;ER .�__ <br /> 1YASH BASIN:; - � � �A FAC. OUILT FIREPLACE K CHIN,NEY �1 � <br /> - � _._ .�. . .. . -... -"' '.... "_ _'__....._ .... ___'T-- <br /> LAUNDHY Tf1AY5 , _ _ fAS. SYSTEM: NO OP 6UTLE.IS `�_ <br /> i . __ '_""' . . .:UfITOMI 5 ^�� Q� <br /> � ____...__�vERhlli .-$ ..-.�-. . <br /> � 1 -'_— ___ ._-.._"'.._...__" '__1 <br /> SUO TOTAL „ � nC _ _ _ _ TOTAL FEF S __ _r IC� <br /> PEHA7IT 5 � T1/15 VF.11l.11T UECO\�Ev NUI 1. ANp VOIU il WUIIK IlH COYSTFVC <br /> TOTAI FEE � � � TIDN AU�IIUNIZED IS NOl f.Cl\A41LNC[D WITIIIN 1'0 U\v;:, pR �F <br /> CUNS�f111Cf�ON OR .YONR 1,^, SU::Pt:NDEn O11 Af1ANDO1vED �O� .l <br /> WATEii 5[qVICE SIZE BLOG. SUPPLY SIZF. NEnIOD OF t:� OArS AT nnlv nMt AF TER WO(1K i::C[�•d!.�FN�EU. <br /> �m 1 RGRt11V CE(iT�FY TIIA7 1 IIAV! HGA[1 AND E`(AMINkO fNi$ Ai <br /> ���1 a� ACn .i� 7 .: �TOACK IitAH YAHUGk i1fACn pLICnT�ON ANO KNUW THE iAhlh TO I{0 TI1VE ANU CP�t�if�fi. ALL <br /> Gf10VISIpNS OF lAWS ANU ONOINANCE$ GOV[tiNiNG t�US TYVEi <br /> U::L TUNL �� Of WOHK l•Jl�l BE CO\1Pl1EU Wlfll W��ETHFR SP[C�FItC h�@NEIti! <br /> lUT AHLA VACAN!51'F ON NDT, TIIt CfI.1N:INC f)F A PEfIAtIT [lnE!i NOT Pf�E::UME TOI <br /> GIVE AUTHORITV TO VtOLAfE OH C/1NCtL i11E YR(IVItiIONS Of <br /> � ❑VES ❑NO ; l�NV OT��EiI STATE Ofi LOCAL L(1W IIL(:UI.ATINii CON::TIIU�TION <br /> T�FE OF CONST. UCCVNANCV GHUVY NO,Di DWtIUN('. U� THk PGfIFOPMANCE Of CONSTNUCTION <br /> ��� • / -� UNITS / � � <br /> 1 V -��',- � ( <br /> SIZE OF OLOG. NO.OF STORIES - MAX.OCC. lOAO /;; - -' � <br /> i � /'��. . �, ) <br /> / � X-,:. / � X �_;�:-�`;i I ! , ..>; ' . �� �/ i�:i <br /> ����GZUNh IIA;;tMLNT {1{ilSl'1iINKlL11.5 SIGN%1TUf1EOfCONTHnCiOIIOHAVT16MiENT p TE <br /> f�tOU1HEb rl 'lnN l'RICK NVRIIIGN YlANC11lCA 1 LL <br /> ❑r[5 ❑NO 1tC �v IIECEIPf Nt� <br /> S�kC1AL CONOITIONS: ' ��/��i/ ��� � � //�� <br /> � <br /> . . ._._.. _�_._... . . . -. . . _. . ... . ... . <br /> FEES VALUATION FF.E <br /> _ _'�T- <br /> �__�__�� � I <br /> _'"'"'__ _ _. ...� <br /> ! � IIUILDING 3 � <br /> i I 1 <br /> --- -- - -...----•—•-- — .�._..r-- <br /> SEPA REVIEW COMPLETE � ❑YES ❑ NO ' YtUMI11Nfi .-_-�• 1 <br /> conlacl p�anninq depl. �+tu��wc�i . j <br /> - . _ . �.._..... <br /> ' oT��FN ' I <br /> 1 <br /> K�IIUN���pI�UYC IV1My�Nll4UYV �vr�uv�o uT1�r NFNALTV SEC.JO]Id 1 <br /> � � / q __"_' _ '.._�...""_"'._" "_'._..�_ <br /> V l. , 1 <br /> ._.. ____�.�' '._.__" ' _"_ TO7Al � <br />