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�>,�; �<� - ; ; ..:. _ ,r,.. ,�,�,. _ CONSTRUCTION <br />iio `�, <br />PER1�hIT APPLICATION <br />��i� ��� <br />�<<� �� <br />COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />Y!N!H MAILAUUNkSS :IY PMUN! <br />l''I7yG: _ „ � � 7/ "�b1�"iii�';=<<- -, _ • , . �� �r <br />E cil�r %rF� i_�ly ,i.,.��., .......� . . <br />.�.,m� � <br />❑COMBINATION <br />��OUIIDING � PLUMOING ❑ MECMANI�q� <br />VALUATION OF WORK <br />s ?/, ' `� �, 7 J <br />DESCHIOE wORK - <br />: i�%<;"'.7;: T��.;.-vn�i"L <br />PROPOSEO USE - <br />llGAL UtSCR�PTION Of YRpPEHTY ISMOW BEU <br />FOUN COPIk51 <br />LOT BIOCK—OF <br />PlUM61NG <br />NATER SF.RVICE <br />U:iC ZONk <br />I�INt L(INt <br />K <br />❑NEW ❑AODITION �ALTEHAf1UN ❑NU'nill <br />❑DEA10l15H ❑FENCE ❑SIGN ❑':�YIMMIN(: f'(IOL, <br />R ATTACN <br />. <br />�i �t:�:<, i ,,'L ,-- <br />�THERPERMITS ORl�PPROVAlS <br />j� RE ZONE � SPECIAL USE <br />�$VARIANCE L� SF'ORLINE <br />SEPA CHECK LIST REQUIRED <br />L* YES <br />� NO <br />' MECHANICAL . <br />TVYE OF FNEHGY <br />❑fA5 ❑ELEC. <br />. NO. TYPE OF EQUIPlAENT —� FEE <br />Alq �ONO. UNITS-N.P. EA. .-..—y•—t5 ..� 1 <br />RhFRI(;EFATION VN�fS N V. CA. --�— <br />_ _""' '_—___ "'" "__'--____ i <br />DOtlERS N.V. EA. 1 <br />FORC[D AIR SYSTEM1�'_ fl.T.V. ME� —�— <br />L <br />1 <br />SPACE b WAIL MEAtERS p.T.U. ! �— <br />� <br />UNIT IIEIITEA� H.T.V. � <br />EVAVOHATIVECOOLEHS � —�— <br />I- VENTILATION FAN � <br />pANGE MOOD � � � <br />� Mf111ANDLING UNIT_ ..-... C.f.M. r— <br />_' ���'_'. ' �'�' � 1 <br />�. _..__� <br />1 _ '"'�__. ..._.... .�.. ._ ._...'_' ���� <br />� WATEA HEATER �� —�1 —� <br />� FAC. BVILT FIREPLACE !4 CHIMNEV _r 1 <br />fA5 SYSTEM: NO OP OUTll.�S -r—� —r <br />_ '_"'_ ... -'QUO TOIAL 5 1 <br />� '—" —" VERMIf .—S .._._—.__i� <br />� —"— -'—' : TOi/�LFEF 5 I <br />l � T1115 MF.fi6ilT. ' "' - -- --. -.. <br />OECOMES NUI L �NO VOIU 1� WOru; 11H l:UNSTRVC <br />�E�, TION AVf1iORIZEO IS NOT f.OMMINC[ O�V�TIIiN 1?O UAvS. OR IF <br />CUNSTRUCfION qR WOIIK I:: SV::�`CNf1ED Ofl ApI�N00%LU FpR A <br />OInG SUPF�Y SIZE NEf110D OF 1]0 pAYS AT �NY fih16 A1 TEi1 WOf1K �SCP•d�dENCEU. <br />3ACK IitAHYAHpSlidAU�. I IICRlIIV CEfiTlF1' T11AT I I�AVI: IlkAlf AtvD C`(AA�IN[D �1115 \P <br />P�ICATIpY AND KNOW THF 51NE TO Ilh THVF. .1N0 COI:nECL ALL <br />FqOVI5�Ok5 OF LAWS ANU Of�O1NANCE$ GOVEi1N�NG TH�S TVPE <br />OF YlOHK YlI�� OE CO!dPUEU WIfR IVHETNER tiP[�IFi;p HEFEIN <br />V/1CAN� L1Tt OR NOT. THE GRAN.-ING OF A PE����T DDES N01 PFESVME TO <br />(i1VE AUi110(IiTY 10 VIOIAfh ON CANCGL THE NAUVItiiONS Of <br />❑YE$ ❑NO � ANV OTMER STATE OR IOCAL LAtV �IEGVLATINi: CONtiTiiVCTION <br />GROVP NU.OF OWE�LING Oit iNE PERFOHMANCE Oi CONSTHVCiION. <br />.....__ . a <br />E ; �ti0 <br />SP6CIAL CONOITIONS: <br />SEPA REV(EW COMPIETE � ❑YES ❑ NO <br />contacf p�unninq depf. <br />X % ' <br />$IfiYATURE Of GONiRACTOfi QH AUT11. I�GE V T <br />✓l.1NCH[CANVAWt11 vLANG� <br />/kC <br />�%% 7»� <br />FEES VALUA710N � <br />OUIIDWG <br />riun�mNn <br />MLC11/1NILAl <br />' OTMCR <br />NlIG111UNALU/I10Y♦ YIM1MylHll4111MV. AMIIOVIO 4nV;uAK1YY � PENAITY <br />. . � � 1 —_._^ <br />.__"_"'"�__. _�_—'._ " TOTAL <br />nECE�rT Hn. <br />FEE <br />_�� �Q�%r Uv ��� I .�� <br />� ----�- – •--_..r-- <br />_ ' <br />i <br />. i <br />. _ . �--. . <br />• � <br />1 <br />SEC. ��� ��� <br />—""_'"" ' _ "�(J�i .. <br />� 1" <br />