Laserfiche WebLink
- UUNZ) 1 tWu 1 iulV <br />PL 1ViIT APPLICATION <br />COMBINATION • BUILDING • A1ECIIANICAL PLUMBING <br />)wNEI l 06IAILAUUnL11 <br />11Y f rlluNE <br />01 GINTLCT VII ULSIGNEII MA+LAU LSS <br />PHONE LICE NSL NU. <br />1-4,j � f <br />3CNL nAL/C)O�N�f,I,1 r1CpTU�il M AUUIILSS <br />PIIONE LICENSE NU. <br />ALCunNICAL CONTRACTOR MAIL l.OUIIE55 <br />1`110NE LICENSE NO. <br />, LU!d SING CUN i,I!AC TUfI MNLAOU R[55 <br />r/IONE LICEN ;I. NO. <br />'E /lr,tlT <br />CLA25 OF WORK <br />' <br />❑COMBINATION <br />f <br />OUILOING ❑PLUMBING ❑ttLC11ANtCAL <br />❑NEW <br />,.J <br />0AOOITION ❑ALTERATION QIIE PAIR <br />- --- <br />/ALVA TION OF YJORK GI - <br />i <br />❑DEMOLISH <br />❑;ENCE ❑SIGN ❑r:LVIAIMIN(I POOL <br />S iO <br />)E`�� fU EWORK <br />' <br />�'% <br />H4 X - Z to1!wd J/Q�J S[- I .. LL <br />noro5EDUSE p <br />OTHER PERMITS OR APPROVALS <br />�`, <br />RE ZONE SPECIAL USE <br />LGAL Ok .CNIP710N OF PROPERTY (SHOW BELOW ON AT FAC!I <br />r1E;1 <br />- <br />J�.VARIANCE � Sh:ORLINE <br />o1JRc <br />OF-5L <br />OT�BLOCKa- <br />5EPA CHECK LIST REQUIRED <br />I_C YES <br />NO <br />7o AOonESS <br />�N66'/sr�%•— <br />jr:1ectlnNlcnl.LUh1BING VE of NENGY❑ffAj❑ELF. C. <br />O. :�t'PC OF EGUIPr.tENT -. FEE <br />�5_..-•-_ - <br />AIR CONO. UNIT$-ILP. EA•� _— <br />•U. TYPE OF Fox TU11E OR ITE:.1 FEE <br />•illfnlGET•nS�OiI UN. is •_I P. LA. <br />- <br />H_n lCl liiUti S-- <br />_ <br />BOiI EnS 11.P.�EA. - ._•�__�.� <br />_ <br />(: I O I II L 5 V. AVIIER ' <br />I: <br />- FUIICEC AIR 5Y_TL1,15 It MEA. -1--� <br />' <br />OIIIiJK IY.!i fUUNTAINS 1 1. <br />_ _ -.__ <br />SPACE f• LVALL HEATERS ILT.U. <br />—�--- <br />UNIT Iff.ATEFIS H.T.U.fill <br />.- <br />Kl (i SItJ 1:5 :. DIyP.- <br />It <br />C_IAVON•t TIVE CU0_L_[1+5 <br />_ RAIi 51VK$ I <br />f <br />CLOTI_ES unYERS <br />IIOOF•OIIAAIN' RA(tJ LI:A1A )LRS <br />1($ <br />VENTILATION FAN _- �_{-�� <br />$E ITV ICE SINt:$ <br />— <br />SU!. P5_. 1ESE'i J_•(ii-PUN7P <br />AIR IIA NUUI: O UNIT G(•t•1_ r <br />UnINALS ! <br />-- �- -- .-. •- --- <br />WAIC1T CLOVE.($ -_-._ <br />•WATEf111EATER-.-1--- <br />-_ <br />YItItII Rh ATF 11V ELECTRIC ' <br />-•- --!— <br />•••_ _. •.• ---'-"--"" 1 <br />FAC. BUILT I'MEPLACE N C"It.1N EY <br />LAUNVRY TRAYS <br />-- <br />_ GAS. SYSTEM: NO OP OUT-. IS__- ,�__ <br />f <br />_• _—_.�_. FE nrait S __� <br />TOTALFEE <br />SUD TOTAL �- <br />71115 PF fit.11i UECO!.tES NlllVOnI II LY(I II; (?R C.ONSTRUC <br />' PEIi MIT 5 1 <br />-- <br />-TOTAL <br />TION AUtIIUnI[ED IS NOT cciM'AINC(OYI111+IN "a L AUAY :, OR IF <br />Ar1ANONLO FO <br />111 SU::PI'NOEO On DI <br />FEE 5A—_• <br />CONSTIItICfION OR wOiIK <br />PERIOD OF 1:0 DAYS AT ANY JIMI. Ai TEIILYOTI ✓, I,:COL:!dE NCE O. <br />. TF:R SERVICE $IIE L'LUG. SUPPLY $12E <br />y,,.-..d,.r.,,__.. _---- <br />1 IIEREnY CERTIFY MA7 t IIAVI: nEAO ANO ExA!dIN(O 1I115 AR <br />+sue �,-ter_`SI � y._��.�-e <br />Jc •N Ox1L..Ln TILL-f-LIUl1Cri nLAH YARU+LIUA[I' <br />PLICATION ANO Y.NOW THE SAME TO IIE TNVC ANU F.(L IIIiIC(. ALL <br />OtIOINANCES GOVERNING tINS TYPE <br />_ <br />( <br />PROVISIONS OF LAWS ANU <br />OF VJOI+K WILL UE COMPLIEU WITH YJI(ETI+EII!;PE(:IFILO HERCI`• <br />V ZUNL LOT AIILA VACANT SITU <br />()IT NOT. ill, GllANTING OF A PEIIIAIT OOE$ NOT Pf(ESLMIE TOI <br />(IIVE AUTIIOf(ITY TO VIOLArt OR CANC,L TI+E PROVI!;IONS OF <br />== DYE-.; QNO <br />ANY Ol1IER STATE Oil LOCAL LAW I+LGULAIINO CONATIIUCTION <br />OF CONSTT1UCtION1 <br />CON5T. OCCUPANCY GROUP NO. OF <br />"PE OF OWL LLING <br />]. 011 711E PLRFOIOAANCE <br />` 1 UNITS <br />:E OF SLOG, NO. OF SiORltS WAX. OCG LOAD <br />- . <br />_ <br />A )T 11. ALIEN T OA TE <br />_ <br />TL ZUNL nA!AMLNT 1111m-44INKI,LItS <br />• ILOUIRLO <br />�cSNf,NA'URE Of CONTRA TO IIUI2 <br />..,•••�•�• '^-"'-�'-"'"" <br />vL..NLIILCK NUMULn 1•LAN LI IL LK -LL <br />❑Y[5 ONo <br />7� ILE IIECE+Pr Nil. <br />/ <br />:CIAO CON01110N5: <br />j-'YS Y <br />••-�FCES - V.ILUATfION •--FEE _ <br />1 <br />(WILDING S/ <br />1 <br />.EPA REVIEW COMPLETE DYES ❑ NO <br />• I•l ll LII11NO E , <br />COnloct plOITR IOIl (ICQt. <br />LILCIIANICAI - -, 1-_„•„ <br />0 711 c11 <br />1(w+row ♦aUrUu.r - --ror <br />nnM una.au.• ..rr+J•(P 0. u <br />rENALTV LC C. �U]1)I I-.•._ . <br />• 1 , - ___ _— [ I•. C. •. TOTAL 1 <br />