Laserfiche WebLink
� - Cuf��TRt�CTiOf�t � <br /> PERIVIIT HPPLICATION � �z/�/n <br /> 3� y� . <br /> COMBINATION • BUILDING . MECHANICAL • PLUMBING <br /> OWNtH MAILADUNlSS� ZI/ VHUNE � <br /> �IC�! ,C� ' 7 'i-�1 �� �i/� <br /> �-- J; _s�.rc � .,A �v isi•� �,-�, ��� � <br /> AqCNITECT UR OE 1 ntn MAILADORE55 INONE IICENSk NU. <br /> GENERA ONnRACT R ^ I 1 A ✓ ' � , <br /> MIIILAUUNE55 • IHONE • LICENSENU. � <br /> SA/!J�' • <br /> MECNANICALCONTRACTOR MAILADD(1E55 /NONE UCENSE NO.. � i <br /> �N'c • <br /> ILUMtlINGCONT,RACTOR MAILAODHESS ►HCNE 110EN5EN0. <br /> ►E11MIT CLASSOFWONK • -�� �' <br /> Q�yCOMBINATION . � ' <br /> m0U1LOING �I�UMB�NG �MECN/1NICAL ' . <br /> �♦ ❑N[W �AODITIUN ❑AITEtI/1fIqN �i1[1'nIR � <br /> VALUATIONOF WORK --�-"� '---" — ' <br /> s 7 � ��� ❑OEMOLISN ❑fENCE OSIGN �•:WIMMINa P(10L � <br /> EfCRIBE WONK � <br /> I <br /> � �/ ' � I A • I <br /> ►pwo Eo use OTHER PERMITS OR APPROVAtS � <br /> LLGAL DlSCNIPTION OF PPO/ENTY ISMOW BELOW OR AiTACN '� RE ZONE .� SPECIAL USE � <br /> fOYR FlESI • <br /> �or�s�ocK�os �A - �VARIANCE � SF!ORUNE I <br /> SEPA CHECK UST REflUIRED � <br /> � � � LI' YES <br /> � NO ' <br /> . j <br /> JO�AODRE55 • <br /> DO G/r'� d ,� lL ��E��- MECHANICAL <br /> PLUMBING rwe oF eNcnar • ° <br /> � ❑r.A5 ❑EL4C. G <br /> . NO. TYPE OF EOUIPMENT FEE � <br /> - AIRCONO.VNIJS-H.P. EA. � �s • � i <br /> NO. • T�PE OF FO(TURE OR ITEM FEE qkFRIGERATION UNrtS ��.v, [n. ' --T-- <br /> flA1H T11(SS f __ " _ "."____.__'L_— i � . <br /> OOI l E RS N.P. E A. <br /> CIOfHES WASMEN i • FOpCED AIR SYSTEMS B.T.U. MEA, . T� <br /> VISH WASMEIIS , �_ <br /> Df11NY.ING FUUNTAINS �, -. _ . __`__�_ � <br /> FLOOH Df1A1N5 � S►ACE 6 WALI HE0.TER5 p.T.U. � ( <br /> ' KITI:NFN SINKSli UIS , � UNIT HEnTENS �B.T,U. � � <br /> � UARSINKS � [VAVOHATIVECO0UN5 �T�� ' <br /> 1 IIOOF DHAINS RAIN IEADERS ' CLO7NE5 OiivERS '"------ -" 1 <br /> tSHnlVkq pAT115 VENTILATION FAN T <br /> SERV�L'E S�NKS <br /> SUMPS - SEWACE PUMP AANGE NOOD� � � <br /> � � UQINAIS ' p�R HANOLING VNIT p.f.M_ --�— �� <br /> _" _"'__ '�"' ' ' <br /> ._ ._ <br /> � _. ._...�_' <br /> • WA7ER CIOS[.TS i' . . . _ . . .."_" _' 1 I <br /> ___. ._ ___.... __..... <br /> ' WAiER HEATEHS - EIECTPIC � WATE11 NEATER . _ . _ �_� , <br /> � WASH BA51N5 � ' � FAC. BUiIT FIREPLACE R CNIMNEv � � <br /> IAUNORY RAYS _ cAS. SY6TEM: NO OP OUTlt.1S � . , -``__ � <br /> . -- �--�- - . ..suni<i�ni'. s � <br /> � '_�'..._'_ IERMIT ._s .._..._._.�T�� <br /> � SUB TOTAL ' _-- � TOTAL ffp S j <br /> /EIIMIT f /1115 PF.lIMIT DECOMES NUI�I AND VQI�) II WUIIK UN CONSTqU[ <br /> —A-F 710N AUf11D��YED IS NOT f.bMMINCEb WITIIIN 1?0 UAv$, nq IF <br /> CONSTp�1Cf10N OR WOItK Ci SU!:1`I:NOCD O(1 AfInNDONEO Fpq A <br /> tEf1 SEHVICE SIZE BLDG.SUPP�Y SI2E � PEn�OD oF uo onrs n� nHr rv.�t AFTEN WOfIK �:CnAt1dENCkO. . <br /> K HkARYAND5lTBACK� � ���Rk6v CERTIFY t11/�T I /IAV[ plAO 4ND C!(AMIN(D t1115 AI. <br /> ' PUCATION /�NO KNOW TNE SAME �O IIE TpUE ANO CUNRfCT. A4L <br /> ►fif1VISIUNS OF �AWS ANU nRO�NANCES f.OVERNiNG T��IS TYIE <br /> OF WOHR WILI BE COMP�IEU WI111 WIIEtHE11 Sv[CIFIlU 11EREIY <br /> �E�OIIk lOj ANLA VACANTSITL 011 NOT, THE C.qnN71N(i OF 4 PEAMIi ppES NOT ►FESUME TO <br /> + . � � UWE AUTIIDRITV TO VIOtAfE UH CANCkL TNE PRUVISIONS Of �� <br /> . QtE3 ❑NO , pN� OtNEN STATE OR IOCAL LnW Nk(:ULATI�:::CONtiTNUCTION <br /> ��OF ONfT. OCCU►ANC�G11UY� NOAF OWELUNG OR TME�ERFOPM/1NCE OI CONSTilUCi10N. <br /> UNITS �S , /� . ' <br /> L/- <br /> OF !L NO.O LTONIEi MAR.OCC,IOAD r 4 � I � �^ ' � <br /> � ' ' /,��itJ7 y,i),^fF1iL2.�9 �� '" b - 7 <br /> , �r��Lt)1i1�� j�%�r;kMLNi IINk.•:1'NINKLl115 S1��UREOF[ONTR�CTONORI�UTII.AGENT nl1TE <br /> � 11EOU�NEU LANCNkCKNUMtlLII YLANCR�CRfLI <br /> � � QVES ❑NO (E[ , RECEIP� N(�. <br /> NECIAI'CON�ITIONS: __ <br /> .. .. �.�....�.`.._ .... . _ . ... .... .. �. . _.. .. .... . • � <br /> FEES VALUATtON fEE <br /> �� - . '_��_ , <br /> � <br /> ! � � I BUILDING t --� J�7. � . .� � . <br /> SEPA REVIEW COMPLETE � ❑YES ❑ NO ' r�u"'"'NO _�_Y.. — — •--V..�_� <br /> toolott p�a��i�q dapf. MECIIANIC4l . � <br /> - . _. . �__.... <br /> � ' OTIIEII ' ; <br /> IC11IIpy�CL111\Y��: /UMt(YHµIY�t: �KIqY10�11y[I�Y •�NALTY SEC.00�Id 1 <br /> • � � �� <br /> � � ' n �_ _..�_.-'__� •' ___...__L..�. <br /> �_ . _ \� TOTAI � <br /> ___..__ _ _.�__.. •- . � <br />