Laserfiche WebLink
- COiVS" �UCTION <br />PERMIT APPLICATION <br />COMBlNATION • BUILDING • MECHANICAL • PLUMBING <br />, <br />d <br />AIL <br />'ERMIT �.�neo vr ........ <br />�COMBINATION <br />Q.�l1l.DING �PLUMBIIIG ❑M6Cl/ANICAL �j � �pDOITION ❑ALTEf1AtIqN ❑I�U'��11 <br />JALVATION OF WURK <br />. ' ❑OEMOUSH ❑FENLE ❑$IGN ❑':��'������N(i 1`U01. <br />S_. _� .. � . ___ <br />ti,rv <br />LOT BIOCK—OF_- <br />�/ <br />JOO ADDRE55 <br />� � � � : � <br />j' <br />PLUMBItJG <br />R <br />LVAILli i <br />�WAILH <br />� OTHER PERMITS OR APPRUv.4ta <br />�,; REZONE � SPECIAL USE <br />oR ntrncN <br />�jVARIANCE � SF'ORLInE <br />SE PA CHECK LIST REQUIRED <br />j� YES <br />� NO <br />;. , . . <br />_ _ ' <br />�__ -� " " <br />1 <br />— — Sl1U TOTAL ��-' ? _ <br />PEHMIT 5 ____�.-_ <br />_ 707n1 fEE � .__ <br />NATCR Sf.RVICE SIZF. BI.DG. SUPPLY 57[___ _ <br />��R�iS w� AC: ,.T ::�TUA'1: HkAH rAHU5hT8, <br />/i r' _ �<�_�� J ' .. ' _-. <br />VSl lUNI LU7 ARLA VACANI i1Tl <br />� �]YE: ❑NO <br />i" <br />TYPE UF CONST. <br />/, �. <br />S�ZE OF IILDG. <br />��(:� i._-'.___ <br />`�� <br />SP�CIAL �nNUIT10N5' <br />! � <br />SEPA RE1'IE�4 COMPLETE � ❑YES <br />�ont�.:t planninq dept. <br />I " � � <br />/ <br />YF i ❑NO <br />■ • <br />/�� <br />MECHANICAL <br />TYI'F D( ENEHGY �FLEC. <br />❑�:,,:: <br />"--�-"- FEE <br />NO. TVYE OF F.DUIPMENT __f, __.. _._ ___._ <br />AIf1COr1O. VNITS-I�.V. EA. 5 � <br />. _'__�- ___�__ <br />. """_" _ "'_' .. ...._.. ... <br />RLf RIGERATION VNIf`: u V ln. ."_""'___.__�`_ <br />_- ��OIItP$ II.P EA._._..-._'"- � I <br />'_..-__.�..-�-_ <br />FORCEO AIR S�STEh1,^ 11.T.U. MEA. }�' _L___ <br />-_ _ .Y_ t-�IJ � .L�S�_�I'n'_?O _L'C(Y L_-1.�_..__r-- i <br />� LVAC[ H WFLI NE�1T[NS � H.T.V� tI- � , <br />VNIT UE4TER5 O.T.V. ! � <br />r' -_�_ <br />-�EVAVOHATIV[COOLCHS � <br />._-_ __"_"_"_"' _ '"'__""'___�_"" . 1, . . <br />1 e�on�tsonver+s ____.�___� �_ <br />� VENTILATIONFAN __� •.'��_ <br />'_ .__—' -. � r <br />/ PANGE ��OOD ___ --�.� ��— <br />,.,_ -"' __._"____. . <br />Alfl HAN�LINGUNR .... C:�.:M__._"' "".'_'"-�.�- <br />I '_ __.._'_'_.___ ... _ ._ _ _.}._ ..._._T�_ <br />W4TER IIEATG9 ..�. ...1--- <br />.._ _. ... .__'..____. <br />FAC. DUIU FIRCVIACL K CHII.WEV .....� _' _"'_'T__._ <br />f.AS. SVSTEtd' NO OP OV T1115---�" I .�_ <br />. - ----- ----.. ._._ s�o �rt�rn�� 5 �' �_�__ <br />"-- ' PEIiM111T �-S "_""�'-'" <br />'_ _____'__-""._'_- __-_10T/1l.(EF g "�__-�-�: . <br />111I5 PF,tiM111T p6COMh5 NUI 1 ANO VO�U il 1VD11✓, ON Ctfta$ffiUC <br />TION n�n�or�it�n �: n+oi r.o>an+iNc[n�v�rniN i'ou.�r,:. on �F <br />CUNSTRUCf1pN Ofi 1VORK 6$U:IPfNDCD OIt AIIl�e:00�.E1) FOR A <br />� PCfIIOD OP 170 OAYS nT nNV fIM! N fLtllVOfIK �!:CMIfdF!::F J. <br />� 1 IICHLIIV CCIIiIFY TIIAI I IIAVL HLAO AI:D CXAI,�INlO f1115 AP <br />PLICATipN /�NO KNOW THk $.�Nk ip Itb Tiir tVErfi.^: h(l•,1'H SrTV>E <br />�PROVISION$ Oi I.NYS 11NU DnpINAhCF.S <br />; pF 1YOIIK YlILL UE COMPLIF.O WILII IYHETHEf1 ::PFGFIEU HEREI4' <br />, ON t�01. THF GRAN7ING Of A PEPAtIT pOLS NOl PFCSVr,.Q i0 <br />GWE AU7HORITY TO VIOLAfF. Oit CnNCkL T�IE �'ROV�SiONS OF <br />� ANV O�HGR STATE OH LOCAL I.AW HCGVLl�LiN�i fDN::TIIUCTIO� <br />pP THE V[�FOHMl�NCE Of COMSIf�VC1tON' <br />... i ._- �,�j . '\ <br />x ; . i 1� �,...{..��:'- ; �`�l .-`-- %•-J-�- <br />$IGNhYU(lE OF C��OfI (]N AUTII f�C LNT Dl11E ' <br />• PIi.N CHLCK NUM1111tH "LAN GLLCK FPG <br />I LL' I�ECE��7 nin <br />.. ''_._'.. .__._._.... . . . . <br />FEES _VALUATIO�__ _ _ Ft.E _ <br />_ ___._ ___ _ I '"_'_'L_'_ <br />_ " "' __ _— I , <br />OUIIDING s •-Y� �� �' � ._.... � I <br />. __�_.__..__ '.'r.""' <br />{ _ . __' . t <br />� PIUMpIN�i � . 1 . <br />.._ . __...__.._ I <br />MlC11ANICAI � � ' <br />{. _. . <br />— � <br />07R[H � <br />_ ___ T__ <br />SE0. ]071tl � <br />PENALTY _.. L_ <br />' "_' _ • -.. _. -r I i <br />70TAL .. �-' -_ ._.. I ✓ ��_.Y_�.) <br />