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• CONSTRUC T iON <br />PERMIT APPLICATION <br />COMBINATION e BUILDING o I71ECIIANICAI. ! PLUMBING <br />zlP/)`7 <br />UWnI MAIL AUUI/LSS <br />[IY 1'l1UNE <br />• <br />ELr-zr(E /i%EGSanI �S„?� .S/sr Sr•S[(�. �PZd� .355-�71� <br />___.r` <br />ARCl/ITLCT UII VCS14NEl4 MAIL ADDRESS <br />PHONE LICL14SL NO <br />OLNLRALCONTR ACTOR MAIL ADDRESS <br />PHONE LICENSE NU. <br />Saw14L- <br />MECHANICAL CON TRACTOR MAIL ADDRESS <br />PHONL LICENSE NO. <br />Sa <br />PLVMDING CONTRACTOq MAIL ADDRESS <br />PHONL LICENSENO." <br />PCIIMIT <br />CLASS OF WORK <br />❑COhiDIN ATION <br />[]BUILDING ❑PLUMBING ❑NIEC14ANICAL <br />(gNCW <br />❑ADDITION ❑ALTEIIA FIGN ❑11 U'nlll <br />VALUATION OF N'U iK 12o17 WQ, <br />—•----_.. ......__ <br />�/b,O D � <br />❑DEMOLISH <br />❑FENCE ❑SIGN {p3-MINIMING 1•00I. <br />S L `mot <br />DESC R IDE VIORK <br />CIlAmple.c/ Pool, - AGaiN/,Ivv.vt W44 <br />�/GLEE /J/Tf/ ct vI PFT�-C C{x Q_' <br />PROPOSED USE <br />OTHER PERMITS OR APPROVALS <br />L2! � � <br />Tl REZONE j( SPECIAL USE <br />VARIANCE SkORLINE <br />LEGAL I)L5CRIPTION OF I-HOPERTY ISHOW UELOW On ATTACH <br />FOUR COPIESI �) <br />y y 3 v �/U = <br />LOT �3_ DLOCK_�.OF <br />5EPA CHECK LIST REQUIRED <br />lir YES <br />1:1 NO <br />JOB ADDRESS /' <br />''6 26 �RGEL ✓ <br />(MECHANICAL <br />PLUMBING <br />TYPE <br />OF' ENERGY <br />❑GAS ❑[LTC. <br />TYPE OF EQUIPMENT_«, FEE <br />-_ •— <br />F NO. <br />1 <br />___ 5•-•-_ I <br />AIR COHO. UN1T5-H. P. EA.- <br />nEF$11GL gnTON U NI I S nP Cn.• —T_ <br />(Ioiien, II V, EA. «_---i__ -q-1F�• <br />�1-- <br />PURGED AIR SY STCI,IS (1,LU_ IACA_- <br />I <br />- ---•- ----•` - - '- T-- <br />SPACE G WALL HEATERS - H.T.U. <br />_ <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />. <br />ILA I1111flS <br />I_ <br />_j5 <br />CEO Ir1E5 YM SHEiI <br />' <br />UISII VIAS14EIIS <br />r <br />_ <br />DRINKING FOUNTAINS <br />I <br />FLGUR DRAINS <br />KITCHEN SINKS Pr DISP. <br />I <br />UNIT HEATEnS <br />BAR SINKS <br />-_—_ I <br />EVAPOR_ATIVE_C_OO_LVHS <br />_ <br />CLO TIE$ UfivE RS �••------_I-_• <br />L <br />1 <br />ROM DRAINS HAIN LEAVE IIS <br />-i-- <br />`j <br />-- SIi Q'J•F li IlAi11S <br />VENTILATION FAN— 'i— <br />SElil'ICE SINKS T <br />SUtJVS - SE17+(iE I'U ::P 1"`--- <br />- D <br />RANGE IfOOD I <br />AIH HANDLING UNIT.C.F.r.�• <br />URINALS I '--• <br />'- ^••-•--;(,t' <br />IVAIEe Cl.U5E.T5 <br />^- IYAIEII IIEAIEII3_ELECTRIC I <br />•._ Wn TER IIEA TEq_•._ -. •_ _ _. ___�,_� <br />BASINS- -� �— <br />FAQ BUILT FIREPLACE to C/I IhINEY_ _ 1_ _ <br />_---IVASH <br />LAIDADHY IRAYS -- - <br />• <br />_ _ _ <br />GAS SY STEIl.: N0-0 P 0UTLI.IS <br />••� •SVII <br />I <br />IOfAL- <br />PERMIT <br />' <br />r S R 70 �L <br />-•��-«---- _--TFIT At, FEE'_ 5 -.71 <br />_ _ _ ....__ __...__. <br />_ <br />PEII h11T S j 1---« <br />THIS PF.IIr.tIT (IECONE-i Ntll 1. nNU VOID 11 )volty. 014 I.ONSTRUC <br />NO wmnN ,, On IF <br />ED tO IN 17DDAYS <br />T ON-- AUTHORIZED ED IS NOT COM <br />TOTAL FEE �}i= <br />%IS <br />O-NEED <br />CUta:iT lUTHORI <br />CON! IS SMMI. N Oil N NE FOR A <br />!ATEH SERVICE SI7E DL11G. SUPPLY SIZE <br />1'LIHOD Of: M DAYS AT ANY III,11. AI TLR%VO1IK I:: CG!IMENCLD. <br />7�VL�' 'eU" "I v, rw_tc���•••FFF•••�•. ---.; 1 HERLRY CERTIFY THAT I HAVE READ AND EXAMIN(D THIS Aa <br />iu<U ati u,l Lin i�JC7Ur.-.v,.ACK I IILAII YA1jU tiE 1RAG1: PLICATION AND KNOW I IIE SAME TO HL THUG AND comifCL ALL <br />PROVISION', OF LAWS AND ORDINANCES GOVERNING (HIS TYPE( <br />Y2� <br />OF WORK WILL RE COMPLIEU WITH WHCTIEH SWECIFILII HEnCINI <br />_ <br />1SL ZONE - Lot AREA VACANT SITE �•- <br />OR NOT. THl' GRANYING OF A PERMIT DOES NOT PHESUYE TOI <br />DYES EINO <br />lB 11fi1TY TO VIOLAIL OR CANCEL THE PRVVISIO N'S OE <br />�i V OTHER TATE OR LOCAL LAW IILGULATING CONSTRUCTION <br />1'1'E OF COh•5T. OCCUII-ANCY GHOU1• NO. Ot DWELLING <br />II(FIE PLRF RMAN CG OF CONST I IUCT ION. <br />r <br />UNITS <br />•ITC OF BLOC. NO. OF STORIES MAX.00C. OAU <br />/Q y <br />-� <br />X(iNA 1HL Of CON AC701101fit ENT OAT <br />I IIL Z(INt 1{A::[ML NI til'IUtJK 1.1 llti <br />.I��,.�,�. .n.,•I� ,...ram. error- <br />' NL(IUII/LO -' <br />"W <br />_�h... <br />I -LAN CHECK NUMBER PLAN CHLCK I LL <br />L1YES ONO <br />ILC IIEccirT No. <br />�'LCIAL CONDITIONS: <br />FEES VALUATION FEE <br />' <br />SEPA REVIEW COMPLCTE: ❑VE5 L� NO <br />I'l Mini NO �I <br />Contact Monnin(I dapt, <br />MECHANICAL • -•E i•-• <br />' <br />orl{CIl 1 <br />I <br />•IICA (Hun A\�I r11U YT IAM I'll UIU Y( Ih•nJNu 11X CJIUKI YY <br />LLTY SEC. DD71A1�L ..«. �,.... l .... _...r......- .,...t.�.l..:..... <br />