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. -� . _ . .. .. ._i:r. � n. <br /> ' �.,U:VJ ! 1( Ul, I IU1V <br /> PCRNtiIT APPI.ICATION � <br /> ' COMI3INATION • tTUILDING • MECHl1NtCAL • PIUMDING <br /> OWNhH MAILAUU11kSi� 11M P/1UNh <br /> .iir� Sci;:crs :'7^4 ^ Larlin Dr. ,i:�•�rc�.c., '::a. °8'0; ' 3�5-31 "0 <br /> ARCMITfCf UR OE51(iN6N MAILAOOf1EiS ►HONE �IC4NSk NU. <br /> �ENLlIALCONTHACTOfl MAILAODRE55 . YMONE • ��CENSENU. <br /> Riversidc Roof Co. 1522- 'n'aluuC >;C. Rvcrctt, 252-7S50 RI VE f:3-30.".'C�� � <br /> NGCl/ANICAL CONTRACTO(i MAII ADDRESS P/IONE LICENSE NU. ' <br /> 'WMli1NGCONT,fiACTON Ml�ILAODPE55 PMONE UCENSENU. <br /> 'ERMIT CLASSOF WORK • <br /> ❑COMBINATION . ' ' <br /> Q OUILOINC �PWMOINC �MECHANICAL ' <br /> ❑NEW ❑ADDITIUN ❑I�LTEf1AtIqN QH(1'Mfl � <br /> /ALUATIUN UF WORK � � �� ����— � <br /> S 37LO.00 ❑DEAtOL15H ❑iENCE ❑SIGN ❑:lVIh1MW(: 1•00{, <br /> JESCNIOEwURK ' . - ' <br /> ililUi: - hot 6u3Pt up roof �• <br /> Aoroseo use • OTHER PERh11T5 OR APPROVALS <br /> � j� RE ZONE ,�j SPECIAL USE <br /> lGAL OtSCRIPTION OF Pf10�'ERT1' ISHOW UELOW OR ATTACN ' <br /> OURCOPIlSI , �j,VARIANCE � SNORLINE <br /> .oT �+' o�ocK_oc Plat� of Pa17c � �'i.r,: • <br /> 5 E PA CHECK IIST REQUIRED <br /> Lrt YES <br /> =j NO ' <br /> OB ADDRE55 � L <br /> ' ) � f�..- ) 1 -, � .1 ��-.� '. .: � MECHANICAL <br /> LUMB�NG ' ' TYYE OF ENERGY <br /> . ❑qn5 ❑ELF.C. <br /> . NO. TYPE OF EOUIPM1IENT _-I FEE <br /> AIRCON�. VN1T5-M.P. EA. -iS I <br /> :O. � TYPE OF FIXTUBfl OR ITEM FEE R(�f niGERnnOn Ur:�rS ��.V. En. --t <br /> HAlll TtIBS T�— ' - '__.. __ .__.__'_-__�_-'_t— <br /> OO�LEf15 11.P EA. I <br /> CIOINE517ntiHFft � - ' ' '-- - ' '�---T- <br /> FOIICCO Aln SYSTE�dS O.T.U. /ACA. 1- � . <br /> UISN YlASMEIlS � ' - -"`— --••. _.—_ 'r '-'-'1 <br /> Ulilf�!:If:(i FUU4TAINS _ .. " --" ""-' --_ - <br /> F!UGH C111AIt.5 1 � SPACE t. wALL ME.1iEiiS �- N.T,U. ____� <br /> KI7(:HFN ;'.INY.ti R D�SV. � UNIT HEATERS �H.T.V. � <br /> ❑A1151NK5 � EvnP0ltnTrvE COOlEHS _ _ -�-- <br /> IIOOF DNlINS RAIN IEADE�S ' i CLOn�[5 DIarCPS -..'- -- � <br /> . SNOC:EfiiIATNS VCNTILnTIONFAN � �— <br /> S[�IViCESi�✓.5 nnNGE .�ooD � ���— <br /> SU.'�PS - SE':1t.(iE VUti1P - -'- -"' T <br /> UfiINALS � _ /�Ifi IInNOLlf�fi UNIT _ C.�.M1I. __ � <br /> Wl�1CN CLOti[.75 � ' - ' . .."_'. .. .. -. . .`_ ._ �. � <br /> WATLIi 11f:ATE115 - ELGCTfi�C � _ •WnTEN NEATER .. . . .. _ _ _ 'T_ <br /> \'/AiM [1A51N5 • � FAC. OVILT FIRCPIACE ri W�IbINCV y 1 � <br /> lAU1CURYTRAY$ f.A55VSTEAI NOOVOVTLF�S ^� -T <br /> '. ' '_' _'_" . . ....'" "' _'.. 1-__ <br /> • ' . ��SVoiprn�i��5 � �� I <br /> , 1 - _�_ � PEf1Mlf ._5 .._"_'�i . <br /> - � '--'-- T[1TAlFkE_5 1 <br /> SU� TOTAL . --. ."� ' - --' ' <br /> PERId1T SI�-- t1115 YF.fl�dl� [IECO'.IES NUI1. AND VO�U 11 IVUiU:,lfi COYSiflUG <br /> - 710N I�Uf11UN12E0 I$ KOt CO.•JA1(NC[O 1YRI�IN 1.D 0.�Y5, OR IF <br /> TOTAL FEE $ CUNST1111Ct�ON Ofl WOfIK I!: SV::�'I'NDCO O11 AfIANDONcb ipfl •1 <br /> 1TER SF.iiV�CE 512E BLOG. SUPPLY $12E P��100 OF 170 DAYS AT ANY fIbIF AF TCf4�V011A �::CfiA1r.�ENI'kD. . <br /> Ali a�IUACn dTH�i S�7OACw RGANYAHUSlipnCR! I IICPkf1Y CEfiTIFV TIIM 1 �IAV� IIEAU AND CrA1.4NlO tlll: A�. <br /> P�IC/�TIpN ANO KhOIY THE SANE 10 Hl TIWC ANp COlilifCL ALl <br /> VflOVI51pNS OF LA1V5 AtlU pllpiNANCE$ GOVERNING 1i�15 TYPE <br /> , OF Y:OIIK \YiLL �E COhiPUFD wIrn YmETMEi111vCCiF�fU ��FREIti <br /> :C ZUNf LU7 ANLA VACANT 51T4 ' OR NOT, T116 GRAN:IhR OP A PEHMIT [1pCS NOT �'��ESU'.1E TO <br /> ' (:IVE AUTIIOHITY 70 VIO:A�E OH CAh'C[L �IIE 1'f1UVl'.:IpNS OFI <br /> ' � ❑YE$ ❑NO • /�NY qiHf.p STATE OR �OCAL lAW IILGULAIWi:CONtit1lUCilON <br /> YPE OF CONST. OCGU�'/1NCY(:RUUM NO.OP DWkLLING Of1 iHE PLIIFORMANCE Oi CONSTRVCTION. <br /> UNITS i <br /> 2E OF OLUG. NO.OF S7URIt5 MA%.00C. IOAD . . ,�`-,=5�7� <br /> • X ' <br /> IIk :OtVk IIA:kMIfJT IIIIL.'.1'111NKLL11: SIQN/1TUIICOF[ONTRI�CTOiIOHAUT11.4GENT D.�TE • <br /> � fl!(IUINLU �'�'�`�' ��~�� <br /> r�L.�fJ CIIICK NVMUIII 1'lAN C141'. 1�L l <br /> pres ONo ��t , i�ecc�rr r+n. <br /> tCIAI'CONDI710N5: <br /> .. .._.—....__... .... _ _ ... .. ...... – . _.. ...... . • <br /> F[ES VALUATION FF.E <br /> _ _ '_""r_ <br /> ._�______ ' 1 <br /> "'___ ' �,_ L_ <br /> "_� � I uui�oiNc. �__ s._..�� � �J.6:� 11.�._�.� <br /> iEPA REVI[W COMPLETE � ❑YES ❑ :d0 —�' r�uraniHn _ i� <br /> [ontact Plonninqdapf. McciinNicn� QPR• UG ��7R � <br /> . .. . �-_.... <br /> � . oT��« '� "'TY � f1F � i <br /> �I�Al1UNAllVIIUYY. •{J.4SUIIlMU�V' UII10�..�,iT•r.���• PENALTY :.CC.J07.��1 ��. n_n;'n��_' <br /> � . ___' ' '_"'�.�...�... _ isa.N <br /> -.' '____'._._. �_.�_.,_-!_ . . TOTAI �_.-,�.r_ I <br /> _.�......,i....,...• r <br /> • ; r <br />