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- CUNSTRUCTION <br />�� PERMIT APPLICAT(ON <br />'i/<' y �7J <br />;rr�. <br />COMBINATION • BUILDING • ME�HANICAL • PLUMBING <br />„� ' / MAIL ADUNl55 � <br />/ 21Y <br />n-r:;r.: a�ou6i�;�7 1i�Cc%%- ��-G�/�'-J'�',�y• %�"�i , �,'�e.unt <br />ECT UR DE514NEH .._.. '_" � ' _ _ ` � '~ 'J �^ <br />r t � . <br />1 <br />CONTRACIOR <br />C�i/ �-- /�/C� <br />❑COMBIN4TION <br />U OUIIDING � pLUMBING � MkCNANI�AL <br />VALUATION Of WORK <br />: 2�D� <br />OES I E WORK � <br />� y.o���. .��,,ti�:�s,,�7 <br />•qpV/O5�E0 tl�(E � ��'�� <br />�!�_L_�� Y �dC/g. � <br />llCAL Uk5CA1PT10N OF Pp07ERTY ISyOW BEl <br />FpUH COGIE51 <br />l0T BLOCK__pF <br />JOB AODpk55 <br />_ �� �(� / ��/� ��G N <br />PLUMBING <br />� �. C rv V. <br />i� ��:.��-: •_.•> ,�� �53-1�3i 1z,3-o/.,5�-��-f3 <br />IIAODRE55 FMONE . . UCENSE NO. <br />ILAOORE55 VMONE LICENSE NU. <br />LASSOF WORK • --� � <br />❑NEW �ADDITIUN ❑ALTEfInIIUN ❑11U'n�it <br />❑DEMOLISN ❑iENCE ❑SIGN ❑':�VIMMINti PUOL <br />/.' Z CJfHEfi PERMITS OR Ai �ROVqIS <br />��' I� REZONE �( SPECIA� USE <br />UR ATTPCM <br />�(VARIqNCE � SF!ORLINE <br />SEPA CHECK LIST REQUIRED <br />L� YES <br />L� NO <br />�MECHANICAL <br />TYVE OF ENEPGY . <br />����+ ❑EIEC. <br />NO. TYVEOF EOUIPMENT FEE <br />AIRCONO.UNITS-/I.P.EA. � —�5 ..- 1 <br />RkFRI('�FHATInNUNifS IIY�El1._— -"-T <br />ODItkRS MP. E4. "" "'-�"-`-^— � <br />FO�iCEO AIR SYSiEM'� fl_T.U. ME� ��- <br />�• � �I <br />1 <br />$YACE b WA�L HEATEHS � P.T.V. —T� <br />VNIi HEATER$ X.T.V. � 1 <br />EVAPOHATIVECOOlENS .__ ��-- <br />ClUT11E5 DRVEPS � <br />I ____ I 1 <br />VENTILqTION'FAN � � <br />unlrvaLS � AIH HANDUN4 VNIT �,(,M, ' --�— <br />' '�'.'_��__'_... ..._. ...__..��. <br />�..�_ <br />nre�� c�osers , � <br />_ �_—_ _ .----- - --.. ._ ._...__. ---•-- <br />WATER HFATEIIS •� ELECTRIC � WATER HEATER <br />WASH dASINS . _. . ._... .. . . . . .. ._. _ i <br />LAUNDf1V TfIAVS � ` FAC. BUIIT FIREPLACE F CH16/NEV <br />� �- GAS. SYSTEM: WO OP OUTII�.I$ T-! �T— <br />• ; '_""' .. .SUfI TpMI 5 <br />� �—" "" PERMIT 5 Z'T—� <br />�. � _"'__ _'_"—""^" _. _'_' i�__ <br />SUQ TOTAL � TOinL FEE 5 C� - <br />PERMIi S TIIIS VF.111.t1T UECOMES NUI L �Nn VO�O �1 W(1111; �1H (7pY$TRtJC <br />TOTAL FEE iION AVf110RIZED IS IKOf f.p>dR1LNCED WIT111N 170 0.�Y5, pR ip <br />CUNSTfiVCf10N Ofl LYOIIK I;: iU:U'CNpED Oq ApANOp\@p F(lp q <br />NATEfi S�F.R(VICE SIZF. BLDG SUPPLV $IZF' Y[n�pU oF t70 DArs ni nrvr rinnE np ffq NpfIK I!; CP'd'.1ENCEU. <br />-'-' """""e • TUACn HGAHYAHOy[IgAL� 111(RlOv CEfiTIFV T11Ai I IIAV[ NEAU I�ND C`(AA!INln TI11$ AP <br />PUCATIpN I�ND KNO\Y T11E SA41E TO IIL TRVE AND GUR11F f L A�� <br />FROVIS�ONS OF LAK'S ANU OIIOINANCES GpVEftN�NG T���S TYGE <br />USC ZUN�1,� �� �Uj q�j�A - �F WONK 1VILL �E CO.'dPL�EU WIiH WHtT11FR SP[CiFIlD MER:Ih <br />VACAN� SITE � UH NOT, THE GR4N71NG f)F A PERAtIT nOEti NOT PRESUY.E Tp <br />' ❑YES �NO �'�VE AUTHpRITY IO VIOIAfE ON CANCh� TIIE MR(IVISION$ OG <br />ANY OTMER STATE OR LOCn� LAW IIE(:Vll�TlNti CONtiT11UCT'JN <br />TYYE UF CONST. UCCVYANCY GROUP uN'OS UWELUN(: OR TNE PEpFORMANCE Of CqNSTHUCTION' <br />512 OF OLOG. NO.OF STORIES MAX, OCC. LOAO ////¢�/ / /�' � � <br />��1.G2 �,''\� �" �'1�iL_. ;iJ� /i,._„_�J� <br />I�II/GZONh �� IIA::�NI /lllltii'l1iNKIl11S . SIGN4TUNEOpCONTIL:�TOf1pRAVT11.ACiENT DA�E � <br />flE0U1HfU I 1 LAN lM[lA NUMUG{I PIAN GHLII: 1 L! <br />o.E� o�o <br />SPtC1AL CONOITIONS: �Il/ «� _ ��ECEiPi Nn <br />, ,� -� <br />/ .' � :J ,� o� C� o <br />. _._.. ..�._... .. . . <br />_ FEES VALUATION FEE <br />� T <br />-•" — r•� .+_ ^ � <br />uui�oiNc <br />s ��'�//,//l. <br />