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C�i�� .IiU��'itij�',i <br />PER�/IIT APPLIC�T(ON <br />COMBINATION • BUILDING • M[Cf�ANICAL • PLUMElING <br />/ MNL HUUIIISS [IY <br />C_�( ��-J�!'.!/ .i{���I.i��:. i�. . �. i'.-, � . <br />�HCNITtCTVNUC516NkN MAILAODNkiS iMONk <br />�7� � %-), � <br />(/i��J�i',t,/l/ �. �...i;I�IJ � <br />E <br />N U. <br />i�COMOINATION � <br />;QOUILDING �PLUMBING �MECNANICAL <br />❑NCW ❑AOOITIUN ❑ALiEfInfIUN ❑11(1'MII <br />�_ __.. . .._._...._","_' <br />VAIUAfIUN OF WORK <br />, S ❑OEMOl15M ❑FENCE DSIGN ❑':�VIMMINfi 1'(10{. <br />-ncceamrwnnc <br />LEGAL OtSCRIPTIUN OF YfiOPERTY <br />FOUH COPIE51 <br />LOT � �BLOCK_OF— <br />�oe wooAtss <br />PLUMBING <br />OR <br />)THER pERMITS OR APPROVAlS <br />j� REZONE �j SPECIAL USE <br />#YARIqNCE L� SF:ORLINE <br />SEPA CHECK LIST REQUIRED <br />L� YES <br />Li NO <br />! <br />MECHANICAL <br />TYYE OF CNEHCY <br />❑t:A;: ❑EIF.C. <br />NO. TYPE OF EUUIPMENT FEE <br />'_ '_. . _ . .... ___'_ _"'_—_ <br />AIR CUNO. VNITS-11.P. EA. T � <br />RhFRIGERATIONUNlfS NP.U. --_ -'—i— <br />� <br />"_' """....'_____ "..._"'—_—_.."�_'1 <br />OOIl1:R5 //.P. EA. 1 <br />iUqCEO AIR SYSiEM'.:� A.T.U. MEA. -�— <br />� ..�. . .�_�. _. __�._ 1 <br />� �_ • � <br />SPACE 6 WALL NEATENS •• P.T.U. r— <br />UNI� 11Fl�TERS H.T.V � <br />EVnPO«nTIVECOOLEHS —� <br />' '"'"—___" "' L <br />CLOTIIES DH'/ERS I <br />.�{ VENTIIATIONFAN .���I� <br />AIN I/IINDLIN(: UNIT C.�.M. � _j <br />'""_"'__'__"_... . .......__.__... ' __i <br />_.. _ <br />i <br />. . _ .... ---. ..._.. . __ . . . _ _..._.. .._ — . <br />WATEH HEATER _,_y <br />FAC. OVILT FIREPIACE F CHII.INEV I <br />f.A5.5Y5�EM:NOOPOUTLI.�S -� <br />� _ '_"'_ ... -.... . -• �_ ..L <br />• SUOTbf�L_..5 ..._•. //Jt <br />SUD TOTAL ,_ ,, _ _ TOTI�L F!E 5 <br />PEHM17IT S� � 71/1$ YE11h11T pfiCO>AES NVI l. nNp VOIU 11 Wl11tK �1H f.UNtiTqW <br />710N AU'��U��IED IS NOT f.OMMINCf U W�1��IN 170 U\Y!:, OR 1 <br />TOTAL FEE $ �/ �pNSTfIUCf1UN Ofi \YOIIK 1!i $V:��`FNDCO O11 Af1l�NDONEO FpR <br />N�A�TER �SrF.RVICE St7[ BIDG. SUPPLY SIZE I PEIl10D OF 170 OAYS nT ANY Iib�h AF Tflt WOnK �!: CnNrAF.NCkI <br />ilYt rn�: ..� A n 11A1'K µlANYANUSkilIACK� ����Rf11V CEf1TIFV TIIA7 I IIAVC NLAfI AND F.'(AMINFO ilUS A <br />PLICAiIbN AND KNOW TiIE SANk Tf) OL ifillL' AND CC lilll'C�. AI. <br />ifiOVl:i1pNS OF �A1V5 ANII OfIDINANCEti GOVCfiN�NG THIS TVP <br />OF WOHK W�LL BE COMVUED WIT11 W��C7HE11 ::PCCIFIfU HF��EI <br />USL'LUNk lUl Al(LA VACANT SITk Ofl NOT, TH6 Gf1AN71NG Of A PERM1IIT DOES NOT VftESUME T <br />�'ES ❑NO �'�VE AUT110RITY TO VIOL4fh pN CANGkL i11E �'��(�VISIONS ❑ <br />' ❑ l 4NV OIIIEfI STATE UO LOCAL tAW �1L(:ULAi1Nti f:ONtiT11UCTi0 <br />TYYE UF CONST. UCCUPANCY (:HUVY N0. OF OWhIIIN(S OR TNk PCfiFORMANCE O! CONSTf1UC71qN <br />__ A <br />I lllk ZONt <br />SPlCIAI CONDITIONS: <br />SEPA REVIEW COMPIETE � <br />conlacf planninq depf. <br />.. ❑NO <br />❑YES ❑ NO <br />uryrc.�ww�uvuu.F ryww)�e�i.�u... �vr�uv�o ueuw..tlir <br />�. <br />X � <br />SIGN1ITU/IEOFCONiH4C10ilOHAUTI1.AGlNT DI�TE <br />� �fE[S <br />UUILOING <br />�l UMIIIN�I <br />MLCIUNICAL <br />OTIICN <br />PENALTY—_ <br />iOTAL <br />1!C �11ECEIPT Nn <br />VAIUi.T10N�_ __FEE <br />s . 1 <br />1 <br />—• ...._-----•--. _ .�.._..r-� <br />.�.._ � ��J <br />' . .. G;� �Ci. <br />• � <br />I <br />�__ � -- <br />SEC. �071�1 � <br />� _.._....._.�.� .� '��"._..i _� <br />I <br />