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- CONSTRUCTION <br />PERMIT APP�IGATION <br />COMBINATION • BUILUING • MECHANICAL • PLUMBING <br />�" <br />QCOMAIN4TION <br />❑ OUILOING ❑ PLVMUING � MIG�nNICAL <br />/ALVATIUN UF WORK <br />H <br />LOT T-T'� BLOCK_OF � ��'�! <br />JOB ADONESS <br />�� / � � /' <br />PWMBING <br />/v��/�%1 <br />� �%i/ <br />���%_ �.�� -tC'�- � 'I��%—�1= _,,. <br />0 <br />�NEW ❑I�ODITIUN ❑AUktiAtlUN ❑IiU'NH <br />❑DEMOLISH ❑iENCE ❑$IGN ❑':lY�^.IMWf: PnOI. <br />)THER PERMITS OR APPROVAIS <br />.p RE ZONE �( SPECIAL USE <br />�.VARIANCE .� SNORLINE <br />SEPA CHECK 115T REOUIRED <br />L�' YES <br />�j NO <br />�MECHANICAL <br />TVYE OF CNEHGY <br />pr.ns Ueiee. <br />-- ---- ------�-- <br />. NO. TVPEOFEOUIPMENT _ _� FEE <br />AIR CON�. UNITS-���.N. EA. 5 1-- <br />RLiRIGERATIONVNIfS 11V LA.'--�._ �._-�-- <br />_"_ "'"'"_ _______'_ "_ "_"'"'___"'__�-___1__ <br />OO�IERi HP EA. _1__ 1 <br />FOflCEO AIH SVSTEMS It.T.U. MEA. �— <br />-' __.'_"_ ___... .._.__ L_ <br />__ � .—'� <br />$VACEyb WAIL HE4T[RS N.T.U. I <br />UNIT I�FATEPi II.T.V. ___ __�_ <br />EVnPONATIVECOGlEHS <br />� CLOT11[SDRVERS �"--y'--" -"'-� <br />VENTIL�TIONFAN � b � <br />..�...,. .. ..........� . ....,. � <br />UNINAL$ — n�H NI�NDUN4 UNIT C�(.M. _ � <br />_J _ _. ._..._ _.'__ "�.. . __ . . .._ _ � "_' ___" 1 <br />WNEHCLOtiliTS � ... .. ..."'_ ""' ' '_ ' _}... ._" _.T_ <br />� WAT6�1 Ht:A1EH5 �� ELECTHIC i ..._ .WATEH NEqTEF ..-.._� . ._ "'yJ__ <br />Wl15H BASIN' - � FAC. PVIIT FIREPLACE !4 CII�MNEV • _ 1 <br />LAUNORV l�fiAVS �:AS. $VSTEN: NO OP O V T1.1.15 � T <br />L-- <br />• ' ' ----- -' ---. . ...9Vf1 TUTAL St 2%I <br />i _ — ".'_... ._.- PERMIT 5 ��_ <br />—' SUO TOTAL '�_-- _� ' --'-_.--' —..-_���Tnl. FfE 5 1�%1 - <br />PERMIT S q., 11115 YEIildIT ffECOMES NUI t- �ND VO�b II WU11Y, OH CUNSTRUC <br />TION AVt110RIZ[D IS NOT CO\�A1tNC[Il WITMIN 170 L`AYS, OP IF <br />TOTAL FEE � CUN51HUCtION OR WOIIK C: SV::�'1-NOCD O11 nfIANDO�CO fOR A <br />WATCR SF:RVICL SIZF_ [31OG.5UPi'LV SIZE, • ��i��oo or i7o onvs nT nNr IIM1�. /1FTC�t\VOfIK L': CI".�h1ENClU. <br />i� t UA w H6AHVANOSk79ACk I IRH611v C[(1TIFY f11AT I iIAVE IILAU Ahf� ErA1"iNID T111: AP <br />PLICATiON l�ND KNOtV TH[ SnniE io ul it�VE nvU Co�:RFr�. ALL <br />'��7 /�'F T �I �1 -'r PqnVl.^.IqN$ OF I.AIVS ANU OItOtN�hCES GUVER?:iNG Ti1�5 TVVE <br />� OF WOIIK WILI BE f.OM11PUF.0 WIT11 tV��ETHEFl::PEC�FI'U HEREIN <br />U.^.4 7UNL lUl Al1i.A Vl�CANf SITh��- OR NO1, TrIF GRnN.-ING OF l� PEF�LT btlE!: YOl PRESUME TO <br />v e-� ^ GNB ��'Tl�ptilTV TO VIOLAfE ON CANCLL 111E NIi(IVIti�pNS UF <br />S/JU � uYES UNO , qNY OlH[R STATh 0f1 LOCAL l.A\Y IIE(iULATINt: CONl:TI1UCTICP, <br />P'- OH 7MF PCiiFORMANCE O� CONSTHIICIION <br />TVPE UF CONST. UCCUNANCY (:fiOVY NO.OI. OWlLIING � <br />UNITS � <br />.SG� � if o Z- x <br />� --- .- - -- -------- --- - -- <br />------„-,--- ,—".--"' ---..--_:--. SIGNATUNEDfCONTRACiOHORAUT11.4GLNT nnre <br />.,� � �� � <br />SPECIAI CONDITIONS: <br />[�NO <br />l]'�:, F, (7'L l c•:=.-r� «' .E1.�!":�N,r�ln. '_ �FEES <br />_��It.L1—%"C�f�, �.r ii ',ti��/i��-�>c. ---- <br />��� //��'Z/C ��/) �C�.�� ! � ( -��% �`� �_% '_". _' __. <br />f1U1LDING <br />SEPA REVIEW COMPLETF,: ❑YES ❑ NO • P11""°'."_" . <br />confocf plonninq dOP�. MlC11P.NICAL <br />OTN(li <br />nniiuuuN�cun�u�r YUMy�MILqUY� eMqOVID�U�IY♦ PENALTV <br />I � � TOTAI <br />Ibl' �I�CGEi�f Nr� <br />( <br />