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, - CONSTRUCTIGM <br />PERI�IIT APPLICATIOf�i <br />/�///�/ <br />� �_ �=- <br />COMBINATION • HUILDING • MECHANICAL • PLUMBING <br />C//6t6U' ^V" �_ lr c l Y'"� C� � <br />dE0 ANIC LCONTRACTOH � <br />.--� [/ �}.. <br />�_r.• '�7O /����I !N%� <br />'WMtl�NGC TRACTOR <br />'ERMIT <br />�CpMUtNATION <br />❑ OUILDING ❑ PLUMOING �MEW�/�NIC>L <br />VALVATION OF WORK <br />5 <br />DESLH�OL WORK p� ^ <br />%�.��CC �. ��� � G. <br />PROPOSEO VSE T ,r� <br />i / <br />�� <br />LLGA101tiCRIPTIUN OF ROPEFTY ISHOW BE <br />FOUR COPIl51 <br />LOT BIOCK�-OF <br />JOO ADOPESS <br />PLUM[31NG � <br />�L <br />� <br />3- <br />NO. <br />❑NCW ❑ADDITION �l�LTEfll�fitlN ❑HU'nlll <br />❑OEMOUSN ❑FENCE ❑SIGN ❑'i�VIMM�N(i Po01. <br />. <br />� OTHER PERM175 OR APPROVA�b <br />j� RE ZONE �j SPECIAL USE <br />ON FTiAC11 <br />�VARIANCE �( SY.ORLINE <br />S E PA CHECK 115T REQUIRED <br />LI' YES <br />� NO <br />MECHANICAL <br />TYP! OF LNENGY <br />[_]pn5 ❑[LEC. <br />NO. TVPE OF E�UIPMENT FEE <br />. ___'_..' ... __ _ .�. �-._ t <br />AIfiCONO. VNITS-��.N. EA. _,_ 5 ._____�_� <br />_ ..._.. ..._"_" '_"._ ._._.. ._ .-•-- <br />Rkl'RIGER�TIONUNtfti �I.{'_EA_____...__^_____1___ <br />OOIlkRS HP [A. � I <br />FOfiCED AIH S�STEMS U.T.Ii. MEA. -��_ —�— <br />UISIT YJASHEH$ i �---�� y, - -'--L_- <br />❑NINKINGP0�1'1T/�IN5 i �-��=G-��G,�F,'1%�L��Cr --.-.--{-- <br />SPAC[ b WAII MEATCRS - H.T.U. __ � <br />FIOUH UNAItJti � - ---'----" � <br />UNIT r�EnTEPS O.T.V. <br />KIICIIF.N tiINKS R DISP. i ----- ----- �-'T-- <br />11Afi 51NK5 � _ EVnPOHnTNE CUOLEHS__'____""__ ___ � <br />IIOUF DRAINti HAIN LfAUGRS i CIOTH[SDRVENS _ I <br />SNO�tliR pATHti VENiIIATION FAN ___--r---�- <br />- _ -- <br />S[RVICE SIN✓.5 � HANGE 11000 �__T_ <br />SUMPti - SEWA(iE PUMP --r -'- '----'----•..--"-- <br />� NP III�NOLING UNI1 C.f.M_....._.' I"__' ___' i <br />UHINALS � '....�"._ _"'-""'_.._ . .. _.... r � <br />� ' _ _ 1 . .. .. . �..T'—_ <br />WA1FItCl05[TS _"_ _ . _ ...._..._. ___. ._. I <br />WNEII `1I.A7[IIS � [LFCI'HIC WATEH f1EATER ... "' ""�._� <br />i .._ _. . .___' ' .' <br />WASH bASINS �_ ' � FAC BVILT_fIR[PIACE !4 C/IIMNkV . ..i _. .. I <br />CAS. SVSTF.M: NO ON OV Tll �5 T <br />Ll�UND�iV TIIAVS - —. --' "" . . - . .-i .. ... ....1'— <br />fiUOIOfAI 5 I <br />._ . "_'.. .____-_"._._ '_ .'_T_ <br />� .'-' — ...__PENMIt'"""'_9 <br />-_ ' __'__' <br />-. . .' __'�_.�_"" ___ <br />� - TOTnI.FkE' S I <br />- --SU� TOTAL '11115 YERMIT ULCOMh$ NU11 �Nb VO�I) �I WU�iK ��H (:UNSTHUC <br />PERiJ1R 5 TIDN AVTI�VRI2LD Iv NOI Cp!d41LNC10 4VITIIIN 1?0 U,\V!:. pR IF <br />TOTAL FEE --� CUNSTNUCIIUN OR LYOIIK c; s:��:�•F Nncn on I�fIl�NDO^1�U i�n�� n <br />1Gfi SERVI�E $IZE OI.DG surr�v sizF� v=����� oi 1?O DAVS /�T AN� f1A11. AhTCN\Vf11iK �;:C(��•�M1�FNCFU. <br />-- 1 IICNLIIV Cl(IiIFV tMAI � 11/1VL H!/�O AND F:`(Ah1W[D �1115 AP <br />t 1 i A 'TUAIK RLANYMIUSlTUACK pUCA7tON AND KNOW THL ;.\�1F lp �Ib THUL AND COIi11ffL ALl <br />PfInVI51pN; OF I.AWi ANU GHDINI�NCF.S GUVEIIYihG THiS TYPE <br />OP WOIIK WIIL O[ COMPL�CD W�i�� W��Et11ER:1VlCiFIlU NEfiEIN <br />L ZUNI LU7 ANIA VACANI',^.I:l OF NOT. THF G11AN;ING �)f A �ERMIT pOC9 N01 vr�ESV�.�E TO <br />❑VEti ❑NO /AyNv OIIR'R�S�TATETOf1 LOCAI�� nH' HL 1ULATrtNEi CONtiP��IICTION <br />VE Uf CONSL OCCVM4NCY GHUVP NO.Of UWLLLING `� 111L P[ �✓MANjE Of CONS�\VCl10N' . <br />UN1T5 \ <br />SPkCl/�L CONDITIONS: <br />SEPA REV(EW COMPLETE � ❑YES ❑ NO <br />contacl pionninq dep�. <br />�lICP11pNACURIUYY� Y�MSLNIU\UY�' �NOV- 10� <br />•� ' <br />X ��1%PG-f��- L %^.=L'l.e�IJ1L!_ ' --_ l�.L <br />nNo �_. _ _ IF�:� i��E�E��T �,�, <br />FEES � I VAIUATIOt��I _ _ FF.ET_ <br />❑W LDING <br />ru�rnmN�: <br />M[CIIhNICl1l <br />on¢r� <br />reNn�iv <br />T�Tn� <br />S 1 <br />. .. -----..._.._..__. — �--..... r-'— <br />i <br />i <br />i <br />. � <br />�__ . <br />� <br />SEC.JOJId ..L__. <br />.......�._ . .._ . . . I <br />