Laserfiche WebLink
- CC�NST�IlCTION <br />�'ER�VIIT laPPLICATION <br />C0�961NATION • BUILDING • MECHANICAL • PLUMF3ING <br />J <br />/ ' <br />(/ <br />[NMI I <br />❑COMBINATION . <br />❑OUILDING �PLUM8INC �MlCHANICAI <br />WO <br />LOT BLOCK <br />?LUMBING <br />F <br />Y �SMOW B <br />.AUUH <br />[D <br />t <br />❑NEW ❑ADOITION ❑ALTEIIAf1UN ❑NLI'nlfl <br />❑DEMOl15H ❑FENCE ❑SIGN ❑':\VIh1MIN(: Ppp� <br />)THER PERMITS OR APPROVAIS <br />j� RE ZONE � SPECIAL USE <br />#VARIANCE ]� SF:ORLINE <br />SEPA CHECK LIST REQUIRED <br />LI� YES <br />L'j NO ' <br />�' MECHANICAL <br />TYVE OF ENEHGY ' <br />� � ❑��/�� ❑ELEC. <br />. NO. TYPE OF EOUIPMENT LEE <br />AIR COND. VNtTS-H.�. EA. �S ' I <br />Rk�RIGERATiONUNIfS_I/V_EA__ _ � <br />_ OOIIF.fIi HP. EA. _�__ 1 <br />- FURCEO AIR SYSTEM fl.T.U. MEA. T— <br />.. '_. "' '._ ' � <br />_ _ . I <br />S�ACE b WALL HEATERS �� P.T.U. r— <br />. � <br />VNIT 11EnTERS -N.T.V. � <br />EVl�[`ONATiVECOOLEH$ —�— <br />_...._-__'�_ —' l <br />CLOTNESDRVERS � <br />___ VENTILATION FAry �- <br />5UMV'S -� SEIVA(9E PUM1iP I RANGE MOOD _ 1 <br />AIH I/ANOLINQ UNIT' 0.f.M. <br />UHINALS ' i —T— <br />• "' _'__'_.__._ ._. ._.... ...__.,_._. ._..�_ � <br />_� WAIE�7 CLOSB75 i . ._ _' ' " _'... _ ._.. � <br />WATER HEATER" - ' T <br />' — " -' '_._ . . <br />WATtR HEA7[115 - ELECTRIC � •"_ _. ....__ __'... . . . . .._. .. _. _...i__� <br />WASN 5q51N$ - � FAC. BUILT fINEPLACC 24 C�III.WEV � <br />IAUNDHY Tf1AYti , - _ f.AS SVSTE��: NO OP OUTLf.�S i_ <br />� . ----- .....s�nioi.��i 5 i <br />� ___-_".'_'" PERMIT _5 __'_'_"�_ <br />SUOTOTAL 1 — '— --- _—TOTAI�FEE 5 '-- i <br />� T1115 VEIIh'lIT UECOMES NUI�L AND Vp1U 11 WUHA i1N CUYST9UC <br />PERMIT 5 TIqN AV ���On�2ED IS NOi Cpb1A1lNCE[) WITniN 1?0 UAvti, OR tF <br />TOTAL FEE ' I CUNSTf1VCfION OR \YOIIK I!i SV:��'I.ND[O Oii ApANDONEI) Fpfl \ <br />NATEiI S�RVICE SIZE BLnG. SUPPLY 512E P�n10O OF 170 OAYS AT ntJY flMl AFTEH WOfIK �!: COf.ifdENClD. <br />^'�+�+.� I IICRlfi� CEIii1FY lNA1 1 lil�VE HEAU AND E`(n!�INIO T1�15 Ai <br />n� c .1Cn (i � �-7�ACA HtAN Yi.HU5k TUACR, pUCAT1pN ANU 1:hOW THC SANE T(1 Iil TRI�C ANU COHHCCf. 4LL <br />i v(IpVI510N$ OF LA1Y5 ANU OqDINANCES GpVLfiY�:JG 11Uti TYVE <br />USl2UNt � � ' . OF WOIIK \VILL BE COM1IMLIED WIIN \tiH1iT1E�1 9PCCIftEU NEI�CIV <br />LUl AHLA VAC/1NTSITh ,I OR NOT, T11C GRnN71NG Of A VEHMIT pOCS NOT PHESVAI[ 10 <br />' ❑YES <%�VE 4117110aITV TO V�OIAfk UR CANChI T11E NRl1VISIONS Of <br />❑��n , PNY UTMEIl5T.1TE U�l IOCAL LAW IILGVLATW�iCONtiTf1UCT10N <br />TYPE UF CONST. OCCUNANCY(iHOUY NO.Of UW6�UNG OR 7Hk PEIIFDRM4NCC Of CON5Tf1UCTION <br />UNITS � <br />SIZ! OF UIDG, ND. OF STORICS MAX.00C. LOAD � �� (j�f//�� L//1'j/.^ / � q '�, <br />. . x ��1_.�-,�-1+_=^�'�' S_ � � _..L.LG_.,I <br />fI1tC2UN! —� IIA:iFMLNi fllilSP{UNRLL115 $IGNAI'U�C.OfCONi(IACTOHONAUTIIq(iLNT OATL <br />H�YCHCU nNn Vil'L.�NCMLCI:NUMULN .I YLAfJClltl'Y.FLI - I <br />SVLCIAL' CONOIT�ONS: <br />SEPA REVIEW COMPLETE � ❑YES ❑ NO <br />contocf plann�nq depf. <br />/�IIC�bUN�lU�11U�1. YUMYUIIIa\UYV. .Wi10V10 O���u(,IYY <br />� <br />� <br />f6L" . I��ECEIPTNf�. <br />....._�_._... .... .._ . . .. . ... ..... . <br />f[ES _ VALUATION _ FEE__ <br />UUILOING S <br />riim�mNo ..�.�._ -.- <br />MLC/IANICqI <br />OTHEq <br />YENALTY <br />TOTAI <br />— •---•�r-- <br />I <br />� <br />I <br />� <br />_.. _ . t-_... <br />SCC^JO]Id_..._...I_'—"• 1 <br />_. l <br />n <br />f �. <br />