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• C,UIdS k KUI. k IUiV <br />PERMIT APPLICATION <br />COMBINATION • 13UILDING • MECHANICAL • PLUMBING <br />OW NLH / MAIL AUUIILS:. Lip ✓Hunk, <br />L <br />NO <br />ARCHITECT UII ULSi(:NEI MAIL AOO(1LSS PHONt LICENSL NO <br />GENIC FtAL CON/T�{11AC'FOR MAIL AUOIIESS PHONE ItCEN$E NO. <br />J� <br />A4ii.Sny ✓r <br />MECHANICAL GUNTRACTO (1 MAIL ADORE --� PHONE LICE NSt NO. <br />d'LVMUING C O N T R A CTo n MAIL ADDHLSS PHONE LICENSENO, <br />-- <br />I <br />-'—' <br />PERMIT CLASS OF YJO HK <br />� <br />❑COMB INATION <br />❑OVILDINO ❑PLVMOING ❑MECIIANICAL ❑NEW ❑AOOITION ❑ALT CIIA f1ON IC 1'M 11 <br />VALE-X ION OF 1YOHY -- -- <br />DEMOLISH ❑tLNCE ❑SIGN ❑':WUd MIN61'1)OI. <br />❑LI <br />�VO�% dG <br />IOESCHOL <br />YJORK <br />/��(� C✓. It A /vs o TW <br />OTHERPERMITS O}R-APPROVAIS <br />PEIDPOSEDUSL <br />�ia.J. � TIRE ZONE +j SPECIAL USE <br />LEGAL oLr.0 IITIVN OF PROPERTY (SHOW UUELOW UH ATTACHFOUR - {rt VARIANCE SF:OQLINE <br />or <br />SEPA CHECK LIST REQUIRED <br />rr YES <br />ry NO <br />�---t <br />y �✓ y N � S��y c Jac• � <br />c N r <br />T._r' <br />JOU ADORLSS _ <br />(�_ <br />��� S ✓, yr/r /� 'MECHANICAL <br />TYPL <br />OF ENERGY <br />FJ(iA5 ❑ELCC. <br />PLUMBING <br />O-P <br />_ - <br />E <br />TY_—OF_E_O_U- I <br />V_ICONONITS-114 E0. <br />NVNrtS 1 <br />nrGHnl[O .P_nMP.E_NC_TA— <br />NO, <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />IIAI// I(IUti �1 <br />OOII LRS ILP. EA. _ _ _�-____•^-_ <br />FOnCEO AIn SYSTCMS RT.V. MEA. <br />_ <br />CLOTHES V Slll:ll <br />I <br />- <br />Vl1IGKIfF(lUN7AIfJ5 <br />1 <br />- _. <br />_ <br />S4ACE R 1'IALL H@nTEnS �� n,T.V� <br />) <br />FLCOH t111A1Y.5 <br />I <br />--- -- I <br />UNIT IIE nTEHS O.T.V. ___ <br />- <br />K17CIIEN $INKS W UISP. <br />1 <br />EVAPORATIVE CUOLI: 115is , <br />Itnll SINY,S <br />CLOT <br />IIOOf DIIRItJ_: {7 A1N LEADERS <br />T <br />SI{O:.iH ITAl t15 <br />SF HVICE S)Nr5 ' <br />yU1J Y$ - SE l'fA (iC P":'P <br />_ <br />VENTILATION f AN <br />In HANDLING VNIT <br />Rn NGE•IIOOD _ •-� <br />_ ____. <br />WAIER IIEA TE It --I <br />I <br />_ _..-L---- <br />N <br />'AT ECLOSGTS <br />1 <br />--1NNW <br />E11 HE ATEIIS _EL EC TIIIC. <br />-FAC OVILT f1R EPLACC !4 CIVrdNEY <br />_ <br />_..... <br />RnS. SY 5TC1.!:_No OP OVTLI IS <br />_ - .. •SOil TOTAL-.Sj <br />S <br />-,-- <br />LAUIJ [1RY TIlAVS - <br />- <br />$UD TOTAL <br />THIS YF Rr.11T IIE(.nML6 NVI 1. ANO VOID 11 \YC 41: I)H CONSTRLC <br />iION AVTIOnIZEO IS NOT COtiI/.II NC(b V+Il lurJ 1^0 Unv[:. OF �._ <br />C(RJSTRVCTION Ott WORK I:: SU:IPI'Nn[0 OR ABANDON FOR A <br />1'Ln100 OF 120 DAYS AT ANY TIL!l, At TCII WORK 1SCn:ll.!ENCLD <br />I <br />_PERMIT <br />Sf� 1 <br />TOTTL FEE <br />S <br />IATER SERVICE 517E OLDG. SUPPLY S17E <br />I IIERLBY CERTIFY THAT I HAVE R[AO AND EXAA'INI n THIS ,_ <br />PLICAIION AND KNO\V1fIE SAME ToIll, TRUE ANO COljRrCT. ALL <br />OltO1NANCES GOVERNING 114'7 TYP_j <br />.,Y.�1,7�_n <br />IIS'L �VIu:UOL1 U, i. <br />•r,•_,,,�di, <br />STRCYY bL,UAC% <br />RtARVAHUSLIUACK <br />PRoVISIouS OF LAW1 AN[) <br />OF WORK WILL FIE COMPLIFU WIT14 W"ILT11L11 SPECIFILU HEnti-: <br />Pi! LOtJL <br />LUl l.HLA <br />_ <br />VACANT SITE --e <br />GIVE A6T11011 TY TO GRANIV NG OLArL VHRCANCELE TI C I'R0V vOK$ C <br />OYES ONO <br />li ANY 011Cn STATE On LOCAL LAW lo-GULATING (:ON.SlltVCTICK <br />LLIN4 <br />oil THE PLI(FORMANCE OF CONSi11UCTION, <br />:YYE OF COAST. <br />UCCU YAHCY I <br />UNITS UWCC <br />x� ✓�'4iY <br />TZC OF OLUG. <br />NO. OF SI—on ILS <br />MAX. UCC. LOAD <br />• _ <br />IIASI ML(Jf <br />11%(l :�I'111Nw1 LIR'. <br />RtVVI11Li) <br />IGNATl11tC Of CUNT ACT O IIO HAUTIL AGENT D.IT <br />-I I.L-N��W PLAN CbLLI, I CC x� <br />LA.-J LIIL CK NUK:I 11�� <br />INL ZONt <br />❑v L•i ON() <br />I .. . �.-.. _'---. 1 LC - _ - IIIC CCIPi NO <br />.. _. .. <br />FEES VALUTIO_A N FEE <br />_ FEE -- <br />- 1 <br />PCCIAL CONDITIONS' <br />- IIUILDING s I <br />1 <br />1 <br />ru nml- ... _....... t <br />_ <br />SEPA REVkEW COMPLETE DYES [INO <br />Contact plannlnq dept. <br />i <br />KILCIIANIC•At --• 1^_"• <br />1 <br />OT11C11 1 <br />vt11AL1V <br />SEC. JOJ IYI <br />--- <br />IUCMIU11eaIrIIU Y, -------- V /If+J11P ��i:{.uLI YV <br />TOTAL <br />t <br />