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� <br /> � � - CONSTRUCTION <br /> PERMIT APPLICATfON �����'' <br /> , _ .�;z� <br /> COMBINATION • BUILDING • MECHANICAL • PLUMBING <br /> OVINtH MAIL AUUN6S5 ZIP YMUNk <br /> '1. ' // � . l �) �1� � '1 -� :�C-� . G.e"��1 <br /> C.f'0/'il.l.-_./�G�''_...t'S .T,t�c, /�''/�.f'Y+x_'�;E , , e �.� , . �.,� <br /> AFCMI kCl UH UG51(iNhH MAIL ADDNE51 PMONE LIChNSY NU <br /> GlNCRAL CONTRACTOR MNL ADONE55 �HON[ UCENtiE NU. <br /> , ' .� �i�f'� .tit�: �Cf �^ k. '?:.,� ,, ��; -c;� �"✓' r.ti• -= -�sk. :>N <br /> MECNANICAL CUNTRACTOp MAII AODf1E55 � P/10NE UCENSE NO. <br /> ��.0�"%f��/�T/rt;C>- -- <br /> LUMOING CONTflACTOH MAIL ADUPE55 PHONE '_�CENSE NU. <br /> ��,,> �� ,J • /,. � ' ��ss=c.i ��r.----- - — <br /> GRMIT CLASSOFWORK ' <br /> ❑COMUINATION <br /> OUILOING ❑ PLUMUING ❑MhC1/4NICAL NCW ❑nDOIT1UN ❑��T[IIAfiON ❑I�U�nill <br /> VALVAl1UNUFWORK �L —'�' --_� "-._. .."-""_ <br /> �c� � ❑OEMOL�SM ❑VENC6 ❑SIGN ❑:1YiMM�NG �•oOL <br /> S VJ <br /> OL/SCRIOC 1YU(iK �/ <br /> C- )��-•j r ! '"� l (" �C�� J f��C�" <br /> PRUf'OSEU USE � OTHER PERMITS OR APPROVAlS <br /> ���(I-i_jf�ifL�S.�' a.!rc'-= j� REZONE � SPECIALUS" <br /> FOUH COPI�ESI�PTION OF YROPtRiY 15110W lIELOW OR f�iTACII <br /> �. VARIANCE � SF:ORLIIJE <br /> L'JT_— P�OCK_OF __ <br /> SFPA CHECK LIST REQUIRED <br /> ct s" � " / d 'J .S �rin,_�a7 e'rJ � YES , <br /> � <br /> ]� NO <br /> --�-�7lZL'rin.�: �o<' . 3 <br /> JOD ADDNLSS / <br /> t�- / ? ' ' � - � �� � S R ; I �. �MECHANICAL <br /> iVYE OF GN[H4Y <br /> PLUMDING . � ❑rns _--- ❑r�rc. <br /> -- — -------. .. __ . .- — —�---- <br /> , NO. TVPE OF @�UIPMENT _f _ FEE___._ <br /> nlnCONo. VNns-�Lv. [n. . ..-._... �5 . _._ . ,. <br /> _ _ _� . . _ . . .._"_' "____. ._.... . ..___�.__ <br /> NO. TVPE OF FIXTURE OA ITEM FEE AUnicEnnTior+ UN�rs ru• ln. � <br /> . ._ _ _"" _"____-_ __ '."_ _.____"___^_'___.1__ <br /> ifnii�iiius 5 — noiitns ��.v. cr.. � <br /> CLO�HFS IV�tiH6N � ' FOnCED�Ai� SYSTEIdS O.T.V MLA. ,- —T- <br /> _1._-_ <br /> DI511 YJn5HF:11$ ' _" _. ._..'_' '___. .. ...___..._ 1 <br /> UIIItJKING FOUNI"Ali:$ '- ' � "-"""`.. _• <br /> � "" __ _'__' '_'_._" <br /> I-I OON UH/111.15 � SNAC[ F t4Al.l HEATLNS � P.I.V. -____� <br /> / KITl111tN $INKI :4 DISV. �--�- UN�T IILnTBPS II.T.V' ____ � <br /> -- ____- " __ ��- <br /> HAII SINKS � _ GVl�POHAIIVI COOLFHS _____""__ _.... . <br /> _HUOP DIIAINS IIAIN IEAI)tN5 T- LLOTulS URvLHS ___.___ __ 1� <br /> tiHOP:6N I!AT115 VCNi1L�T10N f nN � �� <br /> !iEIiVICE $INY,S RANGE 1'OOD"— � <br /> __— _' �—T' <br /> UIdPS SL�VA(iL PU'dP � MH IIAIJULINf UNIT �— C.f.M. <br /> 1— <br /> UIIINAIti i_ � — . . . __.. _.. __ . __ . ._.. �--. _. 1 <br /> " 1Vl�IFNCIntiCT I . .. . . .__ _.. . . _ . . _. . .T.—� <br /> lVAlffiHl.flF11 L ._CIHIC ' i WAIERN[ATCIl _' " "4__� <br /> ' 1VASH NrtSINS "— - — � fAC. UUIIJ FIRGPLACk W CIIIIdNhY ....�. � <br /> LAIJNURY i1b�V$ f45. 5VSTEM: NO.OP OVTLI IS. . ...� - .. . '�'-- <br /> • . ._ ____ .. ' ' i- __ <br /> ��„����� s' q � <br /> � _.. _ — -- r-- <br /> � � - ' �.. ._. PCIIMII S <br /> ��_ _"' _ __'_ . '_' {- <br /> 1 - '----"--- l Ol 4l f L E 5 21 � <br /> — " '--SU[i TOTAL � 'li�lsi'fiir.�ii UtGnhi[5 Nul 1 nNn voiU ii iVnnr, nn cun�!',iHUC <br /> PEHMIT 5 �— <br /> - TION AUt�IOHILLU �i NOI CU`dr.ILM1ClDNrt11iN 170UA\":. OR iF <br /> TOTnL fGE C —__�� CUNSTII 'CI�ON Ofl \VOIIK r.; r;u�;��tr�ncn on Afl/�yUpNGI) f011 A <br /> WATER SC.HVICE SI7F: 01 f)G. SUFPIY 517.1: v[��iOU ur la0 onvs nT nr�v nh+l. nt t[t+wnnr, isCn�.n.�.Fr�Clb. <br /> - '�1[1. .���TUAG: Hhf�NYAHUSIIHl�CI. 1IIf {II.IIYCLHIIFYIllnl111AVlHL/�Ui\NI� f.�41.4N1f1I1115AV <br /> �TQ� 1 .; "7 Cn PUCAI iON l�ND KNOW tllt 1:A�dt iO ;t6 if:UC AYU IUI�N!CT. Al.l� <br /> ��— _...._..U. . � ' Pf10VI510N5 UF 1 AWS ANU OIIOINANC[ti GUVl11\�NG 1H15 TYI'C <br /> U:l /(�L 1U�11LA� � � n� \YONK 1YILL !3[ COb1PL1[U lV1IM WHLTHLfI ::VP.CIFIEq HF..'tflN <br /> VI�CANI :i1TL OR NOT. T116 6Rf1N:INC �)� A PCRViT ppf.5 NOt PHI�VME Tp <br /> ' t:iVl AU1I�ORITV iP VIOLAfL ON CANf.bl fRE �•I�UV�!LJNi OF <br /> n.+'/- . ��0.'' �7C$ ❑NO ', ANY 011lllfl STAIh Ofl LUCAL 1.1�\Y H�(iVLl1TINti CON::TIII.C�ION <br /> �!_ (.� Olt iH6 PCRFOfiMANCG �f CpNtiilNCliON <br /> TYYE OF CONST. UCl'UYqNGV(i(iUUY N0.01 U1Y�LUN(i Y i <br /> UNilti <br /> SIZC OF OLUG. NO.OF 51 ORILS MA%.OCC. LOAO � �� <br /> z4 x y B � x f_ � -/-- I,�y1,C <br /> �tiRi lU1LLOFC tHACT011UHAUTH.nLiLNT Dnf[ <br /> Illlk /i)N1-".�---. IIA:-�llAlNt I:RIS'I'NINKIl11.5: <br /> /II.OUIIIlU � I'L..N L'll/ CY. NUM1tUtH �'lAN U�I l'1; � I�.! <br /> r✓ �� ❑r1.^. ❑No "7 �/�."(,�/ 1 LC IIEC[Irr N(� <br /> 5�[CIALCONDITIONS_ _ /� � l . . . . .. . <br /> J�i1�/5.... J_f�Q..._ <br /> FEES VALUATION Ff.E <br /> —' '_— ,— _"'�__'— __..'.'Tr_' <br /> — _ I <br /> ._�'""__"'_'___'__"_--_ '__'_"_L"__ <br /> _.....__'_'_— 1 <br /> —�--•-- --- - '-I _uu��oiric_ _ s �-'�i,(_.�- -- l--�Zt — <br /> r--- <br /> SEPA REVIEW COMPIETE � ❑YES ❑ NO � ��<<�MI11NIi -- _ _ ZS i — <br /> i <br /> conloct MlC11pNICAI • �/ <br /> Plonninq depl. . �L i.._ . <br /> --- i <br /> on�tta i <br /> ----`T- <br /> 1 <br /> +�+•uc�wwe�i�ruu�• .uasu�u•iunr, ueeov�n ���ar �ENALTV SE0. �0'JIJ �"__ <br /> '__"-""_�_�.' __ _.. .._..__ . _... . _._._.. ._. <br /> . , 1 <br /> TOTAL � <br /> ...._.. .. . . . _._ _ _. .___ . . . ... _._ "_ '____"_"_'_ _ ' . ' ( <br />