|
. - � - - • vv�vJ t rcU�. I IUIV �� �^vCrCt�
<br /> • _ ciir�i . � . ..
<br /> , PERIL7IY ''' -�;
<br /> ` Ei�E'�'�'�t . . � - � F.''.7''�
<br /> _ . . ,, r.,:�
<br /> ��.� ,,.,, , ��:,:,,,,. - � �.....F:y
<br /> tv� wr�, wn �u�,n� C0111(SINATION • BUILUING • MF,CIIANICAL • PLUMl31NG • �,�:J/
<br /> . . UWhIH ' MALLl�Ulu�l.:... [IY ' �
<br /> Y11VN1.
<br /> •{tir T 2 y�¢A,� $ane,> v?ti' 4 9_/Jl �Sea �' w � � 9f�c3. 3 �s•�f�c x.
<br /> ARC�Ir 7lCTUII DE51fNGN MAtL /�Dlllll'hb � ��pIiUN! .LI{;k L N'�
<br /> ��ake _(�c��a,�__v`�ca _s��4y_��W_k�a7/�� 365=�6'.�3 zz3-oi /c�,I�-��13Tzj�4
<br /> GCNlNAL GOI�T14\CTO/I MAII.AUURESS '/ �---�'•-pIIUIJE -'-LIC�SL Nf
<br /> �""'_'_'___.._"'___'_""' .
<br /> Mk HAN,I�Ct�AL CONTN4C7U11/ , - ---/-- �1AIL ADOIIlSL �l '.—p/1pNE LIClNSG NC
<br /> �J�'_L.__,5---��il �1 h--�-.--..--f V E'/�t' �"7" •} ,i ,�, .� _
<br /> PI.UMOING CJNfHAC OIl MAI�AUUIikS$ PIIONE LICEHSt Np
<br /> ; i
<br /> PERb51T-- CLASS OF WUfiK '�
<br /> ❑COb101NATION +.� ' _ :�'.
<br /> ❑DVILDING []P�UMflIf.G [�AIECNANICqI �
<br /> _ ONEY\ —ADUlllq•� �AUCHATION ❑f1CP41i1 ' ,
<br /> VALVATIUNOI WonK �-�-- '---'."._-
<br /> i
<br /> S Ic���D . I` ❑U£MUUSI� ❑FFNCIi ❑LIGN ❑4YJIA1M1tING PUUI ', . . .
<br /> DESCflIBI\YOfiY. -' — -
<br /> o , a ,
<br /> � �
<br /> MECHANI„Al
<br /> v�ay�oscn E "
<br /> �°l Ph�� ,4'DD t M �lew �i.�so AC.V '� I
<br /> --�— TYPE' Of CNENGY '
<br /> LCGAL O[SCFINTION OF PHOPEIITY�SMOW OELG1•/i�R ATl ACH ��,�5
<br /> FO V R COPI ESI
<br /> ��� U'�,o1 __ ❑ELf.C.
<br /> � tl�oCK_OF � PAL//r. NO.I--"_____'
<br /> LOT S I��(?/ _ T\'P[OF EOUIPMCNT FCE
<br /> / �( / [� �+ __ .�Alil COtJD. UILTS ILF. CA --�$ -�—
<br /> ,�j.z /- � hFjl L^ lv 0/ � � S I 'nt� ni_ Cn�tini.unir, nr ��n. r--
<br /> _ aIIpRFI . NP -- ---�'-'-
<br /> rn -�----i�--
<br /> 1/� ��, � cC �U fSC �_ �'- - roncrri n�r� $VSTCl.1g. II.1.U. MEA. �.
<br /> .v~r '!"_"._.___�.'___—'.--L_' L'_
<br /> `UEAGOIt[SS !�1� -' '-'"'-"'- --- �
<br /> S/ �� "'�� V���b�� � Y RfP d.�/ ` � "PACkf. WG�LNEMtii.^. - H.T.0 r—
<br /> �L` O C rLIN1T ��EATCR:_p.T.0 I
<br /> ♦ fL� / __..ifVMfutATiVECOUtEI:::�'_-'-_-- '---T—
<br /> PLUIdQING y � --- ----�---- -- �
<br /> _ f.Lqll�f.f:RiIVFi15. �
<br /> VEN11Ll�II?�N�Anl -T '
<br /> _�"�__ -_"_"_ ""' '____ _ —1__
<br /> 1 H�!!t',I lu)qp �
<br /> NO. TYPG OF FIY.TUfiL OR IIiM _ '-' —(EE -'--�Innt �inr�nt i'�f.unit."--'-'G.F.r,�. --�---
<br /> BA1H TUf$ $ "- + ..__._.. _..___' ___'-___" �
<br /> C107NFSY:�154ER --� '__�"" . . ._ ""'"_. . _""" _'__ '_ '
<br /> DI$fl P::S,11�(SS W_�iFF nEAiER -r— '
<br /> � �
<br /> ONIfJK.�ir�J fOUA17NN$ � _ FAC. NU�LT fI�LVLACE P. C•�1ldNEv �
<br /> FlOpi< DIv�:YS � _ cna�5r57En�� no oroiiT�e*s"-.'-' .-'-T
<br /> Y.Iraier;sinrs r�oisr. —;- -- - --�- -� -� '• � s�n�oTni �s7 � ,
<br /> BAf: 51NK$ �— — " " -�----�— nFnAt�i---�-'
<br /> HOU�" O�:n�NS �—rInIN L[Af1ER; —r- ----'-""-- Torn�. rl[ r-�—j— ;
<br /> SllUl'_R_WSJIS- ' ' � ' TIICi PUIV�IT L'CCO'ALS NVI l ANO VO�D IF N'OfiK hH CONSTI:UC�
<br /> SERVICE_INK$ ��1 TION nVtl�pftllCp Iv NOi �CRVdEhLlO 4VIi111h 1:0 DAVS, OR IF '�
<br /> $U�VP_ tiENla1GE PUI1•i' — I �pf:STRVCI iON Oq IVOPA I i SUSPFt�pEb OH .\IIA^.iIO::LO fpli A ,
<br /> ---1-- PEHIOO D4 t:00AY5A1 ANV Ti�UL AFTCFlYJOFiK ISCOIdA1CNCE0. i
<br /> UlniJf.1.5 i
<br /> 1V41[Il l'1_OSET$ �— I MERLfv t:lqTiPV TIIAf I I�nVC r,Fan nr:u E%AAVNEO TIUS AP. ��'
<br /> Wl�1l:R H:'AT[i;5_• EI.CCTRIC � �'LiCnT�nN nVn r,hOw r.i[ sn�aC ifl U[ inuE qNo COrHiCi. nt1
<br /> �__ Ff10V1510K5 O! LAPI: AND OHpiNANCfG GUVFHfnP:. TNI> TYPE
<br /> WASH Gr151N5 '-'"-- � � pf YInitY, \YILL ffE COhfiq ilD N'ilN 1'n�ci�lCl� ::1`FUPif D ��EHI.IN '•
<br /> LAUiV[1N1' TflAYS ___ L nR NUI. li�L ,RtJJirt:�; U�� n vFHVii O(H�7 NOt oql.^.V��F TO
<br /> - � GIVL AUII�JniTY i0 ViO1.ME OR CANChI. INE PHO\'!S�D1::: OF
<br /> ---'-- ANY pi'hl!❑ :inTC O!1 LVCAL LAl9 HlGUTATIf�G CUN57f1UCTION
<br /> — _ � O(t TIIF.PCH!OIIMAhCE UF CONSI RUl'TIUN
<br /> __� __ 1
<br /> sun"roini ,
<br /> FEf:IAIT � .' .
<br /> TOIAI. FEE ,_` x .��� �� .
<br /> WATERS[fiVICESIZE OLDG.SUf.'LY �IZE SIGNATUHLUFCONiflACTUf10f1AL11H.AGENT D'h�[-'/
<br /> SIDE \'AlID5El0ACK �THEl75CT6ACK NEARYqPDSCT�iACeP�/�nIC1i1Cr: NUfdFllft . P�ANGII[CKfEE
<br /> � �ry/��� FEE Q� HECUPTNO. ,
<br /> USE 20NL LOT AREA VACANT SITE Q 3a 3a �g�,
<br /> ❑vE5 ❑NO FE�S VALUATION FEE
<br /> TYPE OF CONST. OCCVPANCY GHOUP NO.OF f]WLLLING -`""
<br /> VNllti �
<br /> Si2E OF OLOG. NO. OF STOIIIES IAA%.00C. IUAO AUILOiNC $ �.
<br /> _ �'
<br /> J PI.UMOING - �,
<br /> FIHE20NB BASLMENT f�lli[tiPliin•nLLi15
<br /> REOU�HEO
<br /> � ❑vE5 ❑VO h1EGHANICA� �
<br /> �PECIAL CONDI110N5. OTMCfi I
<br /> I
<br /> PF.NALTV 5[C.7071a1 I
<br /> i -
<br /> j — TOTAL �
<br /> ' — �'_�__ ;/ �.
<br /> Pff1�11T VALIDATION
<br /> �-� — Wllf N PIIUP� IIl V VAl IDATkD IIN TIII:`YACU TMIS IS VpUR�Efl.'AIT
<br /> - --- � r
<br /> '.�r•u�.n�in�vn�.�.n•nun. risn•.i.Tiriiu�n en•nuvr�i��uir:.iia«Tn.-
<br /> •n,
<br /> � �
<br /> AJURLtiS PILC
<br /> n ��i�i irnniT•, �n�,,.
<br /> +..
<br />
|