Laserfiche WebLink
- -- - CANSTRU�TOON <br /> � PERIv�IT APPLICATIOi� � <br /> COME31NATiON � f3UILD1�3 • MECHANICAL • PLUME3ING <br /> QYVNUI <br /> \ ►1AILA1)JHL:.:i 21M ' <br /> �'. 1+ £; YMUN! <br /> L A �_,A E���c r-�r � • <br /> AqCHIjkCi UH Uf..,�pNlH MAILAUONkSS <br /> 1 ' PMONL L1CkN$t NU <br /> � � T ` <br /> GENCfIALCON q CT� I ��L l - S�. SND�Yin�$( <br /> �AAILAf)DRESS PHONE <br /> �� LIClNSE NU. <br /> �'�� T� � �.oLL �."�o� 1�r�2 !O�' �'i .�i+elir,.�tr.� S �-"l�// ��3-6//S 3 <br /> MECHANICAI�,ONT(+nCTON � MAll4DDNE55 <br /> ' VNONE IIGENSE NU. � , <br /> IWMtlING CpNTRACiOH MAI�ADDRF.SS • � <br /> fHONE � ���ENSE NU. <br /> IfHMIT ��A55p! WORK --- <br /> ❑COMBINATION <br /> .�OUILDING �PLUM1I�ING �MkC11nNICAL <br /> _'_.... <br /> �NCN ❑ADOI'IVN ❑AL�Ef1�.f14N ❑HU•Alil <br /> VAWATIONOF WOf1K - ---- ___ _, . <br /> S - .0 O(��„� ❑Uf.MOL15Y �cCNCF. r�51GN ❑:�V�NMING 1`UOI._---_- '—_ <br /> DESCNIOC WORK <br /> ^J�E.bJ CO N S'� :j / . <br /> IROPOSEV USE ' <br /> C)7HER PERMITS OR APpROVAlS <br /> ���� j7 REZONE <br /> LlGA� l)t^CRIPTION OF YfiOPERTY ISNOW BkLOW UR ATTACH � SPECIAL USE <br /> FOVFl COPIL51 <br /> ,tor� PLOCK�� or �F� V��=r� . �—S � VARIANCE � Sf'.ORLINE <br /> SEPA CHECK IIST itEQUIRED <br /> l =r, It"r-- � ;.�,1�� � . � c- �:��; L�' YES <br /> �' � NO • <br /> _�5;�;�_ �•1 lc��- <br /> JOB ADDAE55 - <br /> I �_ <br /> � � � � �MECHANICAL � <br /> �PLUMB�YG , TYVE O! CNCHGY � <br /> ( � _ C1f:A6 _" �ELf.Q � <br /> � - • �N�• __ __. YYPE OF fOU1PMENT � � <br /> AIRCDNO.VNITS-II,Y. kA. �5-'•- FEf <br /> �NO. TVPE O� PIX7UR[ OR ITEM FEE — — " -'-- """ --.. .-- --�__ . <br /> IV1IH IUU5 RFfRIGCHATIqI:UN�fS ITY. LA. <br /> S "_. OOIlkPS 1/.P En.._ "_ "'-'-'----^�__ � . <br /> I ClOI11Ey 1YASHEIt - � <br /> UISH 174tiMLitS � . . � iURCED AIR SYSiEM•� O.i.V. hEA. �-'�'�--' '� <br /> l)itll!!IWG FOUtJ1�AIN$ � -' --- --'. .. '--- - � � <br /> FI OOH DIIA�Nti � SPA[E b WALI 11EATERS P.t.11. �� �'. <br /> KI7t.HtN SINY.ti p pI,P � UNtT I�EME(�'u H.T.U. � � <br /> ' HAIISWK$ �T_ CVAnpNAIIVECOOLEHS ----- �—T-� ' <br /> i�onF onniNs nnw i[nocns � L cion�csonver+s ------- . , <br /> SH(1lYEH flATNS __. - I <br /> SF.RVICE SINY,$ — '----}---.� VErvTItnT10N FNV � ���r` <br /> 1 <br /> SUIdPS � b[WAGE PUtdP -�'-�-' -� � RANGE HO00 � � -- � <br /> Uf11NALS i Mf111pN�UNf.UN�i• C.�_M. T� <br /> WATEN CLOSCTS � -: -�..'---_.'_..._ '. "'_ '_' ,. L <br /> WAT[I111f.Af[115 - ELECTRIC � � �WATER I/EATEq::•. �V. . . ' -"'- -"--_�T—� <br /> WA51� Bq51N5 .� / �_ . .. .. __._ . . . . ._ . _ -L__ <br /> � / � FAC. OUILi FIn�P�ACE R CNIMNEY '- �. <br /> LAUNURV TqAVS _ fiAS SYSTEMr NO OP OVTLI�15 ( � '� ��—' � <br /> _..L_� <br /> — . . � .--� --. . "'sun tuin��- 1; � �- <br /> � "__'-- PERlAIT 5 T�—� <br /> � --1 <br /> SUflTOTAL "'-- '�-- TOTntFf6 5 • �� <br /> PERA111 S THIS 1'EftMIT LIECOMtS NUI1�I�ND Vq�l) il WUI�Y, �iq CONSTRVC <br /> TOTAL FEC TION AUIIIVf11tE� I$ NOi fOMMINC(D 1VITniN 1?0 U.1Y5, pq IF <br /> WATERS[RVICESI2[ s 7 YCnODOFr�700AYSYATl�NY�itMt�ADFiER\VofIKiSCn:��E CkU. <br /> __�F1lOG SUCPIY 512E ' <br /> - � �c , n � h +a I IICHtIIv CElITIf V TIIAi I I�AVE I1kAfI AND C`(AA1tNf D in15 AP <br /> � OACA NfAHYAHp5k11iACK pL�CATipY 4NU KN0IVTIIE .^.4AtE T011h TRVE ANl)CtlIi11fCL ALl <br /> � � <br /> . �_ "'•`� • �JI^ . / •• .. i '�ti� . .�" ♦�OVISIONG OF LA1Y5 ANLI OfipINANCES 60VCItNihf. 1�P5 +ViE <br /> �'� �UN� �V� A���A Vl�[ANf 5�;6 `- bF WOHK WILL bE COMPLIEO WIIII W��ETHFII ;:PF.CIFif[l HrqEINi <br /> � / 1 I �� r - Oq NOT, THF GRAN:IN(. OF A PEPMIT pp[5 NOT P�ESV�IE TOI ' <br /> � m GIVE AV1110R1TY TO VIOL4ft ON CANChI {��E �'RpV�5�pN5 OC <br /> _/_.__ 1_�___+. �yVES ❑NO i ANV OTHkiI STATt O11 IOCAI I.AW IICGVLATINU<:ON).ili <br /> T�PE Op WNST. UCCVYANCY(:qOV� N0.04 OWkU1N(: 0� t��� PEI1fORMANCE Of�DN9T{IUCTION. VCTION <br /> ' 1� .. (.� �.1 VNITS / � ' <br /> 1 /`, <br /> 512E OF p�DG. NO.OF STOfULS MA%.00C.�lOAO �i <br /> ��/ �`-5� Z X-�•""��_� •�/. <br /> IINI [[11HF IIAflMLNI 11N1'.:1'Ii�NKl.11l'n-- SIGN4TVHEOR Ni11ACTOqO f1UT11.4GkNT DATE <br /> .� ` NLOUIHI.0 � PLANI'llLlk NUMIIFII y <br /> Y,J ❑vt5 ❑NO InNO��Cr: rl� <br /> SPCCIALCONJITIONS: J ��kC f1ECE��T Nt� <br /> ; .-;.;,. ,,, . -- ��`'�v--- . .7_/.`.' _ 3.=of�z <br /> FEES VALUATION iEE <br /> J �' � Y �'' � - -• ---- _ T _— 'T-- <br /> Y`/y+�' i . . . � I e�i�oiNc f:',:�`,/j'; � . � �: ,�, � l�) <br /> ' --'-----'-- — .__.._..r_ c; <br /> SEFA REYIEW COMt'LETE � C�'iE5 ❑ NO ' r�uMmNn � <br /> J �._.,_ ; i <br /> conlacl planni�q O9PI. IYLCIIANICAI . � <br /> -- � <br /> , - _ . .. . �._..�.. � <br /> OT11=R ' I <br /> � <br /> =l�PbuM�lUrilun�.' rU-4>�n1�a�uH-__�in�_oqo�l�r "��' � �""""�"' � '� T� <br /> � ' YEN�LTY SEC. OD]hl 1 <br /> 1 ...L�. <br /> TOTAL � � <br /> �_.. . i <br /> -ti_ <br />