Laserfiche WebLink
APPLICTR Q TION� <br />m. e..�ar.r, C � N 5 <br />c�n os <br />everet� PERMIT <br />FIUILDING DEPAHTMEN7 TO BE COMPLETED IN INK • PLEASE PRINT <br />259•8810 <br />❑ DEMOIITION t7 COMBINATION bl BUILDING ❑ MECHANICAL <br />,�.,, .��,,,,�.�. ,.,,, ,,,, <br />cwu._n _ • ' ' _ ' ' _"� \ . � /. <br />n <br />M�II <br />lvCr�M <br />� <br />❑ PIUMBING ❑ SIGN <br />ru� , . <br />as'°�- �,ia _ <br />�.—,Q,, i , j <br />1L1L-� �_J1J— ���� <br />I.�I.1,�11r��f.�1,C1111111�(:1l�11 1.1AI1 �fl(1111��'� •.� • • .. <br />�-_IAAIL �f10p1 SS tl1Y lll` I��h�rU U( 1 ry.' • <br />1��11MOIt1O CON10<1JlTl <br />iqt\'/OPN <br />New ❑ nooina+ ❑ ALTER4TION ❑ ��rrnw ❑ o�:nu,uiiou ❑ �v�wosToveFar�iNsenr ow�ouac; �e�o�,nor� <br />eioa ur vcvn .cos� ,� __ T ���i ir, i.nnw <br />\ w Y41 <br />'i �.�'�--� ��� <br />ot scniei woun <br />u������� r FAMILY�ENGE <br />ur Bu'iomc ` � � � <br />irn�1 or sr.mrrmr� ni ona�.rnn,•,��nwN m �nwou �i�a <br />Xio��moc._-or <br />/ s.�rnE� � <br />PLUMBING <br />ITEM <br />WIITERCLOSEi IIOIlE11 <br />e�THTUB <br />�AVATOfiY IWA511l1ASINI <br />SHOWE=__ <br />NITCHEN iINK 8 0�5�' <br />LAUNDRV Tfi�Y <br />CLOTHES wF51�Ei� <br />UPINAL <br />OPINKING FOUNT���� <br />� npq� 5[ �B��:M <br />ao' <br />11' i IO�IL <br />_,pnn. ETC 1 <br />SUBTOTAL <br />PERMIT <br />TOTI1l FEE <br />i�t.�� st �o•cn <br />f <br />sme <br />� r�� A��f • � VACAIl1 Po�I. <br />r[� ��r+o <br />I HEREBY CEIiTIFV THAT I FIAVE READ AND E%AM1IINED iI11S �P� <br />PLICAtIONANDKNOWTHESAMETOt3ETfiUEANpCORRCl:1 nll <br />PROVISIONSOFLAWSANDOROINANCESGOVERNING7HIti IYPC <br />OP WORK WILL BE COMPIETED WI I11 VJI IG1��EI7 tiPECI( IEU HCRIc� <br />IN Oii NOT THf: GRANTING OF A PF:fih11T DOES NOt PRF:FUM1�f TO <br />GIVE AUT�HOftITY TO VIOLATE OR CANC[l. T11E PROVISI(�IJS Of" <br />ANV 07NER STATF OR LOCAL LAW REGUTAI ING CONSTRUCTION <br />OR iFIE PERFO'�MANCE OP CON57RUCTION. <br />SIGNAIU%]I.OI CI1�IF�IOqpf14l1lnpf111lD'•.: q� I'.1�f <br />l:l�l 1111!.INI <br />MECHANICAL <br />FEE NO. TVpE OF EOUIpME <br />�.f, �- ����NULG VNITS - H P <br />11EF��I(7FMIIONUNI75-HP E/. <br />❑OILERS - A T U.�N P <br />GhSFlRED4C UNITS-BTU <br />FOPCEO /.i� S�STEMS - B T U. <br />WALL ��EA�ERS - ff T V <br />UNIT 11EA1ER5 - U T U <br />EVnPO�ATIVE CUOLEF75 <br />CLOTNESORYERS <br />VENT�L�TION FAN <br />RANOE ��000 <br />WATER HEATER <br />� WOODSTOVE <br />METAL FlREPLACE d Ch11MNEY <br />FIREPI.l�CE WSERT <br />HE�T PUAIt' <br />GAS PIPING <br />E%NAUSTFAN <br />I�LAN <br />SUB TOTAL <br />PEFMIT <br />M CA <br />M <br />hl <br />rte <br />NUMOER FEE RECEIPTNO <br />7��11 � �13� ►�� <br />y�y �bq� �• �, x � f3UILDING <br />n��e a�i �. :.urer�er enour r+u oi owc�uvu w+irv <br />V '+ / �� 9t � PLUMBING <br />/T �.J <br />stt pr mnct7>�� S� n�� �n �:lom[S Mnx ofr. tonn MECHANICAL <br />t a N <br />(Ov0 � �eSrR. , ot��Fn <br />FII7E SPRINKLEAS REOUII7( U f7 VES�NO STATE BUILDING SUPCH�RG <br />STATEENERGv5U�7CHARGE <br />m���i�can�niai�:p. jI�i•.•5r.utcn[�Ov ���iv�r'oni:5ueqr.lOr PUOLICWORKS <br />� I ) - <br />I i�, ��. TOTAL <br />—' - PROPERNGWNERSAPERES�ON$IPLCfORDEtER611tJINGMI <br />PROPERTY L�NE LOCATIONS AND AELNGD EASEId[MS. <br />