Laserfiche WebLink
I <br /> � <br /> I' ��'PPLICATION fOi� <br /> I eEV tt CONP TRUCTION °"e <br /> ERMIT <br /> BUILDING DEPARTMENT <br /> 259•8810 TO BE COMPLETED IN INK• PIEASE PRINT <br /> ❑ DEMOLITION ❑ COMBINATION �BUILDING ❑ MECHANICAL ❑ PLUMBING ❑SICiN <br /> O M�q�pDRC55 GIIY IiP PNON[ <br /> � /-� �.� ��,5 a�t� I�i/%�,= �r 9��0� ��� y.�s� sr <br /> �♦ NIIECtORUfS�ONfN Msq�ppI1C55 Gry IIC PIIOH[ <br /> y .S L �v.:'" J�.P <br /> ee�+en� o i � � .n .nnn � c n zm �uoHe ueeasE. <br /> r? Yld' <br /> 1 r r t C tl nq oo [1� f,nv )�n rr�nN[ licEt�SE• <br /> �`WMA�Hr:CONIR�GtNI RIAII �ppq[Si G�Y SiP p11pNC LICkNSE• <br /> CUSSOf WDH� <br /> ❑ NEW ❑ ADDITION ❑ AITERAiION �f7EPAIR ❑ DEMOL1110N ❑ 1400D570VE/FRPI INSERT ❑ BUILDING RELOCAfION I <br /> rowo o rocio [n x� i <br /> ,�U oD , a o <br /> orsen�ne�roay <br /> � � � <br /> a e r-i , 0 6 r - > �� <br /> u core4�io�r+c � <br /> ����1 �� � I I1ER[BV CERTIFY THAT 1 HAV� READ ND XAMINED THIS AP• <br /> PLICATION AND KNOW THE SAM@ TO BE TRUE ANDCORRECT.ALL <br /> ��lDESCA�P11pNO��pO�ERfY�SNOWNBELOIVORAITA[ufppRCOPiF51 pqOVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> �� �j�.}�)%� � 'y/ OFWORKWILLBECOMPLETEnWITHWHETHERSPECIFIEDHERE <br /> �o��.y�eioc�or IN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO 9 <br /> �- ,. GiVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF � <br /> � �Y d �% �T ANVOTHERSTATEORLOCALIAWREGULATINGCONSTHUCTION <br /> OR THE PERFORMANCE OF CONS^� �•/�� Y/ <br /> SIGN�i O�C f C100 OR�UTNORiLED�GENi �TE � <br /> x � � , _ � + <br /> VROJECI�DDPE55 APO�If.�N�5 CI1V BUSINE$S L6kNiE NO I <br /> �) .5 - � v <br /> rLUM�ING MECHANICAL <br /> NO. TYK Of flIITURE OR ITEM fEE NO. TYPE OF ECUIPMENT F!! <br /> WATEN CLOSET�TOILET) A/C—A/HNOLC UNITS—M P <br /> lATNT�B REFPIGEF�TION UNITS—H P.EA. � <br /> UVATOqY�WASH 81151N� BOILEHS—B.T UJH P. ' � <br /> ���R 0�9 FIRED A C UN�TS—B T.U. <br /> NITCMEN SINN 8 DISP FORCED MR SYSTEMS—BS.U. M EA <br /> D19MWASMER W��LHEATERS—BSL. M <br /> LAUNOIiY TRAY UNIT HEATERS—B T.U. M <br /> CLOTNES W�SHER EV�PORATIVE COOLERS <br /> UAINAI CLOTHESOHYERS <br /> ORINKINO FOUNTAIN VENTILATION FAN <br /> FLOOR ORAIN NIINOE NOOD <br /> BACKFLOW PREVENTERS W�TEH MEATER <br /> ROOF DqAINS—RAINLEADERS WOOD STOVE <br /> SINN�SERVICE—BAP,ETC� MEfA�FIREPUCE 8 CNIMNEV <br /> FIREPUCE INSENT <br /> HEALPUMP <br /> OAS PIPING <br /> E%MAUST FAN <br /> iU�TOT�I f W!TOT�L <br /> PERMIT i P[RMIT <br /> TOT�LFEE { TOTALFEE <br /> 1PONT SETB�CK RE�R SE1B�Ca SiOE 5E1B�Gh �AN VMECK NUMBER FEE �HECEIPT NO. <br /> USELONf �p��pE� <br /> veC�NiSrtE FEES VALUATION FEE <br /> ❑�ES ONO <br /> tYCEO�LOrvST OCCun�NGrGPOU� NOO�OWfLLINOUN�i9 BWLDING $ <br /> 7LUMBING ' <br /> SiiE O�B100 M� Of S10NE5 M�R OCC LO�D �' <br /> MECHANICAL <br /> OTHER <br /> FIqE SPRINKLERS REOUIRED Ll VES ❑ NO 57ATE BUILDING SURCIi�liOE <br /> StATEENERG�SURCN�RGE <br /> ����uc.�iov<c,r, n• n�nr�sa�eexeoar erra ronissu�Hceor <br /> PI/BLIC WORKS <br /> TOTAL <br /> PROPERTV OWNERS ARE RESPONSIBLE FOR OETERMINING ALL <br /> PROPEF7V LINE LOCAilONS AND RELATED EASEMENTS. <br /> .��- . _. . :.�.. <br />