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r <br />- CONSTRUCTIUN <br />PERMiT APPLICATION <br />COMf31Nl�TION • [3UILDING • MECHANICAL • PLUMQING <br />11 MnIL nuu11LSS [Ir 9r''lG f. �'HUNt <br />E !L-L ,�/ h � /(- -� L_ l��_1'� �/•'c,< S; 5 s l �� i�,ii � $-�. /Jr p� <br />if[i��wniaic' an . ..... _ . J <br />A <br />k <br />'CRMIT CLAS.OI IYOqK • -'--- - <br />❑COMBINATION � <br />❑OUILDING �PLUMpINC �MlC11nN1�qL <br />❑NCW ❑4DDITIVN ❑A11E111�fIUN QnU'MII <br />.�_.�........�'_ - �_. .�.__.....'�"_� <br />/ALUAiION OF WOf1Y, <br />S � � v�� �' ❑OEMOLISN QfCNCE ❑SIGN ❑':1VI��M�N(i PUOI, <br />)ESCNIU[WURK �f-fj)('C)' 4�ij'-. '- /i�2� %i le...�. <br />tLtinl uhSCnIPi1UN OF / <br />FOyH COPIL51 <br />LOT �"�� PIOCK_ <br />_.—/ � Q `i 5 u ti/� <br />JDB A1DORE55 <br />F.� <br />PLUMBING <br />NO. TYPE OF FIX <br />� OTHER PERMITS OR APPROVAlS <br />unnrTncH � REZONE �( SPECIAL USE <br />� �. VARIANCE L� SF'ORLINE <br />SEPA CHECK LIST REQUIRED <br />I�' YES <br />]� NO <br />tll cun <br />' MECNANICAL <br />TYVE OF ENENGY <br />❑ .AS ❑ELEC. <br />. NO. TVPE OF EOUIPMENT ��_ _FEE ' <br />AIRCOND.UNITS-H,V.EA. S t' <br />HkiR1(:EPATiON VNifS 11Y. E4. --T <br />_"_. _""'""....______'_'_'�'.�'�_�..���� � <br />DO�lLRS II.V, EA. � <br />iORCED AIR S�STEM'i O.T.V. MEq, �--T- <br />..�__ '-_... ..._'_ ___L_ <br />1 <br />SPACE b WALL MEnTERS �� P.T.U. r— <br />UNIT IIE/�TEP9 H.T.U. I <br />EVAVUHAiNECOOlEHS —T- <br />CLOTHESDf1vkP5 � <br />VENTILATIONFAN I T- <br />U(IINAL$ � n�H HI�NOLIN4 VNIT C.f.M_ � <br />1vA1ENClOtiLiS L _' -".'_.—'_'-..' ._..-..._ _.., _ _ _T� <br />W41kH IIf.ATE115 - ELCCI'HIC - � WATEN MEnTER ..1__ <br />__" ..._ _. .... __'_ _". . .�. .. ._ _ <br />1YASM tlASINS - � FAC. OVILT FIREPLACE M1 CHIMNfV � <br />IAUNDRY TIIAVti , . fAS. S�STEM: NO OP OUTIf.IS y T <br />_ '_""' ... ..L_ <br />• ��a�ni<�rn�._.5..- --. ..' <br />, — '-�_.__.- vennnii —S.._..—.--'T_ <br />.�. � _.'_ "'— _�_._..._.....—_ ..--� <br />SU� TOTAL TOTnI Ft! 5 I <br />� T1115 PEIRdii [IEC00.1E5 NUI1. nNb VOIU 11 1YU1IX ��H f.0Y5TRUC <br />PEHhiIT S I TIpN AUTIIOPIZLD IS NOT f.OM�IIN�[O WiT111N 1,^0 L`.\r(;, pp IF <br />_ TOTAL FE� CUNST11VCf10N OR WOIIK L•i SV}�'I'NOCp OII AfIANDONCO Fpq A <br />WATER S[RVICE SIZF ULOG. SUPPLY 517.k �CnIDO oP t70 DAVS nT nNv I�Mt n1 �EN WOf�K C:CPnn.�ENCkU. <br />��. +t Cn pACK H[ANYAHUtiLTU/1CR I IIC�RlIIY CEl1TIFV TIIAI I IIAVL NEAU AND CCAMINlD 11��5 A� <br />P�ICATIbN AND KNOW iHk SAAtf TO 114 TfiUL ANp C(�IiRfCL h1.L <br />Pf10Vl!:IDNS OF l4\V$ ANU Dfl[IINANCES f:OVCfiN�NG liuS fVPE <br />OF WOIIK WILL pE COMP�IEO WIII� W��[THER:tVEdfllU NEREIV <br />U!l iUN! LU7 AHLA VACANi SITk Ofi NOT, T11F. G114N:INfi OF /1 PENM�f ppES NOT PHESUME TO� <br />4WE AUTIIOR�TY TO VIOLAfk DII CnN�lL i11E Yf1(IV�S�nNS OFI <br />' ❑YES ❑NO ; ANv 0111ER SiAiE OR IOUI LnW IILGUI.ATIN4 CONtii11UCT10Ml <br />TWE UF CONST. UCCUMANCY [:HUUY Nu.O� UWkLUN(: OR TNk PEpFOPMANCE Of CONSTHVC710N. <br />SIZE OF ULDG. NO.OF STOPIES MNX. OCC. lOAO � � <br />X , ���s C��� �i_ <br />$IG AlUNEO CONTRACT011D l�UTII.4(iFNT <br />IIIIk201Vt IIA:itMlNf IINl:.1'l1iNKlL11S <br />RFOUIH[U L.WCIIlCKNU�W�N PLAfVCtI <br />.__ .. . ❑YIS ❑NO I 1!C i <br />S�kC1AlCONO1T10NS' ' 1 <br />I UVILOING <br />SEPA REV(EW COMPIETE � ❑YES ❑ NO ' P���Mf11N11 --_ <br />tonlocf p�anninq fIOPi. MLC/111NIC/1l <br />' OTIIEP <br />�+�k�txih��url�u�• RAN1tMIl4\UYV. �FII�IVI� o^r�i`iu+Klir YFNAIiY <br />� � � __—_' <br />TOTAI <br />CEIPf r+(� <br />VALUATION FEE <br />— —"'T' <br />i <br />--- _ L_ <br />i O�'— � <br />s 2 s pU_ _ �.y� QL� <br />— — r <br />_. i <br />. j <br />�.. .. 1.�... <br />SEC. ]071�1 � <br />�.._....'""_ '._ '^_'._..l <br />r <br />N <br />