Laserfiche WebLink
- �0�1STRllCTION ��y/-� <br />� PERMIT APPLICATIOi�! l l �� � <br />� COMBINATION • BUILDING • MECHANICAL 0 PLUPnBING <br />� OWNEH MAILAOOHt55 �.�I/ ZIP YHUNh <br />� S� liL.H( y�' �C I TL �Pt Cy � �"- 3�'"iiaU M`���u-L. ;�}� -SI/`l-� <br />' ARCHITECT UH DE51(+'NEH MAIL ADDH�55 PHOf�IE LICENSE NU <br />� GEN@RALCONiqACTOR MAILADOHESS PHONE � UCENSENU. <br /> � �� C'�%NS�/NL•. ��1>�r./L'R � �L���I• -�s.3 ��z7 Ay- L-R- c -3I�L- 7 <br /> MECHANIC LCUNTRACTON <br /> MAIL AOORE55 � PHONE IICENSE NO. <br /> PLUMtlINGCOMTRACTOR MAILADDRESS PMONE LICENSENU. <br /> 'NEqM�T CLASSOF WORK � <br /> �COMBINATIOfd <br /> �OUII.DING ❑PWM�ING ❑MECl/ANICAL �NEW �nO��T1UN ❑ALTEHAf1ON ❑����'/���� <br /> VALUATIONUf WOPK <br />' S �lOQ � ❑OEMOUSN ❑�ENCE ❑SIGN ❑':�V�MMW(i �•(101. <br />' DESCHIU[WURK TRII�IIN G- �-��'�� W �TI�" G �� NE• I � ,Y�'� <br /> M � �> P� <br /> PPOPOSEU USE OTHER PERMIiS OR APPROVALS <br />' J� RE ZONE � SPECIAL USE <br /> IEGnL DFSCl11PTION OF YROPEFiT V ISHOW BEIOW OH ATTACH #VARIANCE �I SHORLINE <br /> coua covitsi �/J �' _ S <br />� LOT BLOGKL'OF�" �� E S ' <br /> SEPA CHECK LiST REQUIRED <br />�. �CR� l r�G1�� � No � <br /> I � <br />� �oo nooaess <br /> r. , '� � _ ' � � MECHANICAL <br /> � � � '�, <br /> � TYYE OF GNEH61' <br /> PLUYIBING i]r.ns-- - -- ❑e�ee. <br /> � NO. TYPE OF E�UIPMENT _� _FEE___ <br />� . _ _ . . _ .__�-}5 - - � <br /> ___ '_'_ - _ . <br /> AIRCOND. UNITS-H.P. BA ,.___ ...-'-T--- <br />� NO. 7VPE OF FI%TURE OH I7E"� FEE REPHIGERATIfIN VN�IS__���_El�. ____ ____1.��- <br /> $ OOIlERS H.V EA. ^-_ � <br /> I4AIH TUHti i _ '. ' � - -- ' --"�- --T- <br /> CLO���ES VJr1511Efi FOnCED AIP SY57�EM5 O.T.V: MEA. __y___ <br /> UISN 1'JASHEII$ � ' - -'.._..__- - _ 1"" - . � <br /> � '_ ' . __' �_ <br /> ONWKWG FOUNiA�NS SPACE S WAIL HEATF.FS�H.i.U. _ <br /> FLOOH f)IIAINS � - -' I <br /> i VN�T IIEnTEHS H.T.LL ._ ___ _r _--.r--- <br />' �(���;HF.N tiINKS & 1)ISP. EVAVONATIVE COOLEFS <br /> IIAfI SWKS � _-___'-_'-""_ _"""'._'�-___ � <br />� HOOf� ORAINS RAIN L@ADEHS i _ CLOTHES ORYERS ___ � T <br /> SHOR'EFH111H5 VENTILnT10NFAN � - <br /> ' FANGEHOOD � � - <br /> "_" <br /> ;F.qV�CE SIN✓.5 - -- ---- <br /> "'_ -. <br /> i SUMP$ � SE�'/n(iE PUMP AIH 11ANULW�i UNIT C.f.M_ _, i'_..__"__ <br /> � ._.. .... ... <br /> __'_" _ '" '_'_"___'___._ " 1 <br />� UfilNqLg -.- .. ." 'T <br /> i ._ ....__.. . ..._.. _ . . . _ .. . <br /> WA1E17 CIOtiETS WATEN I/EATE�7 . ....�. .. '""1---- <br /> - - ._ _"_' <br /> WATEI7 HEATEf15 � ELC'Cl HIC � ..._. _. �- . _--' ' - -' • <br /> _______._.._ � FAC. BVILT FIREPIACE !4 C/IVdNEv � .. _"-"T--�- <br /> VJA�H UASINS � (:AS. S'�STEA7: NO OP OV Tlk.�S y___ <br /> LAUNUHV THAVS � . - -"---'-' -'- ""�UlI LbfAl S 'T <br /> _ '._ __ _'-_ ___ PERMI� 5 �_ <br /> __'_'_'..._"'_.___ <br /> ___. <br /> � '-'- -'-'�--"_- TOTAI. FEE 5 I <br /> -- - SUB TOTAL � 11115 YF.IIMIT ltECOMES NU11 AND VOIO �{ WUIq: �1H CUN".TfiUC <br /> PERhiIT $ __ �._- TInN AV�110�111EU �i NO� CO`AA1LNCl0 WIT11�N IJO !%���i n�� �'F <br /> TOTAL FEE CUNSTRIIG�IpN O(1 WOHK L': iU:iPF.NDEn O11 AOl�NDO':EU FOR A <br /> - vGR�ODOP 1200AYSnTAN� ��tit6 A1IEH�v���:K �':CPVidENCkU. <br /> ''NATER SfRb'ICF SIZF. BLDG. SUPPLY SIZF. <br /> � i �ita�nv eenriFv n�nT � nnve nent� nNn Eenr.�wtn r�us n? <br /> UACK HhAH VAHDSE TtlACY., p�ICl�TION (�NU KNOW THE S•���E tOltk Tf1UE ANU CO��HFCf. ALl <br /> PfiOVI.':IONS OF Ln�:'i AN[] OHl]INANCF$ GOVERhiNG THIS TYPEI <br /> OF Y!O«K YlILL ftE COA•PI�ED WITH \YMETHFfI SVF.f.IG�EU ME�E�NI <br /> USL ZUNt LU7 AHLA VACANT SITk ^-� ON NOT, THF GPAN:WG �1F /� Pf.f1AtIT nOLti NOT PHESVME �OI <br /> GIVfl AUTIIpRITV TO VIpLAfF OIl C/�NCEL THE PRO�'15�ON5 OF <br /> . ❑YES ❑NO , ANV OTIrtR ST1TE OR LOCAL �.nW ���-�+��LnTINI:CONBTIIVCTION <br /> pR 7N! PERFOHMnNCE Of CONST FIUCl1ON * / <br />'� TYPE OF CONST. OCCUPANCY GROUY UN.OS OWEI�ING E� ��i A�l S'T I I'Il� / <br /> L'7 <br /> I � <br /> 1 <br /> �vF pF OLDG. NO.OF STOflIES MAX.OCC. LOA� �)�� <br />�� �_ X _ �-�- " <br /> 51(i AT S1E FCON Rf� OF10�+UTH.ACiENT pAf�,l <br /> 1�1{Lk ZONk IIAStMkNI I IHL51'NINKI.IJtS VL/�N WIlW. 1 L! .I <br /> REOUIHEf) L:•Nl'MEGKNVMf)t« <br />� ❑YE.i ❑NO �'f 4E IIIECEIPi NO <br />' SPfC1AL CONDITIONS'. . -.I � � ' ' <br /> � FEES .�.- VALUATION � _ ,..FF.E I <br /> T -."T_- <br /> I � <br /> ' ---�— <br /> ---------- -----"_. � <br /> ---'.'--- <br /> �% G <br /> _'_""'_� . OUILDING � S � Q:1(f yD 1 !/ <br /> _ �--...._. --- — --._ .r-- <br /> -- ---- i <br /> :EPA REVIEW COMPLETE � ❑YES I] NO ' PIUMPiNc: —"_..� � I <br /> MECRAN1CAl ' 1 <br /> contact Plonninq dep1. _._.____—.. i._ <br /> ori+ea ' <br /> ----T <br /> SEC, 70]1�1 � <br /> �IICA��OH�CllI1lUYY YtAN'alNl{,[IUY� Y��OVIO O!�L4U�MC1 YY �. VENALTV ' __.. ��, . .. i��. <br /> _ .. .. .� <br /> � � 1 T�Tn� � <br /> .i +�' <br />