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rONSTRUCT101`1 , <br />PtRMIT APPLICATION <br />COh1[31NATION 4UILL)ItJG MECHANICAL. • PLUMBING <br />LIP 1'HOt(L <br />AIAII_ AUUIIL iJ � I _ <br />ilbLll <br />v�afj Fri rk <br />hCllli kCT UII [)L'+IO(`NLP <br />1�L IT AL.� CON I� R <br />i pT/ANICAL CUNT NACT <br />V IA tlIHG GDNTRAG7 Vil <br />MA <br />1IMIT <br />JCO MOON ATIO FI <br />J OUILDING GLPLUM13ING �J/ MLCIIANICAL <br />^. Ll1Af1UN OF WORK <br />E <br />ANEW <br />I <br />❑AOD!ItUN ❑ALTEfiAlION ❑RLPAIR <br />❑DEMOLISH ❑FLNCL ❑SIGN 0'dVIh1MIN(i POOL <br />�uvosED USE OTHER PEP.thITS OR APPROVALS <br />GI,V�SL_ j=j REZONE �.� SPECIAL USE <br />AT 6FSC(1111TIONOF PROPLnTY ISHOW UlLOW UTI ATTACH t-t VARIANCE Sf:ORLR4E <br />V 11 COPILSI i-�• _ <br />.1 BLOCK —OF SE PA CHECK. LIST REQUIRED <br />AINYii tt Sf 0 l lJYi1P✓ oIZff k �&—I N S <br />I ADDRIF <br />L+ <br />MECHANICAL — <br />TYP! OF CNEHGY ❑IiA5 Of LEC. <br />UMB!NG - - FEE <br />/NO. --_ ., NTYPE qI EOUIPMENT <br />Al�.. I <br />i(COD. UNI I S-H. P.EA. _�—�-- <br />FEE REf RIGERATION UNI I$ t <br />1. TYPE OF FIKTIIHE OR ITEMr--BOILERS HP EA. •-- _ 1 <br />RAIIN It'll. 5 - - - ---�1-=1 <br />' FORCED AIR SV SST E!�5 0.7.U. MEW <br />CLO111E5 WASHER I,1 �_ FORCED -- `--- 1 <br />DISII WASHERS -- - ---` - •--• --- <br />_r $PACE & WALL HEATERS N.T.U. <br />OH lr7m NO FOUN T AI rB 1 _-- _ _ I <br />_ Fl oo DRAINS _ UNIf nEATF RS---�— <br />KIIC`iFN SINKS F, OISP EVAPORATIVE COOLERS --_--,•__�_.. ' <br />IIAII SINK$ <br />HOOF DRAINS NnIN LEAUEIIS <br />' <br />U <br />CLDIES ORYk RS-- !----i--�—I <br />--- — I I` <br />VENTILATION FAN <br />5Hn1':k /1 <br />Il <br />RANGE H000 <br />tiEHVR:E SINK5 <br />-_.- _ <br />AIR 1(ANOLING VNIT- Cf.M. <br />SUtd PS SEWAGE <br />PUMP <br />-•.. <br />URINALS <br />I <br />_ ._-- ..... <br />\YAIEII CE 05E.1S <br />WAI LII IIr. Al E115 <br />_ <br />ELI.Cl RIC <br />I -, '; <br />_ WA TEN HEATER - ^-L'-- <br />FAC. QUILT FIn EPLACE A CHIMNEY <br />- <br />\YASN yA51 N'u <br />-T <br />- <br />GAS1 SYSTEM: NO OP 0, TLI IS <br />-_- - •:VO <br />LAUN D IIY TIIAYS <br />1 <br />- <br />PE It MIT 5 r— <br />5 <br />_Tf1TAl.FtE <br />_Lu1.=— <br />- <br />SU_O TOTAL <br />r.hPf <br />T1115 PEFIMIT UECOMES Illll 1. AND VOID 11 WUIU: 70 Q(1NST ll I <br />NCI IT YAiIUN RO CAY1:.011 F <br />- <br />P E II MIT <br />SJ_ <br />1+/4. ' <br />110N AUTHORIZED IS NOT COF,IMI <br />CONST HUCT 10N OR WORK I!;!iUfa'1 NHCO HI( AIIANDONH, FOR A <br />C: :1F NCkD <br />TOTAL FEE <br />SI <br />PERIOD OF 170 DAYS AT ANY IIh1F AF IEI{ W/111K <br />TER sr RVICE s17E <br />RIOG <br />SUPPLY <br />Nt n <br />1 IOL RlIIY CERTIFY TIIA1 I HAVE IILAU AND ECM.11NIn THIS API <br />ANUC(11i"'S ALLY <br />E Alt +L1 ALn '111 +- uACY. <br />IILAH YAHU SL TUACK <br />PLI CATION AND KNOW 71115Ah1t lU 111TIME <br />LAWS AND 011DINANCES G(iVCI1 N,NG IIoS TYPE <br />' '�'IA� <br />�� <br />\ <br />Q <br />�� <br />I rQ^^ <br />`wG]1a� <br />PnOVISIONS OF <br />OF WOIIK WILL HE COMPI ICD WPEF WIT[DOER NO CtF,FII l%qc TO <br />HP A PE 11 h11T DOE$ NOT PHC9,ON TO <br />l ZUNL <br />UT A14LA <br />VACANT 517E <br />Oil NOT. THL GRAN7ING <br />GIVE AUTii OrOTY TO VIOIAfE On CANCEL THE PnllV Iti3ON$ OF <br />Il l(iULATINIi CON::T HLICTIUN <br />OYES ONO <br />ANY O11H n STAIk OR LOCAL LAW <br />CONSTi1VC110NF <br />Oil THE PLIIFORMANCE OF <br />i <br />I CIAL CONDITIONS <br />,EPA REVIEWCOMPLETE: <br />contact planninq dopt. <br />DWILlt <br />t1H1LD11 <br />]Yl5 ONO <br />DYES ❑ NO <br />lu wl nl(ruu•T rinAa wllAw •Y ur•11v10 u+uylAlKi v. <br />X n - 7(v <br />L-- — ---'----- <br />$IG TU11E Of CU NT11AC1011U11AU T11. AGL NT D.\TC <br />1'L AN C11LCh I LL <br />-L.1 ILIH AK NVAIIIt11 HECEIPT NI' <br />ILE <br />��� of06 <br />_ 3�!! <br />•-��F--6 VALUATION _ -FF.E <br />T <br />wp 1,00 <br />Du1LowG a :t7U�,— —! <br />—7-- <br />Yl11MI11 NIl <br />14�{1, got <br />r - <br />M LCHANICAI'- <br />_ <br />1 <br />ODtE FI <br />1 <br />PENALTY <br />IOrAL <br />Ec. 3o:I 1-11 <br />L_� <br />10 D <br />I <br />M�- <br />