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• ' LUI\J 1 itUl. i iU1V <br />�? y� 2 y7 P ,c PEP%N►IT APPLICATION <br />COMBINATION • BUILDING • MICIIANICAL PLUMBING <br />OVA <br />IACLNSI NY. <br />.F• lICl NSE flU. <br />IFLUMUING CONT,IIAC rOII MAIL ADURESS PHONE LICENSE NU. <br />MA I• CLASS OF WORK <br />O COLIOINA-rION <br />OoU1LO1NG. OPLUMOING OP.IECIIANICAL <br />❑NEW <br />PALLIATION OA WORK 00 <br />s —/4 LA .5. ❑ DEMOI. ISN <br />L JO��JJ G1 C/a N.� '• , �yI <br />PROPOSED USE <br />LLGALC)k11C NIP T TUN OF PnOPEnTYJSN ELOYP Oil AT TACIT <br />OUR C9Plul / + <br />LOT ' OLOCK_OF <br />0 <br />❑ADDITION ❑ALTEnAfIf1N ❑nLl•Aill <br />❑FENCE ❑SIGN ❑•AViMMINI( 1•L)OL <br />)1HERPERMITS OR APPROVALS <br />:rI REZONE tq SPECIAL USE <br />ttVARIANCE fj SN•ORLINE <br />SCPA CHECK LIST REQUIRED <br />rt YES <br />11 NO <br />t2DADOnESS <br />_J D / / �1C7[, //" <br />(MECHANICAL <br />PLUMBING <br />TYPE OF ENEnOY <br />❑(;A%; <br />TYrr OF EQUIPMENT_ <br />Ain cor:o. Vnii s=il. P. En:' ' <br />TIFF RIG[nnilna units• ii v. Ln. <br />OOilEns 11 ✓• En. .. <br />FOIICEO Ain SYSTEMt; II.�T.U. M <br />SPACE F. WALL /IEATEns_fl.r,U. <br />U. <br />_ <br />TYPE OF FIXTUME OR ITEM <br />FEE <br />_ <br />— <br />— <br />CIOhlES \':n S//Eil <br />1 <br />DIS)1 WASt1F,119 <br />UIIIt.!; !:!i fVll)ITAINS <br />1 <br />1. <br />F1coil IJ TAWS <br />1 <br />KI tCnFfa SINK S IMP. <br />•1 <br />UNIT IIEATEnS il. TU. <br />EVAPON.VTI'/E CUU_LEIIS__ <br />11A I —IS I NW S <br />1 <br />IIOr)F On AIMS FIAiN LCAUE10 <br />`�� <br />CLDIIIE$ DnYEnS-- --�—� <br />SIInRER HAWS <br />tf 11V11•[ GIAIVC <br />� <br />vCIl Tlll VIcn fAN--- <br />dTEn SERVICE SI?E _ 1!LO(i SUPPLY SIZE__ _ 11 <br />.�Iun�N IItAn TANUSL III <br />A VACANISIi k-- <br />OTrS ONO <br />I <br />nIn./1A NUUriO UNIT <br />-� 'WA TEf1-NEATEn ,-• - • - -»•• - � •�—^ <br />_ _ FAf.. OVIIT Fln[PLACE n CII IIANCY _ _ I _ <br />f.A5�SYST EI.1 ND OI. OU TLF IS » _.T <br />.�_ <br />••LUO T(1tAL S ( <br />PEnMIt <br />TOTAL III <br />l InS PF111.11 T UECI)MES NUI 1. nN0 VO•Il ❑ WUIV: om CUMi1TnIIl' <br />TION AUriI)nIC[D 15 Not T'(V.I..IINCin YIIf11iN i!o LI.\Y9, On IF <br />CON.TnVCf1UN Oil \VOIIK I!: S11 ::1'1'IVOLD On ANAI.Do Ntil FOII .1 <br />Pcnloo OI I)O DAYS AT ANY L11.11 AFTCII WOn.; I;:COPJMENCLD. <br />1 iiLlEnY CEntIFY IIIAI I NAVL of AD ANTI E.KAmmin NUS AP <br />PLLCATION A. -:I) FP(OY/TIIE SAME 10 IIL TOUE ANOCOIIIIICr. ALL <br />PnavI51UNs OF LAP . AUU OnDINANCES Gr1V(nNINC rn15 TYPE <br />OF P:ONK \'TILL Uc C00l't If II WI III W 11C TIIE It !;Pr CIF I( ii if n[IN <br />on NOT, TIIE r.IlAN71Nl. (IF A PlAfAir DOE! NOI 1`I11:LIMC 10 <br />(;IVE AUT410111TY TO VIDL••.rE Oil CANCLL TIIE PnO'l151ONJ OF <br />ANY OlnEn StATE U❑ I UCAL LAP/ I ILOULAFINt.CONSTn JCTIUN <br />Oil TIIE PLIIFOIUAANCE OF CONSTIIUCIION. <br />CE OF ULOC. NO.OF S10nitS MAA.000. LOAD <br />ayfA �— IIIA'.:L ML/VI aiT70UNKLM11-Iff— XF. A fGI[OF CONTnACTOn OiIAUTtt.AGENr A.1fE <br />IILOUIALIJ <br />I LANLIILCN r; I I L II 1'L AN CIIL i:A FLL <br />OY[S ONO IEC IIECCIPI NO. <br />ECIAC CONDITIONS: - <br />•� FEES _ VALUATIONS — FEE <br />~_`• BUILDING <br />;EPA REVIEW COMPLETE I 13YCS ❑ NO 1•l /!M'I:NI) . <br />C' WOO Plannlnil dapt. MlCIIANICAI <br />I omen <br />YIw�lI11Y �F •IALµnIHIY.F: tF.yaO o1�IiT PEIIALTY <br />• k OTAL �0—I—. <br />T <br />L <br />III <br />