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CONSTRUCTION <br />PE.I:I';%FIT APPLICATION <br />COMBINATION • BUILDING MECHANICAL • PLUMBING <br />UW�NLH <br />M rlll nUUIII I.'.' LIY <br />_ 1•IIIINL <br />ARE411lCi OR OL514NL31 MAIL 46-ma 55 pilnelF ..:.--.. _.. <br />❑COMBINATION <br />O'DUILDINO ❑PLUMDINO ❑MECHANICAL <br />+ , <br />LOT ..4-%--O!- VLOCK — OF <br />0- lcj� l6 <br />1RING <br />TER St:RVECE S17C DLOG SUPPLY <br />ZUNI <br />I <br />IPPLCIAL CONOITIONS: <br />PHONE LICE NSL NV. <br />PHONE LICENSE NU. <br />❑NEW 63ADDITION ❑ALTEIIAIIIIN- .IV tILPAIH <br />❑DEMOLISH ❑FENCE ❑SIGN ❑gWIMMING 1•IIO1. <br />OTHER PERMITS OR APPROVALS <br />REZONE 4tj SPECIAL USE <br />tt VARIANCE tj SHORLINE <br />SE PA CHECK LIST REQUIRED <br />YES <br />L1 NO <br />ACANI LITk-� <br />OYES ONO <br />5 ONO <br />SEPA REVIEW COMPLETE: OYES ❑ NO <br />eonlacl Plannlnq depl. <br />'MECHANICAL <br />TYPE OF ENERGY -- <br />❑f:AS ❑f Lf C. <br />NO. TYPE OF EOUIPMCNT . _-� FEE <br />_ AIn CONO. UN115_-II.P. EA.}_ 1 <br />-� RkF RIGFRATION UNITS_ 11 P EA.~-�_'���- <br />_ iDRCEO A111 SY SIEM•i N, T. V. MEA. �- <br />SPACE 6 WALL HEAVERS •� R.T.U. r— <br />_ CLOTfIES DRYCnS 1- - 1 -- <br />VENTILATIONFAN -T—' <br />RANGE HOOD <br />- -_-....._. ___..... _.. <br />1 <br />MH IANOLINnU_IT .. <br />_ <br />WATER NfATER <br />FAC BUILT FIREPLACE A CHI�ANLY <br />------ <br />A: 5: SYSTEM-NO-OUT•L5UI.nI_ <br />I(OFAL T <br />S <br />_•-_-_ -_--_-- —_TOTAL FEE _S 1 <br />I <br />TIIIfI Pf 11A11T BECOMES N1111�ANO VOIII 11 WIIIIK 11H CONSTAUC <br />IIDN AUIIIORIZED 15 NOT COMMt NCI11 WITHIN M DAY!I. On IF <br />CUNSTRklCTION On 1YOIIK IS SUnPI NOEO Oil AIIANDDNEII FOIL A <br />PLn10D 01 120 DAYS AT ANY nMf At TER WIMIC I!:CrN".I E NCE D. <br />I OIL RE 11V CC AT IF THAT I IIAVL OIL All AND EKAMONI G t1115 AP. <br />PLICAT ION AND KNOW IILL SAME 10 ILL Tfit) E AND CO II OII CT. ALL <br />PnnYIMONS OF I AWS ANO Oln)INANCES COVE FINING IIaS TYPE <br />OF WORK WILL BE COMFL Ift) WO III wilt.I HE it SPt CIF 1L0 NE REIN <br />On NOT. TILE 011AN7INO OF A PEFIFGT DOLS NOT YHISOME TOI <br />GIVE AUTHORITY TO VIOLAtE OH CANCLL TILE PIILIVISIONS Of <br />ANY OTHEn STATE On LOCAL I Al 11111ULATING CON.:IIOUCTION <br />Oil THE PEnFORMANCE OF CONSI IIUCIION <br />F <br />j( <br />i/ • r <br />SI r:NATIIIII ORCONTnACTOF1011AL)T)I AGLNi AT. <br />LnN C1111: NUMULH PLANCHLCNIII <br />ILC IRECCIPt ND <br />F[CS VALUATION <br />I <br />IIUILO_ IN0- <br />j... <br />' /I IIMIII NII 1 <br />MLCIIANICAL <br />1 <br />0141EA I <br />In PENALTY SEC, 103101 I <br />__._ .... Lw_ <br />TOTAL _._ _. _... _....... _�_.. I <br />