|
•� .Orie...1i1�31.--------� ------------
<br />:,, i.ppl�wtion/PermA / �---------------~--
<br />O'NOtf ._'"'__"__"__".....____"__... "'"""'
<br />s��� ace��s, .L,.��__13__��...._�_.� ��_ Ler.,—
<br />Asse�sor's Prooe:t�_Tas ,lccount Vu.
<br />� �'%� Y'_ .� �
<br />. Shz ?cCrts> . ....... ................... ..�.. �........�..�
<br />� .................................
<br />� \ t r,nr.t!s AC:r.sz ..............................
<br />.......... _.
<br />� ,�' ��,��L� T i m Tomu I Cy
<br />. . .......... ... _.. ... ... .
<br />.
<br />• . � . ...._. .. _ . .... .... ............... . ...
<br />• �
<br />� ._.:ex.._r•.ae��4�_•-r..:saaz.c^ :-R-r.--.s.�.:.
<br />•
<br />•
<br />•
<br />�,
<br />7/
<br />.
<br />.
<br />.
<br />.
<br />.
<br />.
<br />..................... .............................. —
<br />- `�'- ��v
<br />................. C:ry .... .............. .
<br />.. .. -0Cd?,>
<br />_. . . . .. .. . L ^ . ......
<br />Q ACC CCn
<br />� �;r,C:t.cat[ _�. i'. ..�.945.._ .
<br />HESPiB'1 5'f.i�?.`A i f=0:
<br />O 2�szcw;:
<br />� ';l�il �t�ttr
<br />� F'�rr..te af:E ...................
<br />L 0 W a I f f F. f I 0 f
<br />:
<br />� J"
<br />. %
<br />................ .................................`�..................�.......
<br />� �
<br />......... Z;o ................... ?hr., ................... ...............
<br />.... . . ... . ..._.. ........
<br />. .. . ` .. ........ ........ . ... ....
<br />.... .....?''crt .. .............. ....:................ �
<br />,� ��ryle F�mi`/
<br />;,; !Au1i•F�ni"/
<br />O:irat:ump-5�` ..................
<br />OL;har .....................................
<br />O �:tal ns;alleCwa"s;r3iU's
<br />i :f :tcres...1.t...85rtlnt
<br />/ :f ':r,i;s .........................
<br />:`ea ;r.e ;f : t:aa:�i.�cz :ar,cn 3o:Es :dc•e. Inszrt „a vJces �rro :cx �urtar t, kfura completinq Ihis
<br />uc::cn �!!tr ta tCe ns;�vacns �n ::ck :f'om.
<br />�iB::C: • .4CG�1'N?".: _^2fj'J :d4�2.
<br />:`�a;=r i
<br />_ 'if'..i �OS;:...... ,,.. �� ]vY.3^5 • 5')S:S.
<br />_.C[r C`eC;t! � '
<br />;la�l iae!a;ec1'..,� $�:•r.,:enen;?:rcrmance,
<br />:cr.cn Clactu i
<br />..,'i3i�:?:Cidf:7;::' 'J�^:Cra•I'7ii���•�SI?T,
<br />� —_. =•:r: �cr.cn C`�a,tar i
<br />�'7r? :E?.trii.`AE4i :JS:OY! Y:
<br />�.-caa, �t �r�raat S..
<br />Ca:, ;=r�.t :ssce9
<br />Ca;: a�rm�t = nale: ..............
<br />I herahy cemy Ihat Ihie dwellinp wae huih in
<br />cem;i�ar,ce �Hrth IAe 'lV/�C.
<br />... ...... .... _...................., ....... ........ _.................
<br />?uiC:cQ •'Y`C-71 ��.L;"tuc:+^. ��enl
<br />o,�
<br />Othar Fuel Saurcas •
<br />W�;�inytcn Stala Enerqy Cade
<br />p :rasc: �ptie Approacn.
<br />C`ap;±r 5
<br />� Ccmper,tnt?eAcrmance
<br />Apprcu'�. C1aJ1ar S
<br />0 Sysrns An:�`�sis,
<br />Cha;l=r S
<br />COMPONE4i �
<br />F�t Cziiinq 9...38..
<br />Vxultad �eiiin, ?............
<br />�r��u �.1.3t3.• 5
<br />02!C'N �fA�? �i!]il;
<br />irtar.cr R..13+3..5
<br />ax:a:�cr ?...
<br />......
<br />Ficor =.25......
<br />Sub an � :C� n..1.0... ..
<br />",ors S ; ,ara U., 3.yl., j
<br />Gluinq u., j.}/.4
<br />v��l':PY ..$r8„�i
<br />SclarAllc•�anc� .........';
<br />Air Laka,z �'A " '�
<br />5�� �z�i
<br />•��.�.•�.
<br />I her±hy cetliF� IAaI Ne ihucNril D��� �II meel Ihe MYEC Formildehyde « puirements • eiUer Ne
<br />HUO stanC�rCs cr maM1ed'e+tennf or'erposutt I.' .
<br />O�wn or�ited A;erP
<br />:/ �•. (n ......... .....
<br />, � _ �. i rf : . . . . . . . . . . . . . . . . . . ., : . . . . . . . . . . . . . . . . .. . .
<br />Pnnl N�me pnid�
<br />The lo�l IunsCicuoNelecuic uuliry vnll m+ee �y� enl lo tGher Ne huiNer or ovmer lor ner �. etnc�ly
<br />�r�ied rz:idenus. Permd must be issued hy ILJIFJ I ud eonslrucGon fin�led 6y NJONi in o�aer lo
<br />awliy br p�ymenL To IuiG�1e p�ymml, Ihe lollowinp inlortnoGon musl Ce filkd oul canplNtly.
<br />— — — — — — — — — — — — — — — — — — — — — — — — — — — —
<br />M�ilchetklo:(p�0��q (AUIlITI0N5/Rfi�IODf:I,�pS-NOT C:LiGIULE)
<br />Name .T ....IQMu...C.:�Y._.... Fed. T1r 10 or SSI. M..3�I'S ���a..�.�.Q
<br />Address ....,�S�U. (�o. _'.L.s.sZ..3 �.A.U�..�....S..�F� ......... ...... .....................
<br />c�...�...K..-..5....i...�.�1.�'NS .............c,,!.f1....... z�p.....�K�.,�'�'..........
<br />GD
<br />
|