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CONs•rRUCTION <br />PERMIT APPLICATION <br />COMBINATION • BUILDING • MECHANICAI. Of PLUMBING <br />❑COMBINATION <br />❑BUILDING ❑PLUMOING ❑MECHANICAL <br />VALVATION Uf 1Vour <br />LLGni ilif.C-n ION of Pnc <br />FOUIi CUVILSI <br />LOT 11LOCK—or <br />JOO ADD <br />PLUMBING <br />PLUMBING <br />FN^LW ❑AOOITION ❑ALTEIIAnpN ❑IIC 1•n111 <br />❑DELIOLISH ❑iLNCE ❑SIGN ❑•IWIMMING 1'UOL <br />OTHER PERMITS <br />OR APPROVALS <br />ATTACH Tj REZONE <br />J4 SPECIAL USE <br />#VARIANCE <br />tt SPORLINE <br />SE"A CHECI <br />L15i REQUIRED <br />i-r YES <br />]:3 NO <br />MECHANICAL <br />iYVL OF CNE140V <br />_U OAS []rLEC. <br />• <br />1+V• _ _ TYPE OF EOUIPAtENT.. <br />FEE <br />N0. TYrE OF PIX TUBE On ITEldFEE <br />_ AM COr4O. UNITS-IU•. EA. <br />- ILA IiI IIIUS—�— <br />__ <br />R,Ir nlGl nq�iiiN UNIISliv LA <br />CLOIIIES YMSHEn <br />S -) <br />_ <br />.. nriiiCnS 1/.P. t4.-._..--. <br />Ulfill l'JASIIE ITS <br />UHIl7SIWri <br />--r <br />iUnCEO A111 SYST Ci.1S n.T.U. MCA. <br />.•_._�- ___. .. <br />�_ FIIUNTAIN3 <br />..�,,.��_ <br />FI O(1N 111141N$ <br />I <br />) <br />1 <br />S) ACT 6 tYAll III:AT•E PS T.U. 1•--�- <br />Kltl'Irt (J SINKS 1: UISy <br />r <br />-----11. <br />IIAII SIN <br />r <br />UNIT IIEATEns II.T.U. <br />-- -• _._ 1 <br />—«-- <br />I IUIII DIIAIN% IIAiN LCAUk S <br />I <br />ICY APONATIVt COOLEIIS ---T—� <br />SIT 1:11 nATI/S <br />1 <br />C_LOTu_l5 URYE NS 1 <br />SF HVIrE SINKS <br />VCN11LnT10N FANS-� -'T-"«'•' <br />SUR4•S SMAOE PUMP <br />NANGE 1400D <br />UHINAI.S <br />_ <br />Alll VANDLINfi UNIT •---_�Qf.M_ <br />_YJAIEHCLO- ti— 11,T— g <br />__..-.__ <br />I <br />lVA1Llt uI. AIE %• ELECTIIIC <br />"i <br />WATER 11CATE n�•• _«. .• -...• - ,_ -T-- <br />LAllkf!IIYtITA Y$ <br />' I <br />-- <br />FAC. BUILT fIn FPLA CC K Cl/IMNEY ••J-�� <br />- _ <br />1 _ <br />__ _ <br />nAS. SYSTEM' NO OP OUTL115 -T�-� <br />�_ •_•-_• GUII lflfAl 5 <br />---TOTAL <br />SUB TOTAL—�� <br />_ FEB_ S j-- <br />- __ PEIIIdI i__ <br />_i <br />g <br />71115 PF In.11i f1ECOL/C5 Ntll l ANf1 V01U II W1111Y 11N UUNSMUC <br />TA FEE <br />Aj[H $(:nVICE !.17E <br />(�- �— <br />_� <br />'---• <br />TION AUTIIOnrZLD 15 "Of COMMINC111 WlTlllr! 170 U.V•!:, On IF <br />CONSTntICt1ON OII WUIIK I!: ill!:1.1 NOCU ()It <br />BtDG. SUPPLY 517E <br />' I' blNliT!LII111K <br />A•IA UO(1xCII TOn A <br />rcnlOD DI' q0 onus AT ANY IIIAI At TL11 Wo/IK C: Ct'•d•,ENCt O. <br />HLAII tAl10\L Ib ACK. <br />1 IIt RtIIY CEnTIfY TIIAT I IIAVL ❑LAO AND EKAr,•INIn TIOS Ali <br />PLICATION ANO KNOW III( !:AME 10I41, <br />_ <br />TIIUE ANO CEI6nf Cr. ALL <br />rIlOV1510 N: Of I AW5 ANO (MOINANCES (10VCIINING <br />TO LW <br />VACANFLIT f-~� <br />tuIS TYPE <br />OF W011Y. WILL 0LCO'A!'I IfU WI/II WIII:TIIC 11 SPf C1i IlU 11EnrIN <br />Oft NOT, <br />❑YES ONO <br />Ttrf GrIAN;1NLi OF A PEn41IT OnLS NOT PRCSLnAE TO <br />GIVL ALITIIUIIITY If) VIOLArk Oil CANCLL IIIC nnOV1SI-IYE TO <br />tli UI CUNS 1. UCCVYn HCY GNUVI• <br />NU OF UWL LLI NO <br />ANY Ol Hill STA7F On LOCAL LAW IILGULATI NO C ONSIIIUCTION <br />Oil TIIL PL IIf ONMANCE OF CONS111VCT ION <br />UNITS <br />f <br />I i.�l OF ULU6. un • -'-- <br />u.' ZIINE <br />'Lr'IAL CONDITIOrJS. <br />VCC. LOAD <br />lNl 11111 '•IIIjINA1 L11'—f x(.IlnTlllll OF C0NTNACTONONAUTII AGAGi NT n.1 <br />II LJ Lff--U��UiIII Il �I•I•'�L..f1 L111 l.A NUY.IILII I•LAN LOInL�+C <br />+[.^. ONO II CK! <br />-.-- +'c V <br />SE PA GEVIEWCOMPLCTE: 0YES DNO <br />conlocl plonnlnq dept. <br />u <br />LC fCEIrT NM <br />/I <br />IL -CC F <br />E5 «JI <br />_ VALUATION _. FEES <br />ES <br />IIUILDING <br />1•L I/MnlNO <br />LILCIIANICAL `--_••_• <br />OTIICII <br />11NALTY <br />TOTAL <br />f 1 <br />i <br />1 <br />I <br />• 1 <br />• 1 <br />SEC. 303 ILL 1 <br />1 <br />h <br />