Laserfiche WebLink
- caNs-rRuc�-�o�v <br />�'ER�^�1fT APPLfCATiC�N <br />�� <br />3 S1 � <br />COMf31NATION �� E3UILDING • MECHANICAL • PLUME3ING <br />� / /. r.+ni�nuuimss� ziv v��or+� <br />ir!./i�.l��L.= ��Od� �s.i'c:'�:-i1/�L�c/ �ic��/ <br />MAIL <br />VEFlMI� <br />� QCOMOINATION <br />�OUILDING �PLUMUING ❑MECHANICAL <br />; VALUATION OF WORK <br />i <br />DESCHIl1E WOFK � <br />PRO.�OSE� U5� <br />LlGAL L)6�,4C IPTION OF Yf OPER1 <br />FOUB COPIE51 � � <br />LOT � BLOCK—OF— <br />JOO ADDPE55 <br />_ �' 1:.� . i�) <br />PLUMBING <br />ND. � TYPE OF FIXTURE < <br />iint iiius <br />CL0�1 S WASHFH <br />UISH \'Jn'HEHS <br />i <br />❑NEW ❑IIDDITIUN LTEfII\f1f:N ❑11C1•l�111 <br />❑�EAIOLISH ❑FENCE ❑SIGN ❑':1vIMMIN(i VOOI <br />NAT[Fi S[HVICE 512E �LOG. SUPPLY SI� <br />_ 1���1 .�i�'(�w�{T I7� � UACK H6AN Y <br />I Illt 2ONr •— <br />iPCC1AL CONDITIONS: <br />T <br />❑YES ❑NO <br />NO.Of OWELLING <br />UNITS <br />C.S ❑NO <br />-f//-I/� c�ltJ <br />>THER PERMI7S oR.APPROVAIS <br />j� RE ZONE �j SPECIAL USE . <br />� VARIANGE �( SF:ORLINE <br />SE PA CHECK 115T REQUIRED <br />I� YES <br />y� NO , � <br />MECHA�ICAL <br />TYf'E O! ENEPGY � <br />❑fiAS ❑CLF.C. <br />ND. TYPF OF [DUIPMCNT FEE <br />'_ '_ ... . . .... _ �_"—_ <br />nincono.vwrs-��.P�.en. � 5 t <br />.—.. RhFRIC�RATIpNU1J�f5 11P.E1�. —'—T <br />___' __""_"_"__—_—'_'_"'_"___'"_'._.—__-1__ <br />OO�lLRS H.P. EA. ;� ' �—� <br />.L fORCEO AIR. SVSTEMS 6_T.V: �dEA. G_(J _��i_ <br />� � 1 <br />- — r— <br />srnce� a wn�� r+eni[Rs - n.r.u. _ , <br />VNIT 11EnTERS f1.7.U. � <br />__ —f— <br />EV6�OHATIVGCOOlFHS __ __ � <br />CLOTHES DRYERS � <br />VCNTILATION FAN � �J . T— <br />Rl�NGE NOOD � <br />AIFi I/ANDLIN4 UIJIT �'---0.f .`.1, _^ � <br />__ —_"_ .__" '" : _... ..._... _.. I <br />WATEF.HEATEq._.... _.. .. ._..._ _ _'T <br />'_y.___ <br />� FAC. 6V ILT FIREVLACE & CIUhINEY 1 <br />(7A5. SYST[M: ND OY OUT�I.IS T <br />_ _ _ _ ... _ -_ ___ �— <br />. _ — ""___ ... --SVfI 70ML _9.._ .._' q 1.� <br />4 <br />- '-_ _'- PER1AIt . _S ..—"_ �r�— <br />—'--_ -- TOTALFEE S I.-� 1 �"'- <br />T1115 YF.fIldlT [1BC0'dE5 NUI1. ANO VOIU li WUIIY. OH QONSTRUC <br />iION AVi11U�IZLD li NOT (70>dMINC[O W�T���N 170 [JAv'�, OF IF <br />CbNSTRUCf10N OR \YOIIK I!: $VtiPi'NpEO 011 Al1ANDON[1� FOiI A <br />P[f110D OF 120 DAYS nT ANY flM1it AFTlN WOf1Y. �SCQh11.iENCEU. <br />I IICRtIiv CERTIFY.TIIAi t IIAVC IIEAU AND C>CAMINID TI115 ni <br />PliCnnbN AND KNOW T11E $AA1E TO O[ THUE AND CO����E:CT. ALl <br />PROVIt:IONS UF LA\VS ANU Ofl[]INANCES GOV[RN�NG �HIS TYP; <br />OF 1'JOI+K LYILL BE COMFLIEO WIT11 WHETHEfl::Y[GFIEU HEFE11 <br />OR NOT. �116 GqI�N.-ING OF A VERb}�T POE$ N01 PLIESV�dE TO <br />GIVE IIUTIIOPITV TO VIOLATE Dli Cl�NChL ���E NAGVISIQN$ OF <br />, ANV O�M[fl STMG OIl LOCAL LAW IILGULATINq COM:TIIUCTIU� <br />OR 7ME NEfiFORMANC[ Of CONSTilUC710N. . <br />l. <br />f,/�.-,�1 /�� '�/�_ <br />51 NATUf1EOfCONTR11CiOf1nNAUT1I.AGFNT f7ATG <br />1 LTNGIIhCK IVUM1WlN YLAN CHtCK FLl <br />, F LC IIECEIPT Nf�. <br />""'_._....._—.._ ..... .... _ . . ..».. . <br />FE[S VALUATION F�� <br />'—'---'- I UUILDING <br />SEPA FEVIEW COMPLET[ � ❑YES ❑ NO � �<<�MIIINtI -,— <br />tonket plonninq dapf. rnec�ine�icn� <br />� oTncn <br />NUCAIIUHACU�IIUYY: �IANYPILLSIU�V. AIf00VID OI1iSlU�NC1Y� VGNALTY <br />I � 1 �— . <br />TOTAI. <br />S � <br />I > i --• <br />� _.. ... �—�_._.. <br />sEc. ao� �.� � <br />�.' . ..�.�...�. .�..� <br />e <br />r <br />t. <br />� <br />