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i t t tF SIRW r•�� z v ,. vx wT`pl ^`�6 f ° ,L„'"Ya 1, f'R ^L 2 fl ll S4 °'ST .�3 -{ ,Ada 14�1�1 .Nr! � l•'° � �{'3i } `rKGt Ficft.rf�f Jy T, j ,pCt t Trhf . i 1'• '� ©�$`J! � s a+ 9° y7 F" '.54'' T r 9J0?SJ SNL .nth �' rXtF r1s I -kJ /„Lp<F , x« APPLICATION FOR k",RANTIAII' BUIL L G iPERrpIT �'", I ,�7' �' a ' Nr"� Pf� �Mlli N�IINI�RRt SEgTIFItATE. OF OCCUPANCY euaoliNo tNBPeonoN glweloN; u ST FsE ,DDHE 4111111 n sx F ��' `r r •, •s a: . 1 :9��11� p�E6T r$ i .+ ..0 � , 1.' it a Plahs Rsaelved B > ,[.'� , -', + Legal,Doacriptlpn Tract �t®��pk "Ir#'S\Qj �F4i PIaOs yI / r Date ��/S m O1oNptlon oyNlork .�✓ IM Y"r4AS1� ' S,UNey lC Struo EneCgy El@ot M Q x ^s , c y y 1� Y� t � r 3, , V Rlgrta cKeayaa By � Date <781s1rubl impry'lit" ran Parael va§ 'rJp Area bi'91dg ' MP)Icat�o0 APProved QY �} �, , _ cePerate$1NoturBp I r Adtlltlon � ' ' x Q (AI rallan la Mist B)dg Velltlel§d By '� , r r ` I Dete „ dI;01 5'tOrlas�'1'' } (100 lq]1UlIldl !tG4E /lM,(Ly+ CompOnsOtldfhCerG(IOate Vgulled By Dafe i'r ( } *kelUat 06 Pro) Ci at o�, ,� • e . • \ $ P < eDottireClO(��IrYUM{�/3L �oo Permh Fee (plus penalty If\°appllc361§) // tp Contractor a Addrocs ' u •, °.rl • e �$ W G �,..�• ,Ufa 0}"SF .3u dF Phone 4 y Plan Check Fee (loss aotigIf of$ ,Rc1 d COnlra0lor E(eClrlcel 1'N f. •Energy PIeO;Check Fee (Dep bl $ -' ) Clty BiJsineso License . Phone Rot # ,• ,Strong Motlod,FPe a r , L4 ` Clly BuslnasL _Icense a P numbing Permit Fe0 ( $'� ySJ Henllrl"a d Cooling Phone z: Electrical Permit Fee . ach Htg /Goole P $ Dlt>< Bus Marmlt' ),ngsa�L nse - hone r '.$ Arphllncl/Designer f4uol.j Phone $ < Resldantlal C4nslrUChlOn'Tax .$ Engineer, r' ........ , M(sc Fae ' Lenilgr •s;y Phoner' Miss Fee $ J Q 'U 'nknown; r•$ I ratlily Ilion In the pOrlormance or the:)work ler Whion this permll nal • �y - n �.• issued shnll not employ ony Deraon In any manner so as IobOtome suhJeLd; �1%A to Iho workmen a componga6on lexa of Cnlinrnle ' e • • --' 316NATUfle'6F• Y •APPLICANT/OWNER EOVIrOnmehl�l,$tattle a.z Bldg Other 'I cmllfit that os, the pppl,ca l 1 om Ilcanmd u do Iho gTgg�y�•lgipg6 0l ihp' A[ OeslgO RBvIBW AppvpVal Bldg , Blte Sign Conlraden±Ucana Lpw n Ntlhor IhaGm Oceno NO PSS ilea Zone P O Contllllons - - - v Gond Use Permit ir Yprlance + \ in Cbasllicalion 07, ':7.,� I5'lu NII lona and offset o A'VPIdVed By Par $paCBS 1 con ly Ikal I an dxampF'Irom the 'Llcboi0tl Required 'p Date` co uaclors�License Law'.Slate basis of exemption) .rovltlom of Ihe• �- hbleby acknowledge that I have road INN o licalbn dnd elate that the aboVo is pV • • enecl Ird aBrco to comply wth 311.01Y.Ordinances, end Slate lawn regulating' . r` bblreng nOroachmentPermll Grenl 01 Easement I:1wo)agreb loaeve Indamdilyand keep hariilea9lho CI(y,pf Oupertlno 9reement lOr'.00m Ieet$ 01 Puolic WO,rk4 Im YOvO L aoiure a alnal ealdi Cll Wnis and xpenaes wl1lch ay. urb Gutter Sidewalk Driveway Re lace Rag0lnat uam uu es, ud meS9Conn Foe $ Weier g Yquarto 0 1 gra tl th le permitA p p manna AFPLICANTICONT �Plans Checked By DatAppro '_ - NO?E Whan proarly w loan epn�tl a• a building permll the, p • •, ' ' " permll expim• endbacem•a null ehtl aold.•hould work not be iommonadsidMle 120,days Imm-Valldaibrr Uata, 4r lhould.aulhorlud cemWcllon be •a•p•ndid.,or PERMIT INSTALLATIOaEapav and lar e,perled al 120 drysSNn".work le cordmonced �,_I); NO. EACH F Light Ou + SwilcAea qL 10 Fixtures taches PERMIT INST LAT N TOTAL W'MBER ''4han 1000'watls) �•'• -- FACHO FEE NO; Unit..:.: en.::...: '.$ 60 �:.. Gas System with_up,to 5:outlets E ._ ..._ '.200 ... .. . . •Dryer -Ga,: Dlsp -Dishes 2 00 Each additional outlet:,:.., 7 00 Water System'(lnslallalion;All or Repair) ( 4;'00 MOTORS: 1 HP or less t 2 00 �.U O D ) Greeter than 1 HB more Ihan 5 HP �q !Voter Closet Water Heater. Ld Tray ` 4 OU Temporary Power or Sarvlce 100 amp 3 }O � 'CY�' Lavatory shower Pan Bathtub Sink 3 00 Wash Mach Dishwasher ti D .200 amp ( �. 700 Sewer Ger lap Time CIO ,. 1 60 - "" " - a 00 Mlec eq Ord, current a .]/ O,(/ Gewn Sprinkler Sys, E5 00 Ea add sys. $2 00 ` " 'N'{' . Ea.••••✓�•`Ir--- Vecuum'Rreakois esltlenlla l'Occupanclos Flat Rale ............................, - .Pum Interceptor.. ... without Softener.... `0-500 sq, 14:'622.00.- 1501-1760 .$34,56.;.......................:. „ Plumbing Piping withoul'llxt s - 4 00 yyiiBB 4 00 ........- ` 501-750 ,,'-24.60' 1761-20000 37.60.................... Mlsc (See Ord. Current) J................. ..,,L.., ':751 ,1000• 26.00 2001-2260 . 39 60 '•• ': Pemmll.Fee ................ ....:... ....E B.oa . 7001-1260 ...28,80 2251-2600 42.00 TOTAL PL MBINQ PCPMIr FEE (plure Polls ty It app„0� 1251— U. 1600 32.OU. 2501-2760 40.60................:....... ..'., Permit Foe.. ...$0 00 1 11 • e es, .TOTAL ELECTRICAL PERMIT FEE (Plus, penally II app 0) $ ppPERMIT.'INSTALLATION - ced AI7Upil.—' NO. .EACH.. 'FEE.: '- t e '•� FortODM Forms / Foundallon .... I'Sy '... Date . -Comlort Cooling Unit • to 3 tonover /HP .40.00: Plumbing Grould Work _. I, C/�„ ,... „r to l5 ton/HP 1.g 0p V ,Rough Eleclrict l I . '. to 30 ton/HP ...........12.00 ` tame Plumbing mT(I.HeallNg - to 50 ton/HP 17 00 eu mtlon A Enorgy - -�. `' �a.,�. Space Healer '.. Wall healer 000 q Y Flues at than above ' Temporary Power One L'Elect Commercial;llnKitchen Beth Final Eleclrloai ,. Ran a Hood p9 0 00 Flndl • BULldtatg.l.MaeNasycy l °�'Q' a 'I'n � -Miss (See Ord. Curren) anal Design.Review / Landscaping I - 1 ! Permit Foe E 0 00 ( .I non Puu1la W6 ka 'TOTAL Htg/ Conlg Pormlt Foo (plus penalty la app,�(7) ;