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pt
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FOP OILDIN ;PEk IT
t1t
r
%
_:.;'No
a t-' M& -Other ::,S Sep
�fJ!Inxll ra' RIBA S p. WAIT '
Anne
J: ME
PERMITNU
c OF OCCUft
. . . . . . . .
UILDZATE�:
Ms
W Ap royl,:;
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l mmly 1 1,1 MFM.M the
'StTAUfA PROJECT '
71
t1It� t
Data
'
v6Y Calc6 Struc E narg Elect, ,
co
ga� 'De�v l p1lIACCh oin: Tia
'd
..
Date
0d By ...
8ncfipllonoI;W0Tk
i6t's,ir(ocL, niproVefinerit on Parcel Yes 'Np:.
.. Date
llmll;
Date
? P, ef [ores Use Cil' in
i
Jalgaliopp of Projqcl-
0novn6r:
.. ...... 0..$ . . ........ .
Cbptrs( tor'. fixcity B 't
Ad,dress;) ii),_0- 1. Y.4,j
F Is rij,
nii
.0
:�'RCL' S_
c ontlactor 'Elocirical:
.............. ..... ... .2....
N'us no$!
an ........ -.7 S
e6
City
Permit -5
Healing and 0661ing_, _
City BusinesG License
............
Wa ter Cqqn,�'Fee
i
AnNioct Designer- . ...... ..... .....
Street ,
fr ad. Fee S * "
'Engineer.
r..
. ..... .. ..... ,
IPUP,. 2. DIVA.. Load., EX'Ilsi
R1_ ING PERMIT FEE (plus I, . a . nalty
_:.;'No
a t-' M& -Other ::,S Sep
�fJ!Inxll ra' RIBA S p. WAIT '
IuNal'UAE OF
APPLICANT/M;1HEIF;
I,PdEM. e
A J,cedify. That as the applicant'( and
xe Other
C p ..t w'.nd Wither
lassi, "I.. , � -
m- . ......... w .. ....
W Ap royl,:;
......
l mmly 1 1,1 MFM.M the
C.n . if top
Parkin
irnilt A,; Variance • 9 $Pf1CP3'_ Load.,
w.; (Mate asst
I t I eiyd land nde,
I -
x., I P,— k% t 1,;$?:o6 5/S
with'il ell
V;—) :r
in
.......
r. ftl y and keep
20
n,mcio,56 1 c 1001;1+ . 0;
,a
V1, Grall E8s0itl6ni
nse ue
Ce apart
e;
on' n., Fee s ...... ...
ff:CPM,'?l0li0n of/Puthlic Works lMpr'
bVements,
F Is rij,
nii
PERMIT INSTALLATION r NO
EAC.H' -.9e& -MEN Wow.
UgN Outlets Sw;t,che$.,,,
. . ....... z", PE T.
K, A -7 L ! TION
------ _
'GoW'SYWMA VII Up 10 5 Chlbelk,".
TOTALNUM612R(lesclharl)i:lopwints)
.
A '50
Range Cooking U nit 0 n. -1 2.uo
Water S
Dryer. Garb. Disp.,., Pist-h, 2.00 �siern.(lrislo lation, All: or Plop
�SERVICEQFIEMP RARYP at r of localf .'Willer 4 d Tr
h
100 Mr P/S 5:()0. 2 00/57 . 0 0' .50 59.00
800/520M: 12 01$40 00
R1_ ING PERMIT FEE (plus I, . a . nalty
PQrfnit Fee 3 0.n
TOTAL ELECTRicA FEE 1pltjs' pon I '"I
ty I ;app.
Y - (Bach 'ower an
;G.arb
.3 IT.
A uo i
'
MOTORS, Ceip r i rs.�. 61clers, eatar'S.�
r over 1 OOM
CO, 3
Mort, C1J.0llmd,,Unil An ton/HP
. I __ . : %; .......
fumbling Giotfrid Work
...... ....
I h Elec"tric'si . ... ..
opg e
tl 00
x., I P,— k% t 1,;$?:o6 5/S
to 46 ton /HP
.... ... .. .......
an ation,/-ullorgs, . ... . ...
LOW" pttAklen. Sys, 6.00 Da. add sys� $2�.oi
rea is
.......
..... .. ..
v hi,riift.� kil�lnqm. Bath
20
n,mcio,56 1 c 1001;1+ . 0;
Hood
'7 anto
k;_ Floor: SmIkl r166( Draln'
4 So
Signs with I XrMR . i '
. Fee (plus pgnoll!
Onal:!.: inter
.00
Each bcd,lionni XFMRMme Clobk .
2.00
53
pr
'JUM Ing% pip
,turn I Jul 'Ivilhout
Annurd Eleclrh-nl I-isontenance
ortrill, Fee
Omar lsqv Uf�inanca Currentj�
a
.. It
V
R1_ ING PERMIT FEE (plus I, . a . nalty
PQrfnit Fee 3 0.n
TOTAL ELECTRicA FEE 1pltjs' pon I '"I
ty I ;app.
POO-' li� 151ALU\T ONi
.3 IT.
Forced fur Urnt,;_ '101mm.
j
Forffis Faundal* i on, By:.
r over 1 OOM
CO, 3
Mort, C1J.0llmd,,Unil An ton/HP
. I __ . : %; .......
fumbling Giotfrid Work
I h Elec"tric'si . ... ..
opg e
to 30 10�11111?_:
rarrie --PlUftjbjnq and H a t
a Frig
to 46 ton /HP
.... ... .. .......
an ation,/-ullorgs, . ... . ...
PAQe i a for ,.: .... Wall Hooter;, r
FR163'- other Illaniubove
Teat q.......
llporary PoA'pr 'Ins t,
..... .. ..
v hi,riift.� kil�lnqm. Bath
Hood
'7 anto
o
f,
6-ir -L"Ht ,i boo Ifi I Permit
. Fee (plus pgnoll!
V