|
<br />A.:1111.1CA'l'lON '.'un 11 l: Ittll '1'
<br />el1'Y OP ZIWllYIUlII.I.S
<br />"Uil-DING lH!lIAltTtmN'f
<br />
<br />PP!.I CAN'r
<br />IlllltESS .3 ~<;;Y5 ,of # lft) G-RD VE Dr< ,
<br />Iltlt:lt R.o S ~ (:..1.\ RR A. B IS
<br />011 l.ocATToNLQI:-;J.b .2773'1 /l!EWEL
<br />
<br />IJcE
<br />
<br />IIt-JA ty) ,
<br />
<br />"
<br />
<br />rll~~E 7;;-< -~bllo
<br />
<br />A-J/E.
<br />
<br />.
<br />
<br />1.01' SlZE~X h 9 AREA 5(1. t''f.
<br />
<br />FU.^\. 1lt::'i{:tHPTIONI I.OT(S)
<br />
<br />BLOCK
<br />
<br />SUBlllVlSlOH
<br />
<br />" ..] -db -;2/- O/...?a -~6-e()..)b"
<br />'!\ItCEI. 1.n. ~ I _ _ _ __ \,..I
<br />v:.
<br />10 It!, 11NOPOS!OI_New Construction (_Addi,tion _Alteration: ~Replli l' _lnsla 11
<br />
<br />_,__5 I gn I Temp.
<br />1'ltfll'OSEO \ISt~: ~s lngle Film lly
<br />
<br />_stgn
<br />
<br />_tlove
<br />
<br />__Oemol ish
<br />
<br />_"/P
<br />
<br />_II of Units
<br />
<br />,_t1 ,:"
<br />
<br />___Colllmerc llll
<br />
<br />_SWlPl. P~ol
<br />__._Restlllll'ant &. Ilea HI\. Ilepartment Approval
<br />
<br />_lndu6t.
<br />
<br />Olher
<br />
<br />t1I1IIIHNG Slzel __.LL~.
<br />
<br />/ / /J'('J '/ n" 1'1. ~~
<br />7/ir- SIIUIU'Q peet 1-'-___ /'fJo om '.) lie 11;111
<br />
<br />j
<br />In:~illll-:Nn^1.1 ATTACH (2) I'I.OT I'!.AUS & (2) SETS Of' IHIlUHHa 1'I.ANS & (I) SET ENEItG'i t'OIlWi.lA
<br />CUlltll:I(C1AI. I ^....rAcll (1) SI-:TS Ol-' 'llIIUHHO '.'....NS " (I) tit:T EtU::atGY fOIUIS.'"
<br />'~COPY Of COHTKACT ~EqUIR~O.
<br />
<br />UW1113...REQUES-tED
<br />
<br />YUlIl1.UINO
<br />__.t:l.ECTRl CAt.
<br />
<br />$
<br />
<br />~<f'/, b ~Valuatlon of Totol Conlll'uctlon
<br />
<br />Attl' Set'vico
<br />
<br />florh!.. Power Corp. I' i .:._U.R,t:.C.
<br />
<br />_ __~tt:C.IIANICAl.
<br />
<br />$'
<br />
<br />Valuation of "echanlpal Instul~Qtion
<br />
<br />__PI,\It1IH NO
<br />
<br />GAS
<br />
<br />ROOll1 NO
<br />
<br />snCT Al1'Y
<br />
<br />.
<br />TVI'\:: Of' CONSTRUCTION: _"lock
<br />
<br />____frame _Steel
<br />
<br />'7' -
<br />
<br />OLller'
<br />
<br />1'1 tit SHEll f1.00l~ P.I.F.VATTONS 1___f'T.
<br />
<br />~,..y............................)....,'"
<br />
<br />.\111 J l.ut:tt
<br />
<br />/l c./E /J L-U/'1,
<br />-P?~'
<br />
<br />, cnu~:~~~n~EG'UQU /PC-E "I}Lq ~1.. , , , . .
<br />Stafe Cert. or Reglat.; II CRCb~</b~;rO ____-~--
<br />,_ dily hiroense'tleahtrotlnn II /60______
<br />.........A....................._..........
<br />
<br />stl\l\l\lllre
<br />
<br />t:L1::Cl'UIGlAN
<br />
<br />Compony
<br />State Cert. or Reght..Q
<br />City License Reglstrat'on II
<br />..,*.*"**........*..........,..~.........
<br />
<br />-r'-',
<br />
<br />SlUnlllure
<br />
<br />l'LUtlUEli
<br />
<br />Company ~, I
<br />. State Cert. .0 " t\'BUtt,,"... _,.' I',
<br />Clty 1.lcunse. Pe.-l.sr.;"4'Uon II I tJ,
<br />...,...,...,..........*.........,~.*......
<br />
<br />. -
<br />
<br />c\, .$;
<br />
<br />',;t~ ~ ~"n t"Te,..
<br />
<br />m:tl1AtlIGAl.
<br />
<br />Company
<br />Slalu l:crt.. or H'~'llht. II
<br />City I,lccluie Uelllstn'tlnn It
<br />,..~,..,......,.................~.........
<br />
<br />~---P -
<br />
<br />SIHIIIltllre
<br />
<br />S I gl(8 tu re
<br />
<br />Company ,
<br />SlOlU Cerl. Or Reaiijt. II
<br />Clly License ReUhU'qtlon II
<br />
<br />~'
<br />I
<br />'/
<br />
<br />UTIIER
<br />
<br />..-.--.----- .
<br />I
<br />,
<br />.._-,----~+ -
<br />
<br />......,.......~.*..*......,..*..........,.
<br />
<br />A1'!'I.1CA'I'lON APPROVEO BY
<br />
<br />f'a::R~II'1' OfI'lCFlt.
<br />
<br />"
<br />
<br />\, '
<br />
<br />I., .
<br />
|