BOX 3A (TO BE ACCOMPLISHED BY DESIGNING ARCHITECTICIVIL ENGINEER IN PRINT) MECHANICAL —P. ‘TOTAL ESTIMATED COST ‘OSTOF | wysen oF STOREYS EQUPMENT puonc «= p______| msta.tep | TOTALFLOORAREA ELECTRICAL P. °. PROPOSED DATE (OF CONSTRUCTION EXPECTED DATE funeno e. or coureTon omens waren oF const romecost_ (won, cOnC.ee=L WED) SOx (TOBE ACCOMPLISHED BY THE DNSIONSECTON CONCERNED) Tanase FS TOTO [ASSESSED YOR WomseR [OREO o.oo. yr LINE AND GRADE aoe BUILDING eee PLUMBING eee Fae eeeeeee8 BECTRCA =a—0" ECA omens rene Tom come, maces ponaonecTN DOK (TOBE ACEOUPLSEDBY THe DVBONEEGTON CONCERNED oun ow TED w our neon | process Tk, PROCESERG DORSONEECTIN toes |e we [oe Tm oa RECEIVING AND RECOROING LAND USE AND ZONING (GEODETIC (INE AND GRADE) ARCHITECTURAL ‘STRUCTURAL SANITARY, ELECTRICAL MECHANICAL ‘WE HEREBY AFFIX OUR HANDS SIGNIFYING OUR CONFORMITY TO THE INFORMATION HEREIN ABOVE SETFORTH, Boxe Boxe [aRcHITECTICIViL ENGINEER prc. REG. No. SIGNATURE [SIGNED AND SEALED PLANS 8 SPECIFICATIONS [ADDRESS ‘COMMUNITY TAX CERT] DATE ISSUED PLAGE ISSUED lPTRNO DATEISSUED | PLACE ISSUED [SIGNATURE TH Wait CONSENT Box? BOKS (TO BE ACCOMPLISHED BY LOT OWNER) laRcHITECTICIVIL ENGINEER lpac REG. no. Terioct No IneCHARGE OF CONSTRUCTION PRINT NANE PRINT NAME OF LOT OWNER [ADDRESS "ADDRESS lprR NO. ‘DATEIESUED | PLACE ISSUED ‘COUMONITY TAX CORT, ISTGNATURE TH SIGNATURE