Laserfiche WebLink
._.PPLICATION FO . <br />ry«'"" CONSTRUCTION <br />:verett PERMIT <br />UILDING DEPARTMENT <br />59-8745 TO BE COMPLETED IN INK- PLEASE PRINT <br />DEMOLITION O COM8INATION O BUILDING ❑ MECHANICAL <br />❑ PLUMBING <br />ereretl <br />e <br />❑ SIGN <br />---._. <br />9EMLfANIMGT011 MML 1100RE34 CI1V 21P FHOHE LIGENSE • <br />ti�._ <br />�H�MIG�L GONTMCiOfl M4L �DORES! CITY IIP PNONE L�CEHlE • <br />r� <br />iMlIMOCONiRA M�IUUURE88 pfY ZiV PbONE LICEHSE• <br />\S! O! W W1M <br />I NEW ❑ �DDITION ❑ AITERATION ❑ iiEPAIH ❑ DEMOLITION <br />WOODSTOVE/FRPL.INSERT ❑ BUILDIN4 RELOC�TION <br />I HEREBY CERTIFY THAT I HAY� READ AND EXAMINED THIS AP• <br />PLICRTIQNANDKNOWTHESAMETOB_TRUEANDCOqRECT.ALL <br />PROVISIONS OF LAWSAND OfiDINAN;,ES00VERNINO THISTVPE <br />OF WORK WIIL BE COMPLETED WITH � VHETHER SPECIFIED HERE <br />IN OR NOT. THE GRANTIN6 OF A PERh11T DOES NOT PRESUME TO <br />OIVE AUTHORITY TO ViOLATE OR CAIVCEL THE PROVISIONS OK <br />ANY OTHER STAiE OR LOCAL LAW REG�ILATINO CONSTRUCTION <br />OR THE PEFFOFlMANCE OF CONSTRUCt!QN. <br />fiIONATURE OF CONTMCTON ON AUTHOR12E0 �OENT D�TE <br />THIS PORTION TO BE COMPLETED BY BUILOING DEPT PERSONNEL <br />lI�E OETMCN <br />WCN17lRE <br />OYE! ONO <br />[ <br />F OF <br />'LIG�1pN ACC. BY <br />NUMBER <br />BIIILDINO <br />PLUMBINO <br />MECH�NICAL <br />OTMER <br />PEN�ITY <br />�OTAL <br />I!t/ <br />PL�H GHECK fEE <br />iEE RECEIPI NO <br />V�LU�TION fY! <br />/ <br />