Laserfiche WebLink
!?PLICATION FOP:.; ��� <br />F'°'"" CONSTRUCTION ` <br />verett PERMIT <br />TO BE COMPLETED IN BLACK INK— PLEASE PRIIJT • <br />_DING DEPT. <br />0745 ❑ COMDINATION � BUILDING ❑ MECIIANICAL ❑ PLUM�ING �❑ SIGN <br />� M�IL o�DORE53 CILYc i�V ('NONE <br />,,, Fr��.� g/2Z 4� �ne.�WA �f/PrCJ/ 9fjZ�y 3S3 339/ <br />IECTOROE9IONEH IA�ILI.DORE99 7 C�TY ZO PNONE <br />uICONiRACiOR M�4�OOPE54 CITY ZIF �NONE LIGiNSE• <br />c-r.�Fsi eo.�,,� /o9zs Nwy99s �'ac�-�7y l�r Ld� .35�7-/i"�� PAcw�ce►isec.� <br />wIC�L CONiR�GTOfl MML �OOPE94 CItY 21P O E L CE SE <br />IINOCONIR�CTOR MeIL�ODRE98 GfY ZIP PMONE LICENSE� <br />• Oi WORN <br />NEW � ADDITION ❑ AL7[RATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/fRPL.INSERT ❑ BUILDINO RELOCATION <br />TION Of WONR 1�51 Of M�i[NI�lS RUS LGBOPo <br />� OCO _ <br />t DESCHIPl10N OF PROPE��IY /IS <br />_e�.x�-or 't" <br />� / , s�J% <br />3c �F` <br />'ECT 1100RE53 <br />/2 Z ��� <br />'MBINO <br />-i. T TYPE OI <br />' I BIITHTUB <br />�f <br />�2''�0NE � <br />�'— <br />E OF CONST. <br />�-p� <br />. P�OB�7� S F <br />I/.S. SF <br />` � � �Q�+'��� <br />on �n�c�� roun cories <br />� _3_ooy-000g- <br />� Z8'/w� 28� <br />I HERE�Y CERTIFY THAT I I1AVE READ AND EXAMINED THIS P�P• <br />PLICATION AND KNOW TI1E SAME TO BE TRUE AND .ORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING TfiISTYPE <br />OF WORK WILL �E CONPLEiED WI7H WHETHEH SPECIFIED HERE- <br />IN OR tJOT. TI1E GRANTING OF A PERMIT DOES NOT PRFSUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIOIJS OK <br />ANY OTHER STA1E OR LOCAL LAW REGULATING CONS7RUCTION <br />OR THE PERFORMANCE OF CONS i 9UCTION. <br />SIGNATUREOf�,ONifiRGT AUTHORIZEDAGENT DAIE <br />X " /- 2/ aG <br />�rrUc� '�1V�VSINE55UCENSENo. <br />`�/ 7.3'G $' <br />TYPE <br />EA. <br />� <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />nc�oociw�c¢ SIpESE1B�GK PUNCNEC�(NUMOER PUNGIECN <br />'LIG/1110N �CC. BY <br />I� � <br />�f1EA <br />pCCUPANGY Gf1 <br />i� - <br />NO.Of S10RIE9 <br />I / � _ <br />l.O <br />V�CANi SIiE <br />� F ❑v�s�Ho <br />OUP NO.OiOWELLINUUNlt9 <br />3 � <br />M�%OCC. LO�O <br />❑ NO <br />n o-I4�P1! COR ISSOANCE BV <br />.� I l� <br />G � C� <br />� <br />BUILDINQ <br />PLUMBINO <br />IAECHRNICRL <br />ori�En <br />rer+nirr <br />TOT�L <br />_ � tEE / = <br />S <br />FEEB VALUATION <br />z <br />0 <br />-� <br />� <br />m <br />�� <br />.. -a <br />v+ x <br />m <br />co <br />mo <br />-i c <br />om <br />�Z <br />_ -� <br />m <br />Q= <br />» <br />rx <br />�--� N <br />-G <br />T <br />O A <br />T1 D <br />3 <br />�m <br />x <br />mN <br />0 <br />or <br />t� m <br />c in <br />3 � <br />m <br />z c� <br />-� r <br />. m <br />a <br />� <br />-i <br />x <br />3 <br />Z <br />-i <br />2 <br />N <br />Z <br />O <br />--I <br />.r <br />f') <br />m <br />