Laserfiche WebLink
APPLICATIC`I FOR CONSTRUCT"1N PERMIT � <br /> j � TO BE COMPLETED IN BLACK INK—PLEABE P(IINT <br /> IHEATINO 6Y8TEM: ❑�AS O ELECTRIC O <br /> BUILDINO DEPARTMENT <br /> 259-BB10 <br />� ❑ pEMpLITION ❑ COMlINATION ❑ BUILMN6 ❑MECHANICAL ❑PLUMBINO ❑ SION <br /> '1.[wrrlPl '14_/'U Ou37�7 ///�S �I" 7n `l�Ct'U'�2��fnL`/.7�� <br /> _� <br /> u�wrtttaaxawan uutim�[u �' n' M10M� <br /> aExcaucwin.cmn wr�oouu cm n rwrk su�_iccxu• <br /> uEuw+rxwxrwc�on u.u�oox[u cm m r�a1[ eur[�cErae. � <br /> ��.u�f-� �RL I�r /iau rra � 2n �JB�r Eqcr-sszL T�tiw, rPrav,t <br /> X v'�wexacw*wcmn wi�ooiusf �s�'f I(�1�llefL n nar< e *[ ctxsc � <br /> rvrta�cr mc[a r�ow <br /> oascaea r.oiw uo ea�u[rootw[rvav[o cart�cr rcnsw�wo rwrt w. <br /> I HEflEBY CENTIFY TNAT 1 H�VE READ �NO E%AMIIIEO THIB ' <br /> rnaros[o ue[a K.wa APPLICATION AND NNOW THE 6AME TO BE 7RUE NIO fARNEtT.ALL �� <br /> PROVISIONS OF UWS AND OFDINANCES�OVERNINO TNIS TVPE OF <br /> �{pµp({�I1p�prypl�Ilp1[qlY�lIIONNlFIPYM�t�ILNTWtaE61 NOT.THE 6R�N7CNA4 OP AD EflMI DOES NOT PRESUTAE T061�VE <br /> �or xaa a AUTMORITY TO VIOLATE OR CANCEL TME PROVISIONS OF ANY <br /> OTHEfl STATE Ofl LOCAL UW NEQUUTIN6 CONSTRUCTION OR THE <br /> PENFORMANCE OF CONSTRUCTION.THA�I AM AUTIqRIZED BY THE <br /> OWNEN OF TNIS PROPERTY TO PEflFOflM THE WORK FOF\VHICH <br /> APPLIC�TION IS A1ADE AND I COMPLY WITN THE STATE <br /> ru�cc�.uioruu[n CONf ASUW18.37RCWAND2B8200WAC. <br /> commucrcxlowurroE0.aooircu.merweur�n (i-/7- 93 <br /> PROJE �DDRE88 wu wn <br /> GM1NIMtll4W b <br /> VLUMIMO, YEpU1NG1L <br /> NO. 7YPEOFFl%TUREORIfEY FEE NO. TYiEOFE0UIVYENT FEE <br /> WATEflCLOSEi(TOILET) NC MMNDL�UNRS-H.P. <br /> BATHTUB FORCEDAIRSVSTEMS-B.T.U. M E.A. <br /> UVATORY�WASNBASIN) UNRHEATEPS-BiU. M <br /> SHOWER CIOTHES ORYERS <br /> NITCHEN SINK 6 DISP VEN(ILATION FAN <br /> UISHWASHER RANGE HOOD . <br /> Ul1NDRY TMY WATER NEATER <br /> CIOTHES WA3HER WOOD STOVE <br /> URINFL MEiALFIHEPUCE�W000BIlRNINa) _ � <br /> DNINKINO FOUNTAIN FIflEPUCE INSENT <br /> FLOOR DMIN HEAT PUAIP <br /> BACKFIOW PREVENTERS �AS PIPIN(3 <br /> ROOF DMINS-RAINLEADERS E%MAUST FAN <br /> SINN�SEPVICE--BAR.ETC.� <br /> SUB TOTAL S SUB TOTAL S <br /> PERMIT f PERMIT f <br /> TOTALFEE i TOTALFEE f <br /> FOR OFflCE USE ONLY: <br /> fWNTlEiMGX 11[M�[14W WEiEIYCM R.WCnF H fff 2G�� C� L' �� <br /> !J <br /> �� �� ���� �Eg VALU�iION FEE <br /> ❑ YES ❑ NO BwIWNa <br /> mldmui. rqarstaan mws� anwoaru�n <br /> "d PLwB�rq � <br /> eixEasm rnernxaEwxcn s��c�^ u[tww�cu <br /> ' ❑ VES O NO <br /> OCCUVM�CrLWU �MENMuxfOD HEq�rtiurc�iiW /�DOITIONALPIINCNECIf <br /> O7HEP <br /> u�fax <br /> 6TATE BUMWO BWCNAl10E <br /> wruaer vurrournmorv CITYOFEYEflETT rue��cwa+Ks <br /> � o,,J�1 TA1f COUE IB�106 roru <br />