Laserfiche WebLink
APPLICATIO�FOR CONSTRUCT�M P�AMIT � <br /> . . TO!E COIIPLETEO M W1d(INK-�LEAlE PIINR <br /> r�nrxa svst�: 0 ae O[�Crn�c O <br /> BUILDINCi DEPAR7MENT <br /> 259-BB10 <br /> ❑ oerio�moN ❑ oowwu►taN ❑ wwwa o reGuw�x ❑v�uw�o �6�oN <br /> ow�� rw�rmns °"' a� ^� <br /> � 4�in FI.T pl_��L Ih�n �, 'll �ilA d01.- I�S9-2.31� <br /> i[xurt ��y � � � <br /> ianocewEn rir�oo�[a cm a � . <br /> i� �.� �.i 4We � Se ....__. Ly P] � ecJ �fxL tl,'-�c ze94 er�rti�Yr11]4T <br /> mii�owt�wc�on + �.�u�oo�M <br /> �cww�cc«rwcion wt.�ontea urv zs na� n�rtuceac. <br /> RIYJqLONiPItIUR WLLMORE89 CIfY ZIP lIIOIE BT11EIlW11E1 <br /> CPRMCi RIILE OF V�OIM <br /> pESGryi'M�IM 60UMEf00 M'0.VED e' IRCJ� COMIACT'E116WMqr110MEW. <br /> —��l J�( <br /> 1 1 � � � <br /> ` e�.oce.S w�a P - i HEREBV CERTIFV THAT I HAVE READ �ND EXAMINED TXIS <br /> rwrosEn usEor�era APPLICATION AND IOIOW 7HE 9AME TO BE iRUE AND CORRECL ALL <br /> w1L � .\ e MWVIS�ONB OF U�w6 AND ORORMN(:ES OOVEWIMq 7TpS ivPE OF <br /> �ouacscartwanw[Rnte�waueE�owon�n�anwcarEq NO.T ELLORIWTI�APEW MITD�OE�BNOT�CPRESUMEOONE <br /> � � a — AUTHORITV TO VIOLATE OR CANCEL TI{E PROVISIONS OF ANY <br /> O7MER ST�7E OR LOG1L UW RHW.ATIIq CONSlAUC710M OR TIE <br /> � pEPFORIMNCE OF CONSTNUC710N.TNT I AM AIRHORQEDlV TIIE <br /> OMMER OF THIS Pi10PEXiY TO PERfORM TME WORK FUN MAIICN <br /> APPLICATION IS MADE ANO I COMPLV WITH iHE ST�TE <br /> rux,�i rw�i.o.Mm�n CONTMCTON!i UW 1827 FIC1M AND PB6.200 WAC. <br /> t1RyU2000aeozozS �84y29on30eie <br /> cwsmuctaxwwiau�.�aoress.r�narEra�n y 4 C` �� b_=-�, <br /> P�ROAECfADDRElB un <br /> � q anu.eruce�xo <br /> PLIIIMIIIO � <br /> NO. TtrE OF f0IT111K 011 REM r!E NO. TYR OF EOIIPIEIR � <br /> WATER CLOSET ITOILE7) ����H.�. <br /> ���8 FORCED AIR SYSiEM9-B.LU. M E.A <br /> L/NATORV fNASH B�S�N) UNR HEA7ER5-B.T.U. M <br /> SFIOWEfl CLOTHES DRYERS <br /> NITCHEN SINK 8 DISP ����Fµ <br /> DISHWASHEP ����� <br /> UUNDRV TiUV WA7ER HEAiEN <br /> CLOTHES WASHER WOOD S�YE <br /> URINAL ME�k FIREPUCE(YIOOD BUNNMl0) , <br /> DRINKIN(i FWNTAIN FIREPIACE INSENT <br /> FLOOR W W N HEAT PUMP _ <br /> BACKFLOW PREVENTENS GAS PIPINCi <br /> ROOF DMINS--MIMFi1DEfl5 EXFUUST FAN <br /> SINK(SERVICE--BAR.ETC.) <br /> SUB TOTAL S SUB TOTAL f <br /> PERMIT S PERMIT 1 <br /> TOTALFEE S TOTALFEE { <br /> FOR OFFlCE USE ONLY: � <br /> FPIXILSETBIiLK NFARSEIMfIt SIDESF1BILr V4sNf�J^,E'CNMIMEN �EE v ���T�- <br /> � 23/ I�/� �� ' J �yl <br /> USEZCNE lEf�FEA 1 V1CNli51tE FEF$ �I�VA�� f� <br /> C _/ 7 Z u' ❑ VES �NO BUILGM6 � ' � <br /> nn or wxst r+o.a sron�s aew+�. w ao'nlu.cum <br /> ��bJ� rA PIIIMBINO <br /> SQEOiBLOfi. FIFESPPMQE115RE0D &ISEMENT MEGNAN�CAL <br /> ❑ ves ❑ No <br /> OCCUP/JiCYlO/�0 FIFE�L/�PMPE00 XEq11flWIl�T� A�DITIIXULPLVICMECK <br /> ZS a��O�1�D OTIEN <br /> a[�wx <br /> BTATE BUILOIN(3 SUNCINROE <br /> iNu�Eer rwisnwnoveoer CITYOFHIEREIT Pueucwa+Ks <br /> o�re J (0 /9 Tll%CODE�a05 tmu <br />