Laserfiche WebLink
APPLICATION FOR Pret1 <br />,he EverOrerl^ CONSTRUCTION <br />Cl"OF <br />l"t PERMIT <br />everetTO BE COMPLETED IN BLACK INK— PLEASE PRINT �1 <br />BUILDING DEPT. ❑ MECHANICAL ❑ PLUMBING xsJ SIGN <br />0259 8745 ❑ COMBINATION BUILDING <br />IP PHONE <br />DITY Z <br />MAIL ADDRESS _ <br />OWNER <br />/ w city Pr <br />MAIL ADDRESS c <br />.RCHITECT OR DE IGNER <br />IICENSE• <br />IhIOHF ua.c ac <br />NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING RELOCATION <br />OF WORK <br />iTION OF WORM ICOSi OF MATE RIMS PLUS LABORI <br />-- <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />LAWS ANDTHISTYPE <br />OF WORKOWILLL NSOF BE COMPLETOED WITH RDINANCES WHETHOER SPECIFIED HERE- <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO. <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATEOR LOCAL. LAW REGULATING CONSTRUCTION <br />OR THE PE AMANC Of ONSIRUCTION. <br />!;iGNATURE FF )N NO 1I110RIZEO AGENT ('AIE <br />X, <br />....,....e nry RLLtlNFSS L SE NO. <br />SS V ----- <br />I MECHANICAL ,-- --«-- <br />BOILERS-H.P EA. - <br />ppc BRED AC UNITS-IONN- p.DE EA —_ <br />FOR( AIR SYSTEMS-B T.U._ M EA___,- -__-- <br />WALLHEATERS-B.T.U. M_-__- <br />UNIT HEATERS -BTU. All <br />_____. __.-_-- ----- <br />EVAPORATIVECODLERS ..---------- <br />CL_OTHF.S DRYERS__.__-- ._ - ---- <br />VENTILATION_-_._.___.-. - -- --- <br />PERMITTOTAL <br />FEE S _ _.-.t._..__-__ -. <br />THIS PO'iTION TO BE COMPLETED BY BUPJAN ILGING DEPT_PERSONNELTi - <br />-__ PU`I GIE(;d �II1MNFP <br />Ul.uU <br />VACANT SITE <br />OYES ONO <br />rYrE <br />FEE OF f.F IPI IIO <br />-- _—JALUAi IO'1_ - - iEE <br />_ <br />RUILOI NG <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />TOTAL — <br />n <br />J <br />