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'� APPLICATION FOR CONSTRUCTION <br />TO BE C�1�LETED IN BLACK INK—PLEASE PRII <br />PERMIT � <br />HEATING SYSTEM: ' �GAS ❑ ELECTRIC U <br />BUILDING DEPARTMENT <br />259-8810 <br />❑ DEMOLII'ION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBINCi ❑ SIGN <br />��ar `�'��1�.�� � c�� z�P���S'a43�, <br />�� �� p1 1�2 �. Hial�I[u�- rp� (H�1,-���ol� <br />y��pppEgy CITY 21P PIIONE <br />� <br />LEwt D[!cw►iION oF Mar¢nr� I��ovm eElav <br />L07 �� � <br />CITY �IP PNONE ' <br />CITY ZIP <br />CITY Z�P <br />CITV ZIP <br />P11pNE <br />CpNTACT PERSON AND PHONE NO. <br />IICENBE � <br />i HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CARRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES 60VERNINCi THIS TYPE OF <br />coriEsi WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERlAIT DOES NOT PRESUME TO OIVE <br />AUTHORITY TO VIOLATE OR CANCEI THE PROVI810NS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORRED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPIY WITH THE STATE <br />