Laserfiche WebLink
APPLICATI� 1 FOR CONSTRUCT )N PERMIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC U <br />BUILDING DEPARTMENT <br />259�8810 <br />� DEMOLITION � COMBINATION � BUILDING � MECHANICAL PLUMBING . SIGN <br />OKIIEP / M10.AODR(55 CIfV IIP PMq.'E <br />�"L°GN�;.� li�i✓ SS2C .9"D��vcSn cr'�..ri1 4aJo.4 9s} ��9J <br />1EN�N! �M1�DDPE55 CiIV �, DP R P�'F /f <br />�/ /i <br />GFMCRµCCNiRACIpq /�� 4A4.NOaE55 u� ur •'^" "'^"."'.'.^- <br />� ,� ssao �^� /l� S F�r� 9aao� asa��av <br />4ECNµqALCONiP�Giq1 4AlA�DNE55 Gi� li✓ q41E S1qElFENH• <br />R'14BMGCCN1PACtq1 Y�lGD�11E55 GtY IiP PN..'ME S1�tRiCCNS[• <br />C1�1550f WC�1K <br />�NEW ADD�TIJN <br />corv�n�crvncEo�wonn <br />OFSCIIiBC N[Nlx �NO SW �PC I� <br />���f C.e � ��d <br />nnowsco usc a ouuowc <br />ina.o f< <br />IEG�L MY�ip1 OF PPMFf <br />wt azocK <br />ALTERA ION FEPAIR DEMOLITION <br />��/ �$trTl.��'�a�/ coat�crrcnwrv <br />•70lC y �.Ufa�r� <br />ene imacm <br />�1..� C� �%q� � <br />BCIOW <br />_ a <br />inf�:GiG��� <br />i.. <br />� � � i. <br />II � ..v'., i • �" _ <br />FOR OFFICE USE ONLY: <br />{p(WrSEIe�cR AEI.PY, �CR si0F5E1B�CR <br />20 ( �� e <br />USEIdif LOi�PE� V.1CNIl51tE <br />n acaxrsuiaw+&[ mnwcm+s��nuu occ��..�c. x�on <br />y �J <br />S�SEOF&W NOC�S10fl�E$ BASEMENt <br />IS 5f o <br />OCCUP.WLVtWD iiRESFRNFLfP$PfOU 11EqN11�41II,lpN <br />N° Z - <br />HfAWi� U115PAWRUPS <br />mu.eev r+uaeovrrovEoer CIiYOFEVf <br />LOCIIL SA <br />J f� Q/,�/c ruc cooe is <br />WOODSTOV6FRPL INSER7 BUILOING RELOCA710N <br />I H[fiE�Y CERTIPY IHAI 1 M/1Vt MtNU PNU GSrIMINtU IHW <br />APPLIC�TION AND KNOW TNE S�M[ TO �E TRUE �ND CORRECT. ALL <br />PFOVISIONS OF LAWS AND ORDINFNCES GOVEFNING THIS TYPE Of <br />WORK WILI BE COM^LETEO WITH WHETHER SPEPFlED HEREIN OR <br />NOT. THE GRANTIMi OF A PEBIdR DOES NOT PRES� II,IE TO GNE <br />AUTHORITV TO VIUI�TE OR CANCEL TNE PHOVISIONS OF ANY <br />OTHER STATE OR UJCAI LAW REGULATING CONSTFUCTION OR THE <br />PERFORMFNCE OF �:pNSTRUCTION THAi 1 AM AIITHORRE� FlY THE <br />OWNER OF TMIS PFOPERTY TO PERFORM THE \VOPK FOF WMICM <br />APPLICATIDN IS 11FOE AND I COMPIV WITH iHE STATE <br />CONTRACTORS LAW 192] RC W AND 296200 WAC <br />��,.��,� .- _��/,� �� <br />L.u'�] J � <br />MECMANICRL u <br />vwueiNc <br />MELNANICAL <br />RDJItIONAL PIAN CNECK <br />SPRMnIER <br />SiRC OWIUING SURLNRRGE <br />vuoucwonKs <br />ro..� <br />Y <br />P <br />G� <br />