Laserfiche WebLink
APPLICATI�i FOR CONSTRUC7�N PERMIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE PIiINT <br />HEATING SVSTEM: '] GAS ❑ ELECTRIC ] <br />BUILDING DEPARTMENT <br />259-� B10 `''' <br />. OEMOLITION .. COMBINA710N ,'. BUILDING p�+�ECNANICAL � PLUMBING i'�. SIGN <br />owvr„ . u..n �onecss u*v r�r wwnc "_' <br />M�R �DOa65 <br />Im RqvE <br />•�C�r'ELIORD[SqMCR M�i�W4E55 GlY <io inorrt <br />GfeffiULp11R/.C�O� M�l�OpaE55 LOY ZIV F�K»K SUfElKCNSf� <br />PtPU4iC�lCfMIF�CiOn v�rteppF155 .Q.�QX IA�1 Ciiv I�n F�qNE ' SULCIFENH• <br />.....,_n.___... ,� .., "„` Iw.i..vnh qR�L 4�i-7'M_µ�LM AOYAIlPH044C/�' <br />��a��Ea,�, ,� � <br />WqIF�NO$W�IXVEp • � <br />:�1 EI�S_ �� 4ikTZ Hd <br />' ' �._�� „ <br />iar woc« <br />r.ace�r�x�o Hu�ern <br />FOR OFFICE USE ONLV: <br />rnoa�scter.c. nuasc�snt.x <br />ustta+e <br />��MqCd:St <br />nC1:VP�HCYLOA� <br />nnson <br />a <br />CONI�Ci PEfl:�CN �M� PM�1E NU <br />I NEREBV CERTIFY THAT 1 MAVE RERD AND E%RMINED THIS <br />qPPLICAT10N AND NNOW THE SAME i0 BE TRUE AND CORRECT. ALL <br />PROVISIONS OP LAWS AND ORDINANCES GOVERNING TMIS TYPE OF <br />WORN WILL BE COMPLETED WITM WHETNER SPECIFIE� HEPEIN OR <br />NOT TNE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE <br />AUTHORITV TO VIOLATE OR CANCEL iME PROVISIONS OF ANY <br />OTHEH STA7E OR LOCAL LAW REGULATING f,ON57RULTION OB THE <br />PERFOREIANCE OF CONSTRUCTION. THAT I AM AUiNORIZED BV TME <br />OWNER OF THIS PROPERTY TO PERFORM THE WOFN FOR WMICH <br />APPLICATION IS MADE AND 1 COMPLV WIiN THE STATE <br />COMHACTOfiS LAW tB 27 RC W AND 296200 WRC. <br />x _�_�,`""` �f(°� l�/o' <br />� '�� VES � NG BUILDING <br />MO�Siq1'FS I n n*[ ndCni�kur�y — <br />?"'�P PWMBMG <br />liNESPFMMLfNSP[00 B�5[MENI MILlUNIG�L <br />i'. VES i,� NO <br />finE���nua[OO nFUNi�mirtei�W �ODITIONA.PUNGNEGN <br />OTNER <br />STALEBWlDMGSURCNARGE <br />n�vs�miwvme. CITYOFEVEflE1T FUBLICWORNS <br />1OC11L S�LES <br />oue TAX COOE IS 7105 TOT�� <br />