Laserfiche WebLink
C�1 C�1 � <br />ay <br />��H <br />9 Hx Cn <br />y z r�i <br />� H� <br />'�ij H'�J <br />[/] H <br />t+Y O [�1 <br />�' C7 <br />� �. <br />�/��g <br />y� V (i <br />9H�Y <br />t ht H <br />ti <br />H <br />C� C7 V� <br />��� <br />HOVi <br />t�e F.veigrcen <br />CIfY OF <br />�vereit <br />BUILDING DEPARTMENT <br />259-874C <br />nPP�.ic:a�ioN �o��. <br />C�NST�UCTION <br />PEaMIT <br />TO BE COMPLETED IN INK• PLEASE: PRINT <br />everen <br />� <br />❑ DEMOLITION C COMBINATION • BUILDING ❑ MECHANICAL ❑ PLUMBI�IG ❑ SIGN <br />OWNER � MAiLnI)�PESS C�iv LiV FNO�lE <br />F�O/v �EClt'GRD �o /3�c L/9.t2r Lv.,.,y�nan 9da3? 9Ys^lz6C <br />n��rwirer.roaoesim��n wn:�nooursa 'arv ziv ia�or�E _ <br />6�1T 7c i3��� <br />PLUMBMGCONiPAC10R 6�4i1a[)0�1E55 uiv dY PRON[ LiCCH9F• <br />ac..r 7a )3; J __ — <br />CLAS$ OY WOFK <br />� NEW ❑ ADDITION ❑ ALTERATION- �� FEPAIR ❑ DEMOLITION ❑ NJOODSTOVE/PRPLINSERT ❑ BWLDIN� RELOCFTION <br />VALUAI ..N O� VIORN ICOST OP I�FiLAlaLS FLUS IP�OAi <br />/00 D 0 U Q"a� ---- <br />DESCRIOC /ONN <br />�IGi. 1 /t�c;nFn�ce /ti;oo� FRA�f 6 <br />us[ or <br />PROt'ERiv <br />3iZr -s�� <br />ING <br />TYPE Oi <br />WATER CLOSET:TOILE7 <br />BFTHTUB <br />LAVFTORVIWA6M BAS�� <br />SMOYlER <br />KITCHEN SINK 8 DISP. <br />DISMVlASNER <br />LAUNDIiV TRAV <br />CLOTHES \YA.'iHER <br />WATf R HLATF:R <br />UA�NAL <br />DRINKING F�'JNTAIN <br />FIOOR DRAIV <br />JACUUId BRI°ANERS <br />PDOF DRAIkS—PAINLE <br />SINK IS[RVICE—BAR. E <br />�nOniSEtpacrc <br />,.� 7 i <br />� I HEREBY CERTIFY THAT I HAVE READ AND EXAMWED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE THUE ANDCORRECT. ALL <br />nrlacnrounm��rs�� PROVISIONSOFLAWSANDORDINANCESGOVENNINGTHISTYPE <br />�n� OF WORK WILL BE COM1IPLETED WITH WHETHER SPECIFIED HERE� <br />IN OR NOT. THE GRANTING OF A PERMIT.�OES NOT PRtSUME TO <br />GIVE AUTHORITY TQ VIOLATE GR CANCEL THE PROVISIONS OF <br />ANY OTHER SiATE OR LOCAL LAW REGULATWG CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />.L � � SiGfl:.iURc � �,�'.iq,-.CipqO�aUi��pR;16DnGE':i D>iE <br />X �� _ <br />avn ic �nCirv�us�u[;si�GErsP^:n <br />__— —CYv <br />_'ZS._OO _ <br />H F' <br />hC <br />nIR IIqNDL <br />EU'JIPMENT <br />T.0 M EA. <br />M <br />__"__ PEPMIT _ <br />FEE <br />i <br />TI�IS PORTION TO BE COMPLETED BY BUILDIN3 DEPT. PERSONNEL <br />flEAR Sfif3PCH' SIOE 5[1%A� / VL4f, cl�Ge Ul.lp[ ���T �� I�1ELC Pi N(�'��(� �/j <br />C) � J <br />a rS _ L <br />lOi AR[F J VAI;ANi $IiC � q � � <br />���/ tS�E$ ONO FEE9 V IUATION FEE <br />R� 5 iG, _>s �� <br />1'6'C Uf CONSt OCC�PA9C/Y� GROUP 110 OF DWELLING <br />/\ ~J 1 <br />RO O! SiORRS IAA% OCC LOAO <br />� /�,r . <br />RE� ❑YES �NO <br />PLANS':MEGHE�EIY APPR fOR�iSUA! <br />� fl <br />:�,¢! Of BL�G <br />�7"�(� <br />A?PUCFIIONAO.: �Y <br />.�( <br />- � �.c <br />,�,� , <br />�. <br />�UILOIN4 <br />FlUA1pING <br />LI[CHANICAL <br />O�HER <br />�ENALTI' <br />�OTAI <br />5 I � <br />— �—! � — <br />