Laserfiche WebLink
IheEve�groen �'�`�p+PPLICATION FC���t � <br />��,.�F CONSTRUCTION <br />ever�tt PE RM IT <br />TO BE COMPL[TED IN BLACK INK- PLEASE PRlIJT <br />BUILDING DEPT. <br />259-8745 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />SIGN <br />h1ECh1A1lIC�LCONTRRCiO(I MRILFDDRE55 Cltt ZIP P/IONE LILENS[• <br />PLUMBINGCONiRhCt011 FIAILr10�11[SS CITY ZIP PMONE UCEY.SE• <br />i OF WORK <br />NEW ❑ ADOITION ❑ ALT[RATION ❑ REPAIR ❑ DEMOLITION ❑ WOJDSTOVE/FF7PL.INSEFiT ❑ BUILDING RELOCATION <br />%'G�/. <br />n�.ya <br />�or_ <br />PROJECIA�OfiESS <br />�: <br />oC.L' !7. '� iC ....�. ' ' <br />I HER BY CERTIFY THAT I HAVE READ AND EXAMINED T IS AP- <br />PLICATION AND KNOW THE SAMETO BETRUE ANDCORRECT. ALL <br />BELOWORATfAG11FOURCOPIES� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br />OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE- <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUIv1E TO <br />GIVE AUTHORITY TO VIOL�TE OR CANCEL THE PROVISIONS Or <br />ANYOTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />--- nfl TFIP PFRPOf1MANCE OF CONSTRUCTION. <br />SICNAIUNEU�`�UNIHnCIU11UI1nUIIlUIU[LUn�LNI ����� r J r� <br />lilftl <br />s <br />LICENSE <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />� <br />z <br />0 <br />-.� <br />� <br />r <br />—i 'rl <br />.-. --� <br />N 2 <br />m <br />0 <br />co <br />mo <br />t-� <br />om <br />-i z <br />m� <br />.. <br />o z <br />c <br />a --� <br />rx <br />H H <br />-"� VI <br />< <br />T <br />O .� <br />-n a <br />3 <br />--� m <br />x <br />m� <br />� <br />0 <br />or <br />c� m <br />C N <br />3 � <br />m <br />z c� <br />-� r <br />. m <br />a <br />z <br />� <br />x <br />a <br />z <br />� <br />x <br />.-� <br />ti <br />z <br />0 <br />—i <br />.-i <br />n <br />m <br />