Laserfiche WebLink
..PPLICATION FO.. ���,Q„ <br />'"'`� r tt CONSTRUCTION 0 <br />�,r a <br />eve e PERMIT <br />BUILDING DEPARTMENT <br />259•8745 TO BE COMPLETED IN INK- PLEA3E PRINT <br />❑ DEMOLITION ❑ COMBINATION �BUILDIN6 ❑ MECHANICAL O PLUMBINCi <br />❑ 810 N <br />PQu� z. wu alo9 N� I 13T'�' KIRK�ANb 98034 �2�C�) �i3- 4873 <br />�ENEMLGONTN�C1011 M�II�DONE!] CiIY I�P PNONE IICEN9E• <br />;NI��U9 <br />ll <br />I❑ NEW ^O ADDITION tl ALTER�TION ❑ RFPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSEHT ❑ BUILDINO RELOCAiION <br />�Z <br />�oZ <br />g-2 <br />/P�F (O�! CONBT. <br />�±^� <br />I HEREBY CERTIFY THAT I H4VE READ AND EXAMINED THIS AP• <br />PLICATIONAND KNOW TIiC dAME TOBE TRUE ANDCORRECT. ALL <br />PROV1310NSOF LAWSAND ORDINANCESOOVEFlNINO TNISTVPE <br />OF WORK WILL BE COMPLETED WITH WHETHEN SPECIFIED HERE• <br />IN OR NOT. THE ORANTINa Of A PEFMIT DOES NOT PPESUME 70 <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OK <br />ANV OTHER STATE OR LOCAL LAW REOULATINQ CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTqUCTION. <br />910NAiUR�CONTp� TOP AU�NIZEO�OENT D�TE <br />X �i,�i T �-,�.��. <br />0 <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />RE�R EETB.ICM SIDE OEfdICI( %� �/'� N �G a s a �EE J o3 "� REGE PfE/q. <br />N-Q • <br />l01 �RE11 �: v� �� <br />V�C�NIlITE Ill� Y1LU�ilOM f!! <br />IJ • A-. o.ee dHo <br />er <br />� <br />Nf� Of eTORIE! <br />I <br />M Ml � Jz�. <br />�F���� � <br />��/J 1171-�� <br />� f03�2. ec� <br />OLG LO�O BUIlO1N0 ! � <br />'L:.)rj PLUMBINO <br />MECN�NIC�� <br />OTNER <br />PENIILTV <br />iOR 16lU�NI:E !Y <br />,�•�� 3�1 <br />C. . ��` �. � �... �Y r� <br />�u.� Iz�,�c, ��� �o� Peo� <br />t{`p - 4�-tV•a� <br />b�43 eJ <br />y�,+tt�(..'�, �o i <br />