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HomeMy WebLinkAbout1228 (29) '"` CITY OF QIQMOND BAR � PRESS DEPAR'TMENT OF BUIWIhiG ANO SAFETY BUILDING PERMIT FIRMLY JOBSITE APPL1CA710N PEHMR � U ADDRESS y�� �(���1('�� DATE NUMBER�CODE iSSUE �,_ { > TYPE OGC. ` APN L T 7RACT DAT£ 1����CONST. C,F�UP o CROSS STREE � SETBACKS m O�� 20NING �� � ❑ o ADD�SS � REAR ❑ W GTY 1� � ZlP._,�TEL.`�l'� SIDE/SIDE STREET RW ❑ e o APPLIGANT '."� ' 1�'1� TEL. SIDE ❑ 0 � � CONTRACTOR SEWAGE � - s ADDFESS � �g� �� � W CtTY t TEL. ��SPOSAL ❑ pq�+yqTE SC].Fl:/100 GAL = STATE GRADING �CU.YDS.EXC. CU YDS FiLL d LiC.NUMBER � ARCH/ENG/ f/I TYPE SQ FT' :A- � " DESIGNER W 1 o AD�DRESS ��y, 2 � CITY TEL. �*j 3 � PROPOSED U5E r �--�' � A � :�-- � GARAC� � NO.DWEL. NO. NO. � ppRCH y UNITS STORIES BEDROO .= LOT DIMENSIONS m VALUATION AD,l.AREA o NO.OF B�DGS HOW 4�tan�rtrr ��(;}� �;j � W Oy LOT USED � � _ ❑ � �` LICENSEO CONTPRCT�S OEq.ARATqN�.I M�ety atfirm lAat 1�m kensed u�ba pwwms ot Chapter 9lmmmeneing h x¢ xnfh Sttaon 7000�of Oivision 1 of the Business and Vralessions C�e,and rtry Feense is m hiN force aM e�kct W � ❑ W u. (IWNEN-8111LQEq DECLAN/+TKK4-1 heroDy affi�m Mat i�m eumpt tmm Me Conirrm's Licrose taw fa tlx le4ering Z reemn I�c.70715.8usi�rcs5 and P�oi�umns Cade�Airy ciry o�cdmtY wh�M1��a a pnmit ip consnun, (,7 ` � O alter.�myfave.demdish.u repeir B�ry llr�ctwe,pria m i1s issuance,dse requqes 1he apptimt lor wcA perwt 2 t= m�ik a sgmd stmment roat he is Gcenxd punwm a tFa qwisions M Me Cmaxtor's Liunee law IChapw m � 9 IcommeMing wvlA Shnon 700Q10l pviaqn 3 01 Me&fsiuss aM Protesspro Cde)p met he rs eMempt dadrom � y ana me Easia lor the nikgetl°xempUnn Art�vidatun M Siction 7031.5 by airy apdiwnl M1x�permit subjecn ' W the applicam to a crvA penatty M+qt more tlun five Aund�ed doB�rs(u001.Y g � qi11 as mvirer ct the pro�rly,p my empbyees wi1A wagea as Ma sak compmaecicn,wiH do the wmM,pd � ~ ba stnxture is nat intended oi oifertG fa sale ISec.7094.Bus�ness ad Rekssipns Cde:Tht Cnnirubr's Lianse � � law does i+ol appry to an ownd al prWertY who 6uilds w imyiwes tqeaon.mA wM Oas SucA wmk him�Nl. '�+ a rivoWh his own employeei.prwidtU tAat sucl��Ovements n n01 intW�d n alkre0 fa sNt.II.Ipwa�q�. -� = the tuiWin9 a�mprouemmt is sold wi�hin one Y�ot tmrpeoal.qm owrordilOM�A lyro Me dxM of pVN�xg . e y �ha�he oie not AuiM a impiuve for the puryeu ot sate.) . . � ❑I,ax owiur ol�he pmperty.am eaWsi h cmcnctiry with Ircensed cmttactos ro ronmuci�he pfuxt SSec W 0 7044.Business aiM hotnssion�Codc ih Conv�nm's ticenu irv daes rro�epplY m an mmer at qapeny win Qhudds o�imprwes tM1ereon.rA wno coMrxH fm uM pm�1s w�tA a tonnNforlal Ikenfatl pasu0nt M rta ConvacPor's ticenx Law.i CONSTRUCTI4N � ❑�, m� s.� a c�anxn QLAN REVIEIN � °He — - ELEC � WfMU(CRS'C�.tREHSATIfIN OELYARATION.i Mrz6y dfirm that I M1rn a captink o1 rons to sYl-nsme.u a se�utxate o1 NMwna'Conwen�auon msuaMe,or a ae�i�trc.e capy thutot 45K.3800,t�►.C.1. LUMB{WG 1� , s ❑cHo��atow�SM�etv+��a. � MEC �!(CAL ! G ❑Certilied crqy�is filed with the 9uiyiiq Inspec�im�tmenl u [4parmwnt � ,(',� � CERTff�CniE�EXEMPT�tMi Fli041 N�OftIffNS'CCMPENSk?lat iNSUFaNCE-.Thu sectnn naM irot 6e��nr„a ISSUANCE � - y A Me De�m�t is kr one nw�area itimi n kss.i caaW ma�M me u+iorm+ace m u�e waw mr�e-mn F pnmit is issueA.I sna�not empey any puwn in a�y men+rr so x m 6xmr w6pet ro tlie N6rMi Cmbentaen � Lrws ol Calihwna. � _ �, �.� � PARK FEE W 1A�ICE TO APPI.ICAMf:H.alxr,-mM�f0ic=ja(WIGi4C ul E,��,,�:+�we e�s��a n�waa.+�, - SCHOOI FEES —+ Cv�ua�mmuiars W m lq�0a O,ee.w�"mun larnwifi co�h wim�ne�povkiom a tliis a��duM w- M deemed re�ro4A. s � DIVISI(IN�F INOUSfHWI SAFETY PEPINT CENTFCASpM,i?.(} . W ¢ ❑�nereuv�enilv nu�ro�le!I�a mc+rltiiY�n�h em wMcn�orsn b nwd a eresw. witl he mi0e in cnnwction �eM W du�Pvmn.an1 ihn na Wilding wunure.wthking,fApwork, ar hmalitim a dismandmp tMeof,w11 6e irn tlun Mwry�srs.1361 f�t Ii�.�Ap.11.Gi7 7.Art 1.Sq :- W' %1.Tdle 9.CAC). ,-'r'-�-'�• 2 .,...i (-.,_ .�._,:.- ..— � J 3 ❑As o�aor-b�r,�'wa�ndt etqGoy}Wroir,m'�o:wak wluih-ueWt nqwro�a��hau eu uvbcn d �. f— IMusuial Sa4tY.u nwq�EOY1.mNe4i f+irlt yenon hai'�prmi�ro do such werk hpe the�ion. W ❑°"'�a"�""ws'i'""�`�,°`. TOTAL FEES �`'`h� � CRlSfNI1CTYY!IEA�NYC,A6ENGY:I Iwdiy alli�m tlut tMe is��omtunim Nr6q ppitY lor 6e prfen�u �c'�}- +� aW ine wwi fa wAcA Iaa pdmit a isru!ISa.3037.Cir.C I. —' �"da�`"'°'� CQMMENTS m lmMr:a�mass 4 CEI(fIfIUTE�f tAlAPL1AfCE Ain AUP1qZAilpl Oi ENTNY-I cwrily I I+q md tlo�iqg�mi sur � Nut Me in�amafim qwi is rsrtut.I apree m empM wqh YI stW Iws aed cry e�iqncu�i6ip ro Eiitli� y ranstructpn.xd i�Nrrin a�pue�uxa4e ol tlr Oqrtwrrt d WilA+g rd Sdtly b n4 yrn!r prnlr yZ fa rMCM1 we app& iar pis 0+��M Ilr pupaY d mdhi9�pr9onx � � ` +'—`2��� RECPT NO. �� WUD 8Y � spnduee a hdicn� a.K . 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