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HomeMy WebLinkAbout1167 (5) .. ...-. -- �- .____ ___.,_.__..__ . .__.....--.--.. 1,�:.....J....r..r . ...... ._. ...."'_'...__._..._...., _ � s . . f • K. . ,. ''� ���`lf OF DiAi►AO�D BAi� ��,� '•�'� DEPAR�MENT OF BUILDiNG AND SAFETY PRESS BUILDiP1G PERMIT F'IRMLY JOBSITE , APPUCATiON �..� PERMIT � t USE � a�� �/� , � �,�'f�•y,�� OATE _L � �� NUMSER � `�-0� CODE P.D�RESS� ��-�i-_ ISSJE /� , TYPE OCC. � ArN _ _ LDi TRACT I OATE �I ' �SI�``'� "� CONST. GFi�UP � � CRQSS STREET — ZONlNG SETBACKS .�+wE.��+rs � RW ❑ °= CWNER 'J�z.� E �.C3� _ '/���-� FRONT . -'�J y, C, � "� 3' � / �9 o ADDRES4 `�' , Z"'y:/=�f=��'1�- ,/',t REAR ❑ W CITY ''�� �'�'��1��-- ZIP i EL. � SIDE/SIDE STREET RW ❑ - o�APPLICANT V��`�� C' ��'7P�-- TEL. SIDE ❑ a — e CCtvT�ACTOR_� --�- SENVAGE ❑ PIiBLIC PMT# o AuDRESS � • — DISPOSAL W CITY � ZIf� TEL. ❑ P�IVATE SO.FT./100 GAL d LICT UMBER \� GRADING ❑ CU.YDS.EXC. CU YDS FiLL �' ARCH;ENG/ � T1'PE SQ FT FAC�'OR PS AD,1. AREANALUATION � DESIGNER_ — � � � � �5.� � �i-� y�3.`�C7. .-��U oIADDRESS tl. 2 C;C;� ,-�(.P�'�D T71-� :�z-I �✓(�. � �i CITY ziP . — C� 3 r1� 1 .�1 C �����, 1.L?.� �.z�. � PROPOSEDUSE � � �� . ��t1� PY' . �itlG� 4 ..,..��:' j.:�C ;��� ��K �.�`1�I,�-a � � �.����'�t', �' r � J � ;7�I � '--L S� '� L 1 K 1--)� �.Q`i."�O o NO.DWEL. NO� NO. ��� � m � �- io��=-;C; ^ '- �ysl �x'±'n<'r�S y UNITS. STORIES BEDROOtvlS !.GT DIMENSIONS m VALUATION �-� � ' �, ADJ.AREA o;;•.:;: �.� ��oGs HOw QUANTITY DESCRIPTlO FEE .�I ON�:�T �-----........_ USED Q • s�-..- - -- --- c.� �i; ; � � . �� f'":TqACC•RS�ECIARAT�OV I Yereby affinr thx�I am 6censed under p:avrsiws o�CSapter 9;commer.cing F- ��1•r� � � ' t�;ec::cr'uSC;�c��rvisioc 3 u1'he 5usiress=rc°rfesrons Lcce,and mv�icense•s m fu7 tmce ar.d effx:. � s� 0 3 . w �+- �hVNE;-3bItDER CEC.FRAT:04�'herehv a!I.m iha;I an eaemoi':am;he ConL•auor s Luense Lax!or the IGltv,mg Z eason�Sac ;C315 B�s�necs and Fr�less�ons Ca:e Am .iry or cc�Ny which requ:res a pe�mit Ie Canslrucl (:} o :c.e JemcMSE u:repaii a�v su::::ure,prior;o ns usuance,also•eQuves ihe ap9lrta�t br such perme 2 � toe�la a�rynea staltriem ihat�e;s luente�pursuac;ia the�r�visions of the Com,rac�oi s L¢ense law IChaper p� s�9�.con�mvrnn,•.wth S:xu:r'O,i01.I Onis.cr 7 of;he B��s:ness and Proiessiurs Ccce;ar;ha:h¢a exempt tterehoo � y nd!he��s,s :�:i`e allegxa ezemp:.on A^y�imavcc oi$C'I.cn 7037 i!ry a1v appli:ant tof a�^.ermd suC;ects� � wnr a;pi¢ar�:o o nml pma:q�oi no�mure thaa'ive hundreC dodars�5500;;. j a � � L..'i a; ]'.+�ir n'�he 2•:�E:'Y '�Ty°'�P�pY¢es rvrth waCeS as lAe!r s:ie mmFer.sanor,�wii ua I�e work xr^.I s no;���rrnded ur ede:e;far sale;Sec 1C3a 8cs:ness erd Pro�esvac<�;�e "•e Gon!ractor s:¢erse� Q � ��:m�dres-ai a,plv eo ar rnvnc�at propeny Nho bu:lds si m�mves!nxreon,and wFo tlxs mch xo�k hm�say U —t-- — ' o� ;b�c;.�r his�wr xm.vl;uees pmn:ee nat such:mpmvenen!s are�m:ntended a•uile:ed tor sak " however I z e7 :re Su IJ�ng r.r inemvcr!rt is suld w 1"ir ane year o(complen�r.,t:.e�Hnei-6u:lder Hdl Save�he burCen oi p�ov�ng� Q � wai„r.ii r.c.;c.nd a:�nprne!c:i'?0���7nsx ol sa�e I � � � �! as�wra��1•'i=a;tre,pi am a��!us:vew[en::act�,ny.v"t.,�ensed:cnlrzL^rs�o cm5:r�c1;"z ore:en�Sa: �,y� %G�3 6,.s.czss ann�raessie:s CoAe ?te Cenvacror's'!^ensr Law Aoes no1 zV9�M���r owner uf prape•ty who j � � ,..�i•^s_r��ne"�rves t^;rear�.ane wna,n�«ac�s:.�such pm,etls w.th a cemrx;a�lsl:�crnsed pusu�nl m;he Con!rec;or s I � ---`-� `¢i���:�:��_��•�� _, COIrlS'I RUCTIflN-'_ ;� .. � �1 L./'�� � �'r' i,�_x�.���.a��se� % ;i .�e ac,ai�-.c�f�a;ri FLAN_REViE1N __ . �— o -G - �i'G' a,�,e 'i;. -.�.c_ .,r/.�`i.�f' � ELECTRIC.._�, ;�,r ,-,; .,_,�, , ` _� � :d1F.+.E98 :p4'PF.NSATIOR Di:L�FA?!p:V ;Fe:ety alfirm Inai�ha.e a cernl:ws o(cansem m sell�insure.or --- Ia cennwre ol Y.crKers :ompersarar Irsurance,er a cxrtii�ed:opy•here'iSec 36CO.laC C; P�Uh4BING ___ Q i❑ �er.iietl;pv�s MreOy�.xr,is�ea J fvlECHANICAL c ^' Ce'�.hM r_ope is f�e^w�Ih�hz fSwlAinn In:oeci.on Oeo=rcment o� Ce7��7r..er„ � GRADING /� _ ? -E9?IFICAE �7'-ExEh1PTICN�P.^M VAHKEaS'LGMNENSAi'ON ItiSJRANCE This<eclir.r.r.eed not he comuiei�d � T�;� NCE,� r - �l J y ,I me pern��t�s�or une•mndred dIM)or less I cuu!y�hat m�h.e p�cr.na�ce of�ez wo�k lor wh;ch Ihrs �. �-.j ,�2 � �^� , y�'� pe•n:i,s issued.I shal�rut empioy arry Derson ir.a�y manrer so a:to Secqme su.`�ear;0 4�e Nb�kers'Compensanon � S'M��. �.J �-'� • l./ v Laws cl Coidam:a o n." ': 5 �;:�1 � PA.AK FEE � W�,a:�� —=yd:� � ". _:. .' � i HCiI�E .-0%�P'L1�;.1NT 'f a.'Ier rating ihis�err.lica�e nt Ei:mpvana�ai snaud ceccme Suhject m the N4rker's SCHOOL FEES _ _ Camee�saur.r ara�isons al Ine Laber Code.You must bnhwnh cemply with suc�previsnns a this Qermit shall � � I:e dxemed revoMed J �;1411SIOh^F iN0U5T9�A;.SAiETY FEPM�i CERTIFICAfi6N� `: �v�:� -- W i I� . '.. `. �i d�l_I hr.o0y rert!IY���a[n::exca�alan trve�51�or more ie¢;•n�epfi mto wh¢h a person is requurd ro GescerA s I rvill Se madz in cennecuon wrth wark autA�¢eu by ihrs permrt,and!hat no hudtlmg svuttwe stalialtlmg,hLtewnrk.� a- nr 1r,��r.�nnn or dismam:mg.nereal II he mwe fhap.'hrtty�vs{3fij feet Sigh iL1iw.1Z.Gry 2.Art 2 Sec I __ wui �..ea.cac, ;�; , • . , . ,_ ... ..; s . :: :�: ._.,,-. . . ., ,.. .,.;_�: -�� — — 3 ��as�wnnr�Cur.der I•.vdl nm emploY-enyone-to•do wma'whiri:�•Quld'7equ'ee Y,�l�mit hom�e Gvrsm of` r 1niRistr•a:Selery.as no:ed ahorx,unless such aerwn has a pttmn ca da such work from Me dvisron. I � �f. w `'�4.is�n:ioi'nQix;r�i$ale�y'F1erm�;Ne TOTAL FEES ;,� � 1��� �� u. � :ONS:'RUC�ION iEN01NG AuEYCY�I he�eCv att��rm Mal thx�e�s a wnsnuttwn!mdng agency Ier Me perMrmance x ol:^.e wo�k br•.vmch Uis permit�s�ssueo�Sm 3097,Cn Gi � '.��c�:�"^.,�e CGMNIENTS �, ��e,,a��«� � m .e Q CfT!Ifi;ATE OF COMPIIANCE ANO AUTLIOft12ATtON OF EN7RY:I cervfy I have read thu applica�im ami sta�e c� :ha;�he mlwmatun grven is carec:I agree'o compN wnt all stale Wws aN nry or�inances�Nsn�q ta hu�ki�p y cor.sir�c•�w^,.any aut�aiue a reprexma�ne ol;hx Oep:nrem of BwNir�q aM$alx!Y m mia upa+�he praqerN = im,r xh i h ve iPPlied tar this perinrt for Ihe D u����nJ�nspecMns . � � ` /� l/�1/ �' S � � i/,' t,.r,.F�/a-'�. :,���✓�•'1� � �j ._�v 1 V"'l ! Signa�ue e;SapYKan1 m Agr.m p�p RECPT NO.�PAID BY_�VALlDATION� . 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