HomeMy WebLinkAbout4695 Everett StreetInspector Must Sign ALL $pac*$ pertinent to tMs Prol"t
w
*
M
Occupancy Is Not Permitted Until A Certificate of oacupancy
Protect This ;,
I.Tmr# Ili A # 011m, I =
*** Plea" cmpkft all highlighted areas on both sides of this form.1 p applications may not be p"WAossed. ***
ffm
t
Property Owner Email:
Address:
City, State, Zip:
Contractors City License #: Phone:
- -, - - - --- -- /-\-- -
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
Complete all information on BOTH sides of this form
rw�
0 COMMERCIAL RESIDENTIAL
■ NEW COMMERCIALELECTRICALSERVICE UPGRADE
RESIDENTIALNEW - ROOFING
COMMERCIAL • ■RESIDENTIAL ROOFING
RESDENTIAL ry
ADDITION WINDOW
COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, dot*, etc.)
RESIDENTIAL • deck,
REPAIRMECHANICAL SYSTEMIAPPLLANCE
PLUMBING
a rf tx t,. REPAIR . REPLACMENT
ELECTRICAL SYSTEMIAPPLONCE REPAIR
OTHER (Describe
lFor of wo* to be
(l jxcludln5 cuffent use of areas,
!•iF! t. ...: „w .' :: 4• t ;. t ♦# • • r •s PN:":.t �, r •,'♦
amountof s be used,
7,, '� * I oz�, ek VA' rnL, Q I f 3 hee-rn ��U& 6DK - 13TU �Xfiq t
da�t Fu r mce, 2k -1/R h ef-tri c) fb n 135 - "
Sq. FMF Btu' �— Gall"
Amps squwvsfi
!Jill! 1111111J
i k t:. A #: % # # f t f # f R: f i 4 3 i# •::f # f t f t„ f t � t f i + !.. ' I:
^. f # 4 i .. 4 I � r.. R * « 4 P : '. ;. , 1 4 Y # # f f ♦ t : ! " %. '. :i 4 i ! : x i '. " :: f i : !.. t.
!# f. f♦ k f! ; ;. l M f: f a Y t. i
I, ;. tt Rt f ::.f .4 « yw. !t' Ii ♦ R:.f ..i 't ..,
or ,.. been tR "i. Y.. thelegal owner of the property ♦ perform the described
i.: and i alsoauthorized
by
A gl owne
ow .. of
G.I..
entityincluded on this tf. ## tolist thatentityonthis application.the applicantfor building Permit application,the
truthfulnew of the information provided on the application.
DATE
tic S12"Aftre (first *aid bar name
w