HomeMy WebLinkAbout330 W Myrtle St - Applications/Deck - 04/20/2004Last First, / Middle
Phone
CDStreet
Address Please Specify* LN. DR. CR. WY. PL. ST CT. RD. AVE. City State
Zip Code
Comp y Name License Number Supervisor & Cert. #
cmy
R
ailing Address City State
Zip Code
Phone
3/4"7 r04
Please Specify. LN. DR. CR. WY. PL. ST. CT RD. AVE.
Zip Code
JOB
SITE ADDRESS
Subdivision/PUD
CM
Filing Number Lot Block Lot Area
Building Square Footage Number of Stories Building Height
0
0
Number of Bedrooms/Bathrooms Finished Basement Square Footage
0
C�
c
Value of Construction (including labor, material, profit) $
Descriptio of Work:
Subcontractors:
Electrical
Mechanical Plumbing
Roofing Concrete Framer
I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all
requirements con ined herein and city ordinances and state laws regulating building construction.
Roe
-a
Signature
a
Print Name Phone
Distribution: Original — L & P Yellow — Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE