HomeMy WebLinkAboutAPP-1992-Demolition - DECONSTRUCTION & DEMOLITION APPLICATION
DEMOLITION PERMIT
APPLICANT PHONE N0. Z-9 3 {i 6 S3 y4.
ADDRESS ISIIc��� /p
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OWNER E-
PHONE N0.
ADDRESS GA"f-
LOCATION OF DEMOLITION I00 —Z414'"�
HAVE UTILITIES BEEN NOTIFIED?
WATER DEPT. NO
GAS —NO
ELEC. E_SD NO
PHONE
NO
CABLE _
NO
WHAT TOOLS ARE TO BE USED? (CUTTING TORCHES , ETC. . . )
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BARRICADES TO BE PROVIDED FOR PUBLIC PROTECTION, AREA MUST BE
ROPED OF! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! e ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! e ! ! ! ! ! ! ! ! ! !
SEE SEC 4409 U. B . C .
APPLICANT ' S OR AGENT ' S SIGNATURE 6 Z S
ASBESTOS WARNING
Breathing asbestos is hazardous to your health . V 7 /
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Before starting a renovation or demolition project ,
survey for friable abestos materials .
Notify Northwest Air Pollution Authority prior to asbestos
removal or containment .
NWAPA, 207 Pioneer Bldg. , Mt . Vernon . WA 98273 E
Phone : 428-1617 Mt . 'ernon
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FIRE DEPT . APPROVAL /� t
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FIRE CHIEF OR FIRE MARSHAL
POLICE DEPT. NOTIFICATION
COMMENTS
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APPLICATION
DEMOLITION PERMIT
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APPLICANT PHONE N0. 2S3 S6s3_ r1
ADDRESS fS>I ac. ;+ oJ �te4JA�a2- yam 07 !
OWNER SPM C_ PHONE NO.
ADDRESS vf-�-" C-
LOCATION OF DEMOLITION I
HAVE UTILITIES BEEN NOTIFIED?
WATER DEPT. ES NO
GAS NO
ELEC .
PHONE ES NO
NO
CABLE
NO
WHAT TOOLS ARE TO BE USED? (CUTTING TORCHES , ETC. . . )
.s2Y
BARRICADES TO BE PROVIDED FOR PUBLIC PROTECTION, AREA MUST BE
ROPED
SEE SEC 4409 U. B. C .
APPLICANT' S OR AGENT' S SIGNATURE
ASBESTOS WARNING
Breathing asbestos Is hazardous to your health .
Before starting a renovation or demolition project ,
survey for friable abestos materials .
Notify Northwest Air Pollution Authority prior to asbestos
removal or containment .
NWAPA 207 Pio
neer Bld
g. ,.g Mt . Vernon . WA 98273
Phone : 428-1617 Mt Vern n
FIRE DEPT . APPROVAL _
FIRE CHIEF OR FIRE MARSHAL
POLICE DEPT.
NOTIFICATION n
COMMENTS :\7yL,_ Q /Y ",//
APPLICATION
DEMOLITION PERMIT
253-�69 r- .•�
APPLICANT PHONE NO. 2-`t-S - QGS73- r1-
ADDRESS
OWNER PHONE NO. '
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ADDRESS 5Nber i5i1 -A--) C--c-F-� pT o,J iZaR� 4� alLtts ��zZl
LOCATION OF DEMOLITION - 1019 - 2-`("- 2� ;III
HAVE UTILITIES BEEN NOTIFIED?
WATER DEPT. ES NO
GAS E NO
ELEC . NO
PHONE NO
CABLE NO
WHAT TOOLS ARE TO BE USED? (CUTTING TORCHES , ETC. . . )
- I
BARRICADES TO BE PROVIDED FOR PUBLIC PROTECTION, AREA MUST BE
ROPED OF1111111rI1II11 } r11I1t1lIII ! l1111tr1111Ir11rrIe11lltl !
SEE SEC 9999 U. B. C .
APPLICANT' S OR AGENT' S SIGNATURE
i
it
ASBESTOS WARNING
Breathing asbestos is hazardous to your health .
�f
Before starting a renovation or demolition project ,
survey for friable abestos materials .
Notify Northwest Air Pollution Authority prior to asbestos
removal or containment .
NWAPA, 207 Pioneer Bldg. , Mt . Vernon . WA 98273
Phone : 428-1617 Mt . Aernon
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FIRE DEPT . APPROVAL C
FtAE CHIEF OR FIRE MARSHAL
POLICE DEPT. NOTIFICATION
COMMENTS : ,6 �
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