HomeMy WebLinkAbout31993 'RP�� Community
�i`
GLENEW
D ev e l op m ent Group
ADDENDUM TO BUILDING PERMIT NUMBER(S) ,4,41 l
The undersigned applicant asserts that she or he is exempt from the contractor licensing requirement
of Ari ona Revised Statutes Chapter 10, Title 32 on the basis of:
ARS 32-1121.A.5. The applicant owns the property and shall occupy the property, and does not
intend the property to be for sale or rent, and shall have the work performed by the applicant
alone, or by the applicant with employees of the applicant, and/or performed by duly licensed
contractor(s) all of whom are identified below or on the attached.
ARS 32-1121.A.6. The applicant owns the property and shall have the work performed only by
duly licensed contractor(s) all of whom are identified below or on the attached.
Contractor/Company Name License Number Classification
ARS 32-1121.A.7. The applicant is a registered architect or engineer, or employee of a registered
architect or engineer engaged in professional practice, not as a contractor.
The undersigned swears and affirms that the information herein is true and accurate, and acknowledges
that the filing of an application containing false or incorrect information with the intent to avoid the
licensing or tax requirements of the State of Arizona is "unsworn falsification," a criminal misdemeanor.
Printed name of Applicant Signature of Applicant Date
DSC001.0
City of Glendale*5850 West Glendale Avenue * Glendale,Arizona 85301-2599 * (602)930-2800
3521 �!, y3R Z.
IFLO012- P1-7/A1
�O �1� i �7(Ti,t'1 f
1Jr� ' yXl L\ch E'X^ISrirv°
it
Op c> c_lx2 l'im - I:,,,,,,/(4,
32 1 6X Rdj 053 f° = Dots lob or ItIA5O—
L , ' " P,kiS Co z(_y► EXitE1BZ c, hk � 5� LJi �f[.I 8 1301Cs0 z
ca 5E4 0 las;
rr-
°11V?-3 -'6r-R
y= DoLt0LE TOP
pier
rests .QP+'R, SHALL g5SU R) rP F 1)
CCRRi CTEi?y OFFICIAL FROU 7Nt_REAFTFR THE Rt'ti.i;tw, C'�1Zt G
r,Lt`IfIC QF E THEREAFTER
Rt'AlllP;iA f i iy v�./ 4 -
I - taus o t s�tl; 7
xt5rrl� viOt�T►C ATA A�LI�17tVS7R; r is i
tv �� N Cry 't'COL�rS OR Jv71.,� ��M}:;...it
5IPCni s72_lc7'� 4 . , ORDINANCES Mi EFFECT:
0 Vt U::L.1
''X1PR-
r; I
t~7t�� ,:
TY OF
4JOr�7 WJ1Z DATEs� dr1' 4.0(q
xi5rl�l�i zX�v w iN� .�. xlo Wuu� lrKf STrAI
i�ttNi-L t%AR $ x g
o
i!ligiek
,� r��c
CARA
y , L S 4 aFiurir 5
.5✓8 01
PSui BDIZP
cLE.,i/ri"pF/� UtJr
F -1)kri 1-5LEV/4-7-70A/
CA- Po r
— xi5rlNC EXiST/k)
rt' R1 u<
n7rN' —
�
�
m<. pub
W
N are-
�
��'o° � o C n)CTe
-TM in!u
5 x5e x* :Z
;x fg(p f2 F/Nl Sff
1/2'' it1sowro sib>N6
wing= 4 '' roar