HomeMy WebLinkAboutRESOLUTION 1962-19-"~~--
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L•7FiEP.F.A:., Ordinance i:o. ~_ of the City of Ko~~ai, Alas.ca,
required payrr.ent of a fee for issuance of a buildin„ permit, and
WHKitEAS, c'-e said Ordinance spec iii:d twat ttie City Council
shall adopt a forn. for applications fora bLilditi~ pern.its, and
WHir~S, t~~e City Council ~~as by ordinance authorised the
City Cleric in t?~e absence of emplo}.Lent of a "building oft i.cial" to
issue said building permits, su'a,;2ct to receipt of a raritten applicatirsn,
NOW tHL~RRFORI;, be it resolved by the City Co•ancil of the
City of Kenai, Alaska tHar, the followi:ld forn. app13_cation be ad~ered to
in all applications for building permits:
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C I"~'Y OF KED]A I
Kenai, Alastca
BUILDING PERN,ITr10.
Name of Applicant:
Building address:
Lot Block Subdivision/Tract
WORK: New Alteration Addition Repairs
Othe.~r (specify)
Type of Structure:
(Comn,erc is 1-Res ident is 1)
Lot Area:
pia lue for
Front yard
Height Widt~ Length
Of f Steeet Parking,, Area
Side yard Rear Yard
- .~ f
The undersigned applicant agrees ro fully exonerate, indemnify
and save harmless the City of Kenai, Alaska from and against any and
all claims or actions, and all expenses incidental to the defense of
any such claims or actions, based ~spon or arising aut of damage or
injuries (including death) to persons or property caused by or sustained
in connection with the perforu~ance of the work for whic~+ this permit is
issued, or by conditions created thereby, and among other things, if
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requested by the City of Kenai, to as~-.m~e, withot_~t expense to the City,
the defe~ae of any such claim or actions.
Signature Date
Mailing Address:
PEtiMIT , ~ ~y ')
On day of ._, 19~ , the undersigned issued
a pera,it as applied for above, upon payment of ~,~. ^=' receipt of
which is hereby acknowledged.
Ciry Clerk
~E~c9lr~lescstihs'e~nk~fe~Intc~r~~~e~rlest k~'ex~e•Arse:e~Y~Ac~cex~te~ic~t~rc~irs~r«r~n'e~C~e4c:c Xse~'csY~'c~ ~r~c~c•Ar~ir4r~cie
A copy of the building permit, upon issuance, will be posted
in plain view to passers by on the work contemplated by sucH permit.
PASSED ~ day of 1962
KENAI, AIASKA
gy : , ~.-~
Mayor ,~.~
Attest:
City Clerk
POSTED: day of 1962