% * tye {nisl : 4 i ’ a Weft ehaphfeltgs GUAAN Bape Bip) cia teach yor eee: east prsare eee weds Nealatyide dt: ia ? ann TEI RES PAA OG f ‘ et ae . hee Sy rtinte 4 a sath ait yee Pong ee eed BAe GIR Nicah ie Hew Forua SCURILE_1, APPLICATION FOR AN ROUIWALERYT ONOER THE B.C. BOXED Cons APPLICATION DATE: I/We hereby make an application under Section 2.5 of the British Columbia Building Code for an equivalency toa: BUTLEING CODE/REGULATION REFERENCE: BUILDING PERMIT NO: ~. ADDRESS OF PROJECT: PARTIAL LEGAL DESCRIPTION: Lot # Addreza Addresa City City Postal Code Telephone/Fax Poatal Code Telephone/Fax ARPLICANT i. A description of the proposed measures muat he attached to this form. Name ae Documentation supporting the equivalency to be attached to thia form. Signature 3. If information is supplied by a registered professional a letter of assurance may be Telephone/Fax required by the Budiding Inspector. &. A letter of assurance may be required before occupancy ie approved. ANAHAAAAAWRAARAR ARRAN ATRIA *OVFICE USK OMLY " ] * WRee Paid: CHC ) CAC )* * * WReceipt BiH: 0 ) BC ) AC )* CEROVINCE OF BRITIGN COLUMBIA) * ft WHAWAARARAARREAH REAR RAERRR RAR