NO PERMIT NUMBERI, the undersi nel do hereby_ c� 'ifv that.
I am the owner an occupant of., he sin.le
family dwellin', a, "•. o, '�
fgrlwhich I a�mUing application to do
`� Qom✓ work qs a homeowner.
I also rtify at I wil not hire any
non -licensed ��or elf.
tractor, but will this wor myself.