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' • DUILDING PERMI� APPLICATION • l�j��7� � � ' <br /> � 3 �� � 7 <br /> � . Ap�i!.icanL To Compl.etc '�his rorm 3 �//� • <br /> 1f moze than one buildinq i�� to be construct;cd, submit a separ.�Le per.mi.t � <br /> � appli:at•ion for each buildinq. A �epsrate �,iermit will he LJJULC� f•or. cach ' <br /> bt�ilding. / f � <br /> Owner I�t% I � � �' I� ��1 Buiiain� naaress � %/`1 i�• • ' <br /> , ;_ �, �-� �,�- �, -�-�:. Lot 131oc1: <br /> Adclress �I � i � l� � � <br /> City � v __ Phone �:S 3' �%�'t� Subcliyision (P1aL•) <br /> Archit�ci:/�ngineer �- -- <br /> City Phone - - Metes & IIounds (Unplati•ed) <br /> ; . � ' Sec. 4tap. _ Rqe. <br /> Contractor - --" �` <br /> Address <br /> City Phone ' <br /> State License Numbes� <br /> Expiration Date <br /> ,' ' � , • . Building Use •' '"T 1� v�1Z �� � <br /> ' � Describe S•Jor}: to IIe Done f��r�J <br /> � � �' 1� I`J�� I��- c o IZ �� �C_ <br /> • �� i 1� <br /> C01�"_' PLOT PLAi7 0?� REVGRSE SID� � <br /> ; , <br /> Number of Si:ories <br /> � � , • � . Basement /�1 � � <br /> � • • • • •• Ne�a Addition Re air. R iodel' <br /> . , �:- .r c, <br /> • . ' � . Valnation of Construction $� <br /> • . • . ' " ) ` , =f; <br /> Signed IIy `� • - <br /> ' ' . For <br /> � � ' Owner • Phone <br /> • �• • Do rot t•7rite IIelow Thi� Linc -I'or City_ Use Only � <br /> Datc Received • " " " • -� Use Sone ' ' <br /> • Firc: 2one . 1 <br /> islan Check Number ' � <br /> Valuation � ' • Occupancy •Group I�'� <br /> Ycrnit Fee • . Typc of Cons4ruction �._ <br /> Plan Cl�eck Fce ' • Occupant Load <br /> Total T'ec Duc Spri»Jcicrs Requircd �_ <br /> Date Is�ued � � � ' <br /> . . • ,'_ , �. . <br /> ' • . . . �, , . <br />