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� a•�� <br />UUILDIP7G PEF214IT APPLICATION ; (. <br />Applicant To Completc This Form -' <br />� ��/, <br />�/�., 'i�t <br />/• <br />If more than one Uuilding is to be conatrucCed, submit a separate permit ap- <br />plication for each buil.diny. A separate permiC will be icsued for each build- <br />iny. <br />Owner Rliss S�r�.,��n <br />Address 6530 fierksh_re <br />City Evere[�, Wn Phone 353-790� <br />Architect N/� <br />City <br />Phone <br />Duilding Address 6530 6erkshire <br />Lot i�lk. Sec. <br />Twp. Rge._ <br />SuUdivicion (P1aC) <br />Me�es a Aounds (Unplattud) <br />Contractor Rfverstdc Ruot Company <br />Address 1522 Walnut Ave. <br />City Evere[L, iJn phone 252-7950_ puildiny Use Residence <br />State Licence Number 223-02 RI-VE-RR-302T(DescriLc t4or1: to Iic Uonc <br />l�:piratior DaCc 1�'��'» <br />iT{7dG7i11pIiYYI�BClE�14�l➢11 <br />UaLt..,Rccoi Vod <br />Plan CI�ecV: SutnLcr <br />V�lclll.on <br />PermiC Pee _ <br />Plan Checl: 1'ec <br />Total Fcc DUc — — <br />Pi�rmit NumLor <br />U�iLo lsaucd <br />Uce ot l3uildiny Reaidence _ <br />New Addition Re�Lai-r/F.enodcl <br />ValunLion of Construction $ 1,582.00 <br />PI.UT PLAN <br />Indicate lol :.ize, name of stsec•tc, <br />indicate locntion and width of <br />allcyc, locatc proposed and ul] <br />existing buildinqs, show distances <br />to property linc;, s!iuw dict.nces <br />bc.twcen buildings. <br />Lot ei ze r; <br />I.oC arca �'.1'. <br />Size of Uldy. S.F. <br />Nur,d�er of Stories <br />lia�ement <br />Usc 'Lone <br />/ � � <br />Signed Oy' , L <br />I'or Riverside oot Cnmonny __ _ <br />Owucr <br />�S LIFlli-I'OR CI7'Y USC UFJ,Y <br />Firc 'Lonc <br />TYPe of. Construction - --_ <br />Occupancy Group _ <br />OccupanC l.o�d— -- <br />Sprin�lcr� Ruquired ,_ <br />nrvrr��veo roi� nui�r,irvc r�rar�u r <br />nv._ __ --- <br />