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BUILDING PERMIT APPLICATION <br />Applicant To Complete This Form p�Q <br />If more than one building is'to be constructed, submit a separate permi.'L'/�7 <br />application for each building. A separate permit will be issued for each <br />building. <br />Owner FLEET SERVICE Building Address 75U BEVERLY BLVD. <br />Address 7511 BEVERLY BLVD. <br />city E'/ETT Phone 355-4440 <br />Architect/Engineer <br />City Phone <br />Contractor SPANE BUILDINGS <br />Address 27004-64TH N. W. <br />city SgANWOUD Phone o29-2136 <br />State License Number 223-01-5905 <br />Eypiration Date <br />COT,T--T ° PLOT PLAIT ON REVERSE SIDE <br />Do Not Write Below Th <br />Date Received 9 7 <br />1S1ancheck Number 1&—¢S9 - <br />Valuation Q4PB-y-mc <br />Permit Fee ,aZ , 061 <br />Plan Check Fee <br />Total Fee Due <br />Date Issued <br />Lot 6 Block 0o3B=o; <br />Subdivision (Plat) PARK CMY ADDITION <br />TO BEVERLY PARK <br />Metes & Bounds (Unplatted) <br />Sec. Twp. Itgn. <br />LOT 6 BLK 3 BEVERLY PARK. PmK CITY <br />ADD TO BEVERLY PARK BIK .003D-03- LOT 6 <br />LESS S. 100' MEAS A10-W-LN SUBJ TO EASE _ <br />PUD 1 <br />Building Use AUTO REPAIR ' <br />Describe Work to Be Done <br />Number of Stories <br />Basement <br />New Addition Repair./Remodel' <br />Valuation of Construction $ <br />$ 8,350.85 <br />Signed By <br />.For <br />Owner Phone <br />s Line -For Citv Use On1Y <br />Use Sone5—�/ <br />Fire Zone <br />Occupancy -Group <br />Type of Construction <br />Occupant Load <br />Sprinklers Required <br />r <br />