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CITY OF EVI11H.TT <br />DEPAIYINEN'I. OF COR:•n1NI.TY DEVlil.OrMNT <br />BUILDING P)ERMY APPLICATION <br />DATE <br />ADDRESS 0: CON STUCTION 110111, <br />LEGAL DESCRIPTION: LOT /A(— BLOCK _—J— <br />UNPLATTI:D DESCRIPTION: <br />BUILDING DESCRIPTION: AEU AUDITION <br />OCCUPANCY OR USE <br />rERMIT NO. / <br />VALUATION <br />PL•'RTIIT FEE o <br />PLAT, 6 %. , <br />IIEICI)TS IN STORIES <br />or REPAIR <br />IS T'HIS A CHANGE OF BUILDING OCCUPANCY: YES NO ��_ <br />Ccwe- <br />00NT11ACTOR <br />PTAILIGC <br />ADDRESS _ <br />P110i:E NUT 11,11 <br />CONTRAMOR'S LICENSE NUt•iulill <br />SIGNA'I'URG <br />-- <br />MAILING` <br />ADDRESS 1 <br />PHONE HUNlililt � f l <br />r. 71 ,1'Ul,,'^ P,..t <br />NOTE:NOTE:'f11P Arl'LICh 1 SiI.;TI FILL IN Ai,?. h110VE 1tT; � TIH PLOT <br />SILT 10i (GA l d h CY TUTS SM 1 1 TIIB APPL'I.CA , IS <br />IS I'Oi:i1L.L".D Oai Till-" i,PYLiC?,!1:(11t, /�'Y CU'.IGES IN TOIR. u <br />rLA:I;i S)I<',Ll, L')i S?!1)l1i:T'L]:U '1'0 '%NI I;:SPiiCPIO1.1 UIVISIO:; <br />PITH THE CONSTRUCTION POIUC. <br />APPP(PhI.L: <br />� DATE <br />2. TiNG)aiIiI;R'iRC <br />TRAVETC DIVISION <br />VATC11, SM'ViCE __ ---- <br />1'UIlT.TC Si•:RVICH, SRC:1'TU: <br />3. INSPECTION DIiPAR".' PIT <br />4. FIRE M111,611AT, <br />NOTR: ALL COP;�1'1:11CTT011 NCI:1C SIIALL C(11i11Y PITH APPLICABLE COltl:^/��N�OTI:;i ON DI:AIdI/UCS, AND <br />INSw,cn.ONS `/ ✓ / ��/ <br />�1 �i6.12 <br />