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815 N BROADWAY 2016-01-01 MF Import
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815 N BROADWAY 2016-01-01 MF Import
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Last modified
5/19/2017 8:46:50 PM
Creation date
1/24/2017 12:28:45 PM
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Address Document
Street Name
N BROADWAY
Street Number
815
Imported From Microfiche
Yes
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. . • nvzr.nitac rr•.nMiT nrr�cicn�rxorr • 3 �� � . �. <br />• Applic��nL• To Co�ap].etc 7'his 1'orm <br />. �,Z/.Z s ��� , <br />If moze than one builciinq i,�to be con�tructcd, suUmit a separ.�7te rm-mi.t <br />application for. cach building. A �eparate pc�:miC wi.11 Uc i��ucd for. cach <br />buiidinq. / _ <br />Owncr ����t l+ � ���+fati�c�</ <br />naaress Q/�73-3a �,�%-. •��. <br />City u-I/c,t�J Phone��/�S'�t� <br />T�rchi�ecl/�ngineer .-��u�-nzi <br />City <br />Phonc <br />Contractor ..-K��me..� <br />Address <br />City Phonc <br />Statc License t3umber�3-O/-/v6f51 <br />L•r.piration Date 3 �•%6 <br />CO]FI,_""�:' PLOT PLA1d ON REYGIiSE S1D� <br />Date Received <br />Building I+ddres� �/S ,'�iJ���l���n.� <br />LoL• 131oc1: <br />Subdivision (P1aL•) � <br />MeL-e, & IIounds (llnplatted) <br />Sec. 1% TwP•o?y� Rge..S�lti%. <br />Building Use �i��� ��...J�jz.a� <br />Describe T•7or}: to Be Done <br />y�5'o �A �< e� �.�c.�-�.✓l -�ta,� <br />'�_ , <br />T-�c, �,,�-� .,��- if do _ <br />Nuinber of Stc.ries / <br />IIasemenL• �24 <br />I�ew�nd� Repai,r./Remodel <br />Valuation of Const�uct•ion $S�SoapO <br />Signed IIy , l,,v. , p--k��-�+'kJ _ <br />For /V��ufc7i � �Gcti at cC�..�_� . <br />Ocaner P on� -33�/-Sic�� <br />te 13e].oiu Thi.a Line -Por. City Use On <br />' ' . � Use Sonc �' z "_ _ <br />Islan Chec): Number � 7Co— /�'� • <br />Valuation <br />Pernit Fee <br />��� � ' ' <br />.�a�.-� <br />Plan Cl�cck Tce � / (e � cw <br />ToL•al Fee lluc 5� .�'J . �� <br />iiili.0 IJ^uUCC� <br />rirc zone 3 _ <br />Occupancy •GLoup 1-1 <br />Typc of Co�i�i:iuci:ion �-t..► � " <br />OccupanL• I,oad i <br />Sprin)cicrs Rcquircd <br />�ITY OF GVERGTT <br />APPROVED FOR•�UILDING'P.ERMIT <br />Date Z L_ �'tb py K � <br />
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