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• . ' DUILDING PERMIT APPLIC�TION • !�� , �.�, <br /> . � <br /> ' Ap�ilicanL- To Compl.el� '�1�is 1•'orm ' ��c� �' <br /> If moze than one building i�' to be constructed, submit a separ.ita Pe'�c��' <br /> � application Lor each buildinq. ]1 separat•e penni� �•ii.11 be i��ucd for. each - <br /> _ building. I <br /> Owncr .���4 �1A��^P; �a�c Buildinr Addre�s ��/. �;�,� <br /> Address � ?��- �rr..� �:':v�; Lot /9- 'LC7 I31ocl: , �'�_ <br /> City Si1tTTL& Phone lcZz- 5�;✓ Subdiyision (Plat) • <br /> Architect/Engin� _�U�f=�,�-r <br /> City Phone Metes & IIow�d� (Unpla�ceci) <br /> , Contrector Sec. 7tvp. Rge. <br /> �aar.�s <br /> City Phone • <br /> State License humber <br /> Er.pir=_tion Date <br /> - ' Buildin5 Usc • f � ST.�,�. <br /> Describe '•:or1: to IIe Done <br /> COI^PT�__ PlOT PLAIl 0:� R.�I?S�. SID� —���iY�,i>�[� <br /> _ . . Number of St•ories <br /> . . • � • Basement <br /> • ' ' ' " New Addition Repair./Rcrnadel" <br /> . - . . • ' '.. . • Valuation of Construction $/�`2' <br /> ' . . • . 5igned IIy _ <br /> • . For <br /> � Owner • Phone <br /> _ ' • bo tbt [•:rite IIeloa� This Linc -I'or City Use Only ' <br /> Date Received Q����7�-�(� � � � � � • . - ' Use Sone � • <br /> Islan C;�ecl: NumUer � ' • . Firc Zone <br /> Valuation �. �r�.��, f'�' • • Occupancy •Group <br /> Pernit Fee �Z • �' . Typc of Construction • <br /> Plan Check rce 33_ �" v • Occupant Load <br /> Total Fee llue ��,�� d� Sprinlcicrs Required <br /> DdtC I��u�d ', , <br /> , . . , , . . . • . . � <br /> � <br />