|
CO� �TRUCTION CI i : UF EVEItFTT
<br /> PE�,��,�, P�RMIT SEIYVICES
<br /> RW CL'UAR S'I'RiiLl'
<br /> r:��r:Kr:rr,wn �x�ui
<br /> �a�s�zs�•xx io
<br /> rr:k��rr�t��ieeK: __ BG3W-008 onTn` �¢ciun�cei.romr+n.+r
<br /> k41 LLN�0.1.tS 5908 EVERGItEEN N'A\'qAB�D
<br /> ,,, ���9t,pp6p,q �,..,�.,.
<br /> .�. tiousi�cEioNL ".,•�
<br /> SS3U f:�'F.RGREC•N N'Al'
<br /> G\'ERGTT \1'.� ')S?03
<br /> "" 4,5i17o$3G
<br /> �.,�
<br /> uavno-�n.�
<br /> '�' PCGET N'fST CORPOR�ITIOV \tULI': FA!.ilLl'S OF�ICUCLASSR(��t USG (G S7'
<br /> PO GO\ t9}5 [3UILDING)
<br /> ARLIVGTOV �!'A 95'_'_3
<br /> ..••• a�;��HN}G5G ,� � (�
<br /> �,.�., �j `_� �� �/
<br /> .. ,� ��. V
<br /> � . . �RIIC' V�IVit l��lfii M�\iVIV� `/,
<br /> i�.: .s sern oz.o�s 1 �. '�fl03
<br /> v-��� �ai�I��i af��[;T'�� LL�4Mn�Z ��MM(lol MLNIIYI JU}, �
<br /> �. i.1G0 ��it'.�Z�:\ �
<br /> .��.�..r �.�u+o .�r�ri. ew.m.i nua».n�rn C,,�Y p; �e��ic�'-
<br /> K-i =o z �o Pecm
<br /> IYY.ie�.N•l .u��Nllf`�� IYAtitlH M.1�1V1t4\
<br /> �-.v F��x�.0 onu:e sa�
<br /> e.,..:�..,.,. .,..+, �,.�:,.��,�..�.., ri.unmu:cr�uirw�r
<br /> \O �79.I SL
<br /> n: aonu:•, u.u�. nvu'.�.unwrr
<br /> 1'F_ti
<br /> FEES:
<br /> ,
<br /> ,\cLlmonal Flan CFKck S3GB.98 ��,'':� ' . ,..
<br /> F1uic CimswcUon Pc+mit Fce S),�'J3J5 , �_ - � ��
<br /> PBn Cheek Fce 52,1019i ..�:�� ' , ". . �
<br /> = itl ,
<br /> SiateESwldingCa!eSurcharp,e SI0.50 � "-�� '
<br /> i.
<br /> !� „_.. _ .
<br /> ,... l�1.;...
<br /> t'f 33?0 . .
<br /> ,;1� �G00.c
<br /> l"Ci' iL 90;9 ".
<br /> � :
<br /> iOTAI.FEF. $5,715.17 � ;
<br /> 'fOTAI. FF.i_S MID 52.101.9J .. ... .,�.
<br /> "IOTAI.f'F.E 57.61J.'_J
<br /> YI4\/I.\
<br /> �x1"�Lnn�I�N/Jn l��ll�L��llril
<br /> Prtmfn npirr If�ur4 nnl tomnKnteJ�111iIn Ifl0 J�)�nr m�m m�re Ihan IPC J�)'�.
<br /> t hr('IIy of I:�nt1�I�no1 rn{+�nJbir In rr�kw Iht appllcabllily of pist cmenanle In Ihfa�rrmlL Compllmat xllh plal cnrtnanit It�he PERMIT NO:
<br /> �nlr rn�nmiM1�l117 of IAr applic�nl'nwner. �0304-008
<br /> AUDRIiSS PILIi COP•
<br />
|