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CITY OF EVI:RI:1'1' PERMIT NO. <br />NE. <br />01"PARINT OF COa•IUNITY DI'VELOPNCNT <br />BUILDING 1'ERlll" AVl ICATILO?i✓ VAIAATION <br />�, <br />? 0�73-.fT � YERI•11T FEE 29 — <br />DATE <br />ADDRESS OF CONSTUCTION WORT: / c k, C. %f (AJ t •. <br />LEGAL DESCRIPTION: LOT J BLOCK PLAT ; y Y! .c We <br />UNPLATTED DL•'SCRIPTION: <br />REMODEL <br />BUILDING DESCRIPTION: NEWADDITION dr REPAIR <br />OCCUPANCY OR USE AP S Rem. Roe HEIGHTS III STORIES O �✓ <br />IS THIS A CIIAVCE OF BUILDING OCCUPANCY: YES NO <br />COIITPvICTOR O'idNER 4& [.� /y,a.' t) o z;2 e ic/,5 a LJ/ <br />MAILING HAILING <br />ADDRESS ADDRESS 6 X feP 1-�- <br />PRONE N`Xv1BER <br />CO::I'I:ACTOR' S LICENSE NvnmF.R <br />PHONE'NUMr-F,R '? ,5-,3 — 54J <br />✓ SICNATUi:E - <br />NOTE: TUE APPLICANT S'I!%LL FILL IN ALL ABOI!E BLAW CO22"LETELY INCLUDING TIIY PLOT PT.!W <br />SKETCH ON REAR OF TIIIS SIIEET. THE APPLICAPT IS REST-WSIBLE FOR ALL INFO2_i1TION WHICH <br />IS PURNI3110 7T THE APPLICATION. ANY CHANGES IN Tl:i I\TOI.*IATIOX, PLOT PLb21 OR BUILDING <br />PI)tNS SHALL BE SUL':•1IT'I::D TO VIE INSPECTION DIVISION FOR APPROVAL BEF E PROCEEDIN',' <br />WITH THE CONSTRUCTION NORK. <br />APPROVAL: A4 1" T• %��� 73 <br />/ M/Al. <br />I. PLANNIiIG. � '9&�ti_ <br />2. ENGINEERING <br />TRAITIC DIVISION <br />WATER SIiRVICE <br />SEVER SERVICE <br />PUBLIC SERVICE SECTMN <br />3. INSPECTION DEPARTMENT t! <br />4. FIRE MARSHAL <br />NOTE: ALL CONSTRUCTION IIOPJ: SHALL COMPLY WITH APPLICABLE CODES, NOTES ON DRAWINGS, AND <br />INSPECTIONS <br />