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PERMIT NUMBER <br />SITE ADDRESS _ <br />FOR OFFICE USE ONLY <br />� -�b-ds <br />ZONING <br />SUB-PERMITS <br />,S ��,C- <br />BLDG/i.l. SIZE � <br />� <br />NEW FIRE SPRINKLER <br />RE�'D <br />/� o <br />APPROVED BY <br />BUILDING �� ,� `, � � <br />, <br />GARAGE SIZE N0. OF OCCUPANCY OCCUPANT BASEMEN7 TYPE OF CONSTRUCTION <br />STORIES GROUP LOAD YES NO �!�-/r Z <br />� �•NNNCVS�J rI � -Y L <br />REASON <br />�--� _ ���-,,� <br />�TE COMMENTS <br />% l_ � ���'�Os <br />VALUATION/ � � � <br />BUILDING <br />SURCHARGE <br />AOD PLAN CHK <br />PLUMBING <br />MECHANICAL <br />SPP,INKLE <br />PUBLIC WORKS <br />TOTAL <br />13 <br />NGW FIREALAR�1 RC-ASOI� <br />RE�'D ��� � ' <br />v'rJ .�L�- Q }�� <br />� ,5c'?��4 �/�'i- �i?-/ �c-F� l3G�l�D��tc._ £�/LU�-. <br />z r -��.�a <br />PLAN CHECK FEE �✓ ��5, �� <br />FEES ' <br />WATER P_(?i� nLC1,C.L, (,l S//�i �-Q k 1�/`-{ <br />SEWER �D J <br />SYS. DEV. C�SZZ� <br />�� ` <br />TRAFFIC MIT. �_ <br />OTHER <br />TOTAL <br />�I� <br />