Laserfiche WebLink
. V <br /> � <br /> �iTY.,OF EVI�RIs'PT PPP�h1IT N0. y�. <br /> �PPARTASENT OP COb1MUNITY D�VrLOPMENT �[ <br /> IIUILllING P131tA1TT APPLICATION VALOATION ,_ �/ <br /> -�- P�RidIT FPE _�_��_ <br /> DATL' ���,�� �G <br /> ADDRESS OF CONSTRUCTION WORK Sp Q/J Cg�}7'JO/f,10-y/ �� — �/J��/� <br /> LEG11L DESCRIPTION: LOT �_ BLOCf: PLAT(oi�YL(/)p.e Olcf/ji,l2 <br /> UNPLATTED DlSCRIPTION <br /> IIUILDING DPSCRIPTION: NE[V ADDITION REMODEL �Zz"""7l <br /> — OR REPIIIR �j�� <br /> # Or UNITS OCCUPI�NCY OR USE STORIES <br /> IS TIIIS A CHANGE OP IIUILDING OCCUPANCY: Y�S NO _�c _ <br /> � . , <br /> CONTRIICTOR OZ�TN�it ����C�a�'/j ���()pi(/ <br /> MAILING � t+i11ILING <br /> ADDRLSS ADDRESS l��DB�/l�yt�/1/iyL.�.GLt�-- <br /> ��f;Ti�/J7 '��ZdfL <br /> PF�ONE NUAIBER � PHONE NUDIIIER ��j'$' — g7g�f- <br /> CONTRe1CTOR' S LICENSE NOAIBER <br /> SIGNATURE �_l.sa'���/�—��'���__ <br /> T�'• <br /> NOT�: TIiE APPLICANT SIiALL FILL IN I�.LL AIIOVE BLANriS COMPLLTELY INCLUDING <br /> TH� PLOT PLAN SKETCH ON REAR OP Tll2S SIIEET. TFI� APPLICAN'P IS RESPOD?�TBL� <br /> POR ALL INFORPdATION [9HICtI IS FURNISHED ON TIiE I�PPLICATION. AN IIANGES <br /> Ii� TIIE INPORIdATION, PLOT PLAN OR BUSLDING PLANS SIiALL II� SUBAi ��D TO TIIE <br /> INSPECTION DIVISION rOP. APPROVAL BEFOR� PROC��DING S9ITH TIIE 0 TRUCTION <br /> WORK. <br /> 11PP ROVAL: � <br /> 1. PLANNING - DATF. <br /> 2. PNGINEERING <br /> TRAI'rIC DIVISION <br /> WATPR SERVICE <br /> SE[9TR SERVIC� <br /> FUIILTC S�RVIC� SBCTION <br /> '. INSPECTION DEPARTPIENT <br /> 4. FIRE MnRSHAL ' <br /> NO'PI?: ALL CONSTRUCTION WORR SIIALL COi�1PLY WIT!{ APPLICAIILE CODES, NO'PES <br /> ON DItAIti'INGS, AND INSPLCPIONS <br />