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16 <br />r'. <br />! BUILDING PERMIT APPLICATION <br />Applicant To Complete This Form <br />If more than one building is to be contructed, submit a separate permit appl ca�� <br />tion for each building. A separate permit will be issued for each building. <br />Owner RONALDNEHIEL t CHARLES SAU'TM Building Address 1517- 5, 9264DUJA7l <br />Address 2.317-1 ED1A0NDS WAY Lot Block <br />City EdM0r%cr5 Phone -)75.3345 Subdivision (Plat) <br />Architect/Engineer OWWILIL _ <br />City Phone Metes & Bounds (Unplatted) _ <br />Contractor pvuNEfL (eyceeT- &L,Aii Sec. Twp. Rge <br />Address Tp aE 1WSTALLED RN A ON - <br />City <br />City Phone AS INT UW14Z Building Use QfTA1L STbRt' <br />State License Number Describe Work to Be Done CoWrTR UC i <br />I Expiration Date Fi ONT/ n(DC�YCJM nOMlvl1T_ <br />SKETCH PLOT PLAN BEL014 . <br />Use of Building <br />17New ❑ Addition ❑ Repair/Remodel <br />Valuation of Construction $ Low .yo <br />PLOT PLAN REQUIREMENTS <br />Indicate lot size, name of streets, <br />indicate location and width of <br />alleys, locate proposed and all <br />existing buildings, show distances <br />v - - to property lines, show distances <br />4 between buildings. <br />Lot size x_ <br />Lot area Sq. Ft. <br />Size of Bldg. Sq. Ft. <br />,'. Number of Stories <br />_ Basement <br />'� <br />Signed By <br />For 2ONALb MFHIEL- 775-774S <br />Owner Phone <br />DO NOS U3ITE BELOW THIS LINE -FOR CITY USE ONLY <br />Date Received ULe Zone <br />Plan Check Number <br />Valuation <br />Permit Fee 1 0g// <br />Plan Check Fee 4ZC, <br />Total Fee Due (�� <br />Date Issued <br />Fire zone -* : - <br />Occupancy Group z <br />Type of Construction 1� - <br />Occupant Load C <br />Sprinklers Required <br />