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a""- s �'{�., " <br />1 � I <br />'�,. <br />v <br />CI'i'1 0;• P.VERETT P�RDSI`l' N0. <br />DP•,PAI?7;�1?;:•:T OF COASi9L1;�IT] DiiVELOPMBNT <br />LUILDI.:G PEIuIIT rIPPLICi.TIO:Q VALUATION , ,� <br />PE1tMIT Fl•:� 3�.cE <br />DI�TE _ 9��7 � <br />i � <br />ADDRESS OF CONSTRUCTION Y70RK ,1 5.2 ;' ;)� H d, s c. n� i- c�� n�- i t 4J ��' <br />LfiGAL DESCRIPTION: LO'P <br />UNPLATTED DESCRIPTION <br />BLOCK <br />PLAT <br />BUILDING DESCRIYTICN: NE�9 ADT�ITION REIdODEL <br />OR REPAIR x _ <br />ir'OP UNITS � OCCUPP.\CY OR USE r1._r STORIES ; <br />IS TfiIS A CHAI�GE OF BUILDING nCCUPANCY: Y�S NO }( <br />CONTRI�CTOR I)1r�. �'.:.r.+,: ai. C'_�. in"c_. OSvNER �i L) �� <br />IQAILItiG ASIIILING <br />ADDRESS .�391'1 �� I"� F\�tr `.i:. ADDR"SS �..i�1:�r�) f��.�i _;�,�_,u.::;nu S7 <br />Wn,>..lix�u�\\c-• k>�Si�� 9.S('�?)_ :: nlllr rx�,a� ��1���, <br />PHONE NUbIBER �J�'J' - ,j 4,i, ;"- <br />CONTRACTOR'S LICENSE NUIdBER <br />PHONE NUDSBER �2 - jy,� ;i._ <br />". r>�, . . _ (t -r:.�— <br />NOT�<�T� APPLICANT SRALL FILL IPd ALL ABOV� IILISNFCS COI•iPLE9'ELY INCLUDING <br />TIiB PLOT ?L:-.id Si:rT��l O?i R�Aic OF THIS SFiELT. TIIP•, APPLICA"7T IS RESPONSIBLE <br />FOR ALL I?1F0!:.+",TIO�� S':iIICH IS FUP.idISHED ON THE APPLICATION. ANY CIiANGES <br />IN THE INFOR2•fATIG*:, PLOT PLAI4 OR BUILDING PLANS SHnLL BE SUIIMITTED TO THE <br />IidSPECTION DIVISI0:1 FOR APPROVF�L BEFOi E PROCEEDIC:G I'7ITH TfIG CONSTRUCTIOPI <br />WORK. � <br />APPP.OV�L: �� �. <br />1. PLANNING <br />2. ENGTIIEEP.ING <br />TRF�rFIC DIVISIOI4 <br />�•IATliP. S�RVICE <br />SE4:ER SERVICE <br />PUBLIC SERVICB SECTION <br />?. INSPECTION D�PARTh1EPIT <br />4. FIRB t•i?�RSIII�L <br />DATE <br />NOTL: ALL CONSTRUC''i'IO:d IiQR?: SIIALL CO:iPLY S•7I'PII I�PPLICABLL•: CODES, i�107'I:5 <br />or� i>iu�taztacs, nrro ir:srrc�rio:as <br />, �.---- <br />, a� � __. <br />"� < : , k�' Y fr ; <br />,� <br />, � :i r�.�g�� z, s; <br />`-r.>Y1':a ,ka.�"' . <br />niyp ;f; 3tx t <br />��:_ ��e � . �. � . . . <br />� .. ..'�� �.FT. �{` . . <br />m <br />0 <br />