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CIT1' OF I`.Vli1:1 I'T <br />b1:1',11: 'HENT 01' CO:UNIIITY DIMMO1'P-d-M <br />BUILDING PER111T: APPLICATION <br />BAT 2 7 7 <br />ADDRESS OF CONSTUCTION WORK 6 <br />1. <br />PERMIT NO. <br />VALUATION /500 <br />PrIU•IIT FEE 6f, `-- <br />V . <br />LEGAL DESCRIPTION: LOT _ k BLOCK 6 / q PLAT <br />UNPLATT'EB DESCRIPTION: <br />/ REMODEL G/ <br />BUILDING DESCAIPTim aw !ADDITION or REPAIR <br />OCCIIPANrY OR USE �*% ld-- t e HEIGHTS IN STORIES .5 <br />IS THIS A Clllior OP pUILUI2: OCCIPANCY: YES-- NO <br />I`/y cc�i <br />CONTRACTOR <br />MAILING _ Qo/ 7 HAILING <br />ADDRESS _-- -_ - 5 E ADDRESS 7-0Ze <br />PHO::E A'iJiBSER <br />CONT'PACTOR' <br />SIGNATURE <br />PHONE •NII:•IIIER �X.3 �- - 0-63 7 <br />NOTE: THE APPLICA:1T SHALL FILL IN ALL MOVE BIJIlMIS .CO:••9LFTELY INCLUDING TIM PLOT M%111 <br />SKETCH ON REAP. OI' ulffs SHEET. ' T11F, APPLICIM IS IU:SPO:ZSIBIW' POP. ALL P7.O-2.i �PI0:1 KAKI, <br />IS PURVISHED ON Tlir A?PLICATIW*1, A?IY CL'3:ICES IN TIY3 INTO?-1SA�.ION, PLOT PI.t-: OR EUII,DI:�C <br />PLANS SHALL BE SUK1177ZED TO THE INSPECTION? DIVISION FO?. APPROVAL BEFORE PROCEEDING <br />WITH Till" CONSTRUCTION WORK.. <br />APPROVAL: <br />1. PIAtININC. DATE <br />2. ENGINEERING <br />TRAFFIC DIVISION <br />WATER SI:ItVICE <br />SL'IILP SI:I:VICE <br />PUBLIC SERVICE SECTION <br />3. INSPECTION DEPARTMENT <br />4. FIRE MARSHAL <br />NOTE: ALL CONSTRUCTION Nora: SHALL C0:11'I,Y WITH APPLICAI:LF CODES, NOTES ON DRAWINGS, AND <br />