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�i <br />r- <br />CITY OF EVEI11:17 <br />01- (:0:.?II)t,'ITY Dla'Ia.OPlllii!'L'. <br />CONSTRUCTION PERMIT.APPLICATION <br />D&TE I n 114 /-I'? <br />PE1tMTT NO. ,!• W <br />DATE ISSUED <br />"IAjvrfON S� fl-- <br />PERMIT FEE J <br />ADOW.'" OF CO11STUCfIGN WORK <br />LEGAL DESCRIPTION: LOT �_ BLOCK _ft7 'PLAT <br />UNPLATTI:D DESC!1111I0:1: ��I ✓t u r(� <br />BUILDING DESGPIrTION: NEW .ADDITION <br />OCCUP.%I%CY OR USE !�(�12Si u G JAI 9 H HrICl TS IN STORIES <br />IS THIS A CALWO_E Or BUILDII,'C, OCCl7PaNC1 t <br />CONTI.:CJ'01' <br />MAII,liiG <br />Pi1(,:;E RU1•151M off- !ii <br />CONTRA&CTOR'S LTrC :l B NUII?,1'sl( <br />REMODEL . <br />or REPAIR jj I'cu009,e <br />YES NO X <br />01-IN T. YI li�fJ r C 2n1cT Izyit 1!� n rF lam` <br />T41I7,I2!G • ' <br />PHONE I•:L4i)Aill _ <br />NOTE:. i!i 'APULIC .1'T u'.1.77, TILL IN i+7.r, t,^MT It7:-':);::5 CO?'PLI .i'1;: IT:CLUDI:2C THE PLOT PLAN <br />S:i.7'C!i 0!! RI?. C!.' i?i7S Ci'-.Sir:'t, I'ilii AuL'f.C!_:T IS . •. '0:':SIIiI'i I'0'.1 ALL Ii::'O;SS!TIO:d S?1! % <br />ISD 0'•i TIN.' i•P'.'I'i (:.!. '70;{ /cD' C?i',iiCl' � IN, 'fi: Z :SO!:: i' 7I:)::, PLOT <br />P1 Lt 011 BIiII,i:T+: <br />PIF 'Sl 1;:1:").L BY.; '1'O Ii:E IESPECTMI! DIVII;10t: FO'.t APP70"L,+L IlLM'ti MOMEDIYG <br />WI'fll TAH, CONS11,113 .C10:•: t!OP.•.:. <br />APPLICATION RECEIVED BY <br />APPY.O`' -L: <br />1. PIAl:iul:G __ <br />2. ENGJ NEERTNIC <br />TRAvilIC DIVISION <br />l:/ifJ'11.51:1'.'ti'1:Cli V• <br />3. .INSPECTION ll?::'Al ITEM: <br />I <br />4. 1+71:1: I1h1:.^.! 'tT, <br />DATE <br />NU'J'Is: AT,7. CfGja'1'i;IICCI01i Wo.1% SHALL C0:8rLY I:ITII APPLICABLIifY.PIiS, NO'1'IYi ON DIA4!IP!CS, AND <br />1NF1'I:CJ'IONS <br />