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, - . � , . <br /> , ;^ , J �.. • <br /> • I3UILDING PERMIT nPPI�ICATION • . �,�./ <br /> � . � pP$licant To Comp7.eto This. lorm �,�.y.;, : . <br /> If moze than onc building i,� to be constructed, submit a separ.ite Per.mi.t <br /> appli�ation for cach building. A scparate pc�:mi'c wi.l.l be is_ucd for. cach ' <br /> buil�ing. . _ <br /> Owner � . , Building Address <br /> LoL- ' I31oc1: _ <br /> Address <br /> Subdivision (Plat) � ' <br /> City �_ Phone �� ' ' � ------- <br /> ,,� _ :, � � ; � . � ' <br /> Architcct/�ngineer <br /> City _ Phone _ Metes h Bounds (Unplattccl) <br /> Cor�t_�ctor S I <br /> Sec. T�ap. _ Rge. <br /> Aaar��s �a� �: � > — <br /> City �'^:i� ��:r. Phone . . . _ � . <br /> State License Yiumher . ' <br /> Er.pir-_tion Date <br /> - . • � Building Usc � „ ' -' <br /> � • Describe t7or}: to Be Done t <br /> . .' �� <br /> COIF..::= PLOT PLAit Oti R:�?iSE SID� � <br /> Number of Stories <br /> � � . Basement <br /> � • �• ldew � Additiwi � Repai.r./Rer,todel� <br /> 'Valuativn of Const=uctior� $ <br /> � � Signed IIy ' � <br /> " ' . . • • ' . Foi " r _ r <br /> ' Owner • Pltone .' � <br /> . • Do hot t•Irit-e Below This Linc -ror Cii:y Use Only <br /> • • � • " Use Sone ' ' <br /> �Dd{:C 3�`.'.CC1Vcd ' . <br /> I�]anCiccl: NumUer <br /> • . Firr. 2one <br /> Valuation ' • Occupancy •Grou�: . <br /> perrcit Fee • Typc of Consi:r.uci�ion �_ <br /> Plan Check Fce ' � Occupant Load <br /> � Sp.rinklers Required _,__— <br /> Total T'ec lluc <br /> Datc Is�ued . ' <br /> - ' . . . ; • <br /> , . . , <br /> � <br />