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CITY ON IiV IZEIT'1' PERMIT NO. <br />DEPAI:9MEWY' OF CO:$•RINITY DEVE1'N L0ENT <br />BUILDING PERMIT APPLICNrION VALUATION <br />' - PIi1sIIT FIiE Y— <br />DATIi <br />ADDRESS OF C014STUCTION WORK %� ✓ �l �{,� �� {dCrr/' c <br />LEGAL DESCRIPTION: LOT BLOCK PLAT <br />UNPLATTED DESCRIPTION: <br />MHODLI, <br />BUILDING DESCRIPTION: NM ADDITION or REPAIR X <br />OCCUPANCY OR USES�f� �..•.lC� ,,'.�� <br />v <br />IS THIS A CHANGE OP BUILDING OCCUPANCY: <br />CONTRACTOR <br />MAILING <br />ADDRESS <br />HEIGHTS IN STORIES <br />ES z NO <br />X oMNER <br />�� E <br />IIAILIDG LL// <br />ADDR Ec S Z.11- '/ <br />/,. <br />PHONE t.^JI•➢iGR <br />PHONE <br />NUP BER _ z 2 .� / •; G <br />CONTRACTOR'S LICE•%mum NUi.➢1EP. <br />_ <br />r <br />^ <br />SIGNATURE/r� iC <br />r �• . <br />NOTE: THE APPLICAIM SHALL PILL <br />IN ALL ABOVE BL&lZKS CON,JPMTELY INCLUDING THE PLOT PLAN <br />SKETCH 0'.1 REAP. OP ','HIS MEET. TILE APPLIQVNT IS <br />RESPOaSIBLE POP ALL INFO•r`iL'LTION W11ICH <br />IS IiURNIS11131) ON TIL'i APPLICATION. <br />ANY CHANGES 11 <br />THE INFMMTION, PLOT PLAN OR 11:'TLllIA'G <br />PLANS SHALL BE SUMITTED TO THE <br />INSPECTION DIVI£lJIi <br />FOR APPROVAL BEFORE PROCEEDING <br />WITH THE CONSTRUCf(ON WORK. <br />APPROVAL: <br />1. PLANNING. <br />DATE <br />2. ENGINEERING <br />TRAFFIC DIVISION <br />_ <br />WATER SERVICE <br />—_- <br />SENP:I: SERVICE <br />_— <br />_ <br />PUBLIC SI:RVICE SL•'CTI N <br />3. INSPECTION DEPARI'P➢iNT <br />4. FIRE MARSHAL <br />NOTE: ALL CONSTRUCTION WORK SHALL COMPLY WITH APPLICABLE CODES, NOTES 01' DRAWINGS, AND <br />INSP17CTIONS <br />r <br />