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k <br />.CITY OF EVERI:TT <br />DEPARTMENT OF C0'.•1UNITY DEVE.LOPMgNT <br />In ILDI1lG PERMIT APPLICATION <br />J DATE 3 0 <br />ADDRESS OF CONSTUCTION WORK <br />PEPMIT 110. <br />V VALM [Oil s s� <br />PERMIT PEE <br />Z �Q7/W`ELL—�,/'�/ZIMFR <br />LEGAL DESCRIPTION: LOT BLOCK PLAT <br />UNPLATTED DESCRIPTION: /%/ s- <br />REMODEL <br />BUILDING DESCRIPTION: NEW ADDITION dr REPAIR <br />OCCUPANCY OR USE HEIGHTS III STORIES 2 �+ <br />IS THIS A CHANGE OF BUILDING OCCUPANCY: YES- NO <br />CONTRACTOR i OINER G�cP�av u�v <br />MAILING MAILING 0 <br />ADDRESS ADDRESS 21 'le 4v 6,d <br />PHONE NUMBER -_ - ---- PHONE NIDU:M ��,j 3 ' 73b'rl <br />CONTRACTOR'S LICENSE NUMIER <br />G' <br />SIGNATURE _ !1C�f�///�ut <br />NOTE: THE APPLICAi;T SHALL F'LL IN ALL ABOUT: MAN= CO:TLrTELY INCLUDING THE PLOT PIAN <br />SKETCI: Oil R!iAR OF THIS SHEET. THE APPLICAINT IS TU35I'JNSIBLE FOR ALL INFO:is•'iCION Til1ICH <br />IS FURNISHED Oil THE APPLICATIOV. ANY CHANCES IN Tlii• INFORMATION, PLOT Pl,ti' OR BUILDING <br />PLANS SHALL BE SUEMI M TO •:HE INSPECTION DIVISION !'OR APPROVAL BEFORE l%OCEEDII•.G <br />WITH THE CONSTRUCTION WORK. G�. <br />APPROVAL: o <br />I. PLANNING. DATE <br />2. ENGINEERING <br />TRAFFIC DIVISION <br />i WATER SERVICE — <br />SEVER SERVICE <br />PUBLIC SERVICE SECTION <br />3. INSPECTION DEPARTMENT-- <br />4. FIRE MARSHAL <br />NOTE: ALL CONSTRUCTION WOPJC SHALL COMPLY WITH APPLICABLE CODES, MOTES ON DRAWINGS, AND <br />INSPECTIONS <br />H <br />