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CITY OF EVEICIiTT <br />DEPAII HENI' OF C:O:TMUNITY DEVF.I.OPM1,NT <br />BUILDING PI-M-1IT APPLICATION <br />PERMIT NO. <br />-3 ]� <br />VALUATION oo <br />PIiRMIT FEE /G <br />DATE a3 M a./ P? <br />ADDR.SS OF CONSTUCTION WORK J� <br />LEGAL DESCRIPTION: I.OT BLOCK ALI_ PLAT 'i' Vi F:s-' H/-° /C i/'7/S <br />UNPLATTED DESCRIPI•ION: <br />' / 1t1:L4VI1liL <br />BUILDING DESCRIPTION: VEM s.DDITION (/ or REPAIR. <br />OCCUP:INCY OR USIi t egg �iG % _ HEICHTS IN 'STORIES <br />IS THIS A CHANCE OF BUILDING OCCU1'ANCY <br />CONTPi.CTOIT /1 M <br />MAILING <br />ADDRESS <br />PHO:CE NUMEP. <br />CONTPJ.CYOR'S LTCI:i1SE NUI-MER <br />SIC0111TURE <br />YES NO <br />CUNER Cngk q CIFY»PY17S0 V <br />DLIILT.NG <br />ADDRESS a/40 � �i�LS/ J� LANs° <br />PHONE NUMBER 3 SL7 .Ll.S 6 0 <br />NOTE: TIV: AP)'LICA::T SULLI, PILL IN ALL ADOVE MANES CO:IVI,1.P LY II:CLl1DI:.0 TIT PLOT P,.._A.N <br />SI ETC1r ON RV.R OF THIS StUiT. 'I'IRs APPLICANT IS R' SP.ON,111U. 1'OR ALL Ii::'Oi,,1,, — ON ?'I'UM <br />IS FUMNYSUD ON THE C.PPLI:C!3l0Y. ANY CNAI ES IN Tii3 INF01:i?ATION, PLOT 1'1.e 1 OR I3,11ILDIF.0 <br />PIA'.iS IMALL L'13 .SUIMITTED To THE INSPEC110i1 DIVISION FOR APPROVAL BEFOM' PROCEL•'DI2111- <br />WIT11 Till' CONSTI:IJMON WORK. <br />APPROVI1L: n <br />1. PIAl11r.t]CG A`lf �2 � _' DATE L 3 % �- <br />2.. BNCINFERINC <br />TRAI IC DIVIS.10;1 _ <br />VATI lt. SI:::V1CI7 <br />SI•:WBI, S:;I:VICE _ <br />I'U )I,I:C SRRVICIi SRC."M1,11 <br />3. INSPECTION' DI:PIUMIENT <br />4. FIRE. I]ARSIIAL <br />5- Z3-7,11 <br />NOTE: ALL CO',STItUC:TION WL;1;1C SHALL CCI;;I'1•Y WITH APPLICADLl. CODES, NOTE.,;Oplr D1:A?rI1rCS, AND <br />INSI'I:C'I•1ONS, W�. /� �� <br />