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CITY OF IMI;ETT <br />DIIPAi IMENT OF C0:"!UNITY DEVELOPMENT <br />BUILDING 1'l:Rlll'r APPLICATION <br />• DATE Zr_l �Z3 <br />ADDRESS OF CO:I�IOII WOM, �Q <br />LEGAL DESCRIPTION: LOT <br />UNPIATI'BD DESCRIPTION: <br />rERMI'r No. 9-2 <br />VALUATION � <br />PERMIT FIX <br />cr -Flo 1,1I,0c1C o2 PI AT <br />BUILDING DESCRIPTION: NEW ADDITION <br />OCCUPANCY OR USE I��� �(/7�2� UEIGNTS I14 STORIES <br />IS THIS A CHANCE OF BUILDING OCCUPANCY: YES <br />CONTRACTOR <br />IMMIX <br />ADDRESS _ <br />PHO::E I:JI•BER <br />CONir;CTOR'S LICENSE NUFBlER <br />SIGNATURE <br />of REPAIR <br />NO <br />OWNER __iG4L <br />ADDRESS AS e <br />UllRIiSS <br />R5 <br />PHONE NIMBER <br />NOTE: TIIE APPLICANT SHALL FILL IN ALL ABOVE MAI,IS CO231LETELY INCLUDING Tllli PLO:' PIAN <br />SKETCH ON REAR OF THIS SHEET. - THE APPLIC!u-T IS RESI'MSIBLE I70' ALL INFO21LiTION WHICH <br />IS FURNISHED ON THE APPLICATIOil, ANY CIIA:XES IN Tlj; INFOR,=1ION, PLOT PLAIT OR BUILDI-NG <br />PLANS S'lj'JL BE SULMITPED TO THE INSPECTION DIVISION FOR APPROVAL BEFORE PROCEEDING <br />WITH TIIE CONSTRUCTION WORK. <br />APPROVAL: <br />1. PANNING. <br />2. ENGINEERING <br />TRAFFIC DIVISION <br />WATER SERVICE <br />SEWER SERVICE <br />PUBLIC Sl'rVICE SECT OId <br />3. INSPECTION DEXARTMF.NT e ti <br />4. FIRE MARSHAL <br />DATE <br />NOTE: ALL CONSTRUCTION WOR!, SHALL COMPLY WITH APPLICADLE CODES, NOTES Oil DRAVINGS, AND <br />INSPECTION'S <br />