Laserfiche WebLink
CI1Y OF Ll'lil:lil"1' <br />DlilAWHICN1 OF CO:.'1ECII'1'Y DEVRL01'MUT <br />11U1-I.ULCG PENURT AL'1'LICA'flON <br />DATIi A Ld 11_ 1_ <br />ADDRESS OF CONSTUCTIOU WORK } 7- <br />C <br />I'MIT NO, <br />VAI.UATIO:! ��_ of _ <br />P1.1011T F1iL' ��, O10 -- <br />M"CAL DESCRIPTION: LOT t 7 BLOCK _��� 1'I_hT� (C'r Z 0/JCY Cv S rG� <br />UNPLATI'%D DiiSCGIl'TIGN: .�. • <br />A� <br />BUILDING DESCRIPTION;: N,E14 n <br />L/ D1I'1'1;•': ni RL'PA Pp <br />OCCUPANCY OR USL IN STORIL'S <br />IS Tin A CHANGE OF L'UILDIN,:G OCCUPAI:CY: YES IV <br />CONTIJX'L'Oi2 OWNER <br />DLAlI.II:G IMILING <br />AllDP.LSS _ _ AllDi2LSS r <br />PIlOaE PUi"riLF. PHONE NUMM.;R <br />CONTI6iC'TOR'S LICENSE F1*111EP. <br />SIGNATURE, <br />NOTE: THE APPLICANT S:T1.LL FILL Ili ALL A&T' BT—?LM(S CO2LETELY INCLUDING THE PLOT <br />S1: n't', 0-! Rii11R Oe' TUIS S11rnT. • THE APPLM"'T IS msio1SIBLL POR ALL INFO';U-',I'IO:: V! ICH <br />IS FURNISHED ON Til AP''LIC:MON. ANY C11;.::GES II: TEi I; FO: _?TiO::, PLOT PE.t,a OR EL' 1,I)ING <br />PLANS SHALL IIE SUB:;ITf';P TO THE INSPECTION DIVISIO';: FOR APPROVAL Blii•ORL .,OCLEDINC <br />WITH THE COASTRUCTION WORK. <br />APPROVAL: <br />1. PLANNING. <br />2. ENGINEERING <br />TRAFFIC DIVISION <br />WATER S"RVIC <br />SEIHiR SERVICE.: <br />PUBLIC SJMVICE SLCT10:4 <br />3. INSPECTION Dl IAPT -IMN'T �, � /9% <br />G. FIRE MRSUAL — <br />DATE <br />/ , r <br />NOTE: ALL CONSTRUCTIO:1 I!(1FJ: SUALL COMPLY WIT11 APPLICADLB CODIiS, NOTES ON DRAIIINGS, AND <br />INSPIiC'fl N3 <br />