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CITY OP IEV0,E.17 <br />111E1'AWRIEI T OF CO!"NUNITY DEVELOT'IIENT <br />I;UII.U].12G PERMIT APP-L�ICATION <br />DATE ✓ / <br />ADDRESS OF C011STUCTION WORK <br />LEGAL DESCRIPTION: LOT ,1•0 1,3 BLOCK <br />UNPLATT'ED DIESCRIPTION: <br />MIMI! NO. Z a A � <br />VALUATION <br />PERMIT FEE � <br />I'MODEL <br />BUILDING DESCRIPTION: IIEW ADDITION of REPAIR X <br />OCCUPANCY OR USE ��/C HEIGHTS IN STORIES <br />IS THIS A CIIANCE OF BUILIM',G OCCUPANCY: '(ES NO <br />CONTRACTOR �t'ti OWNER <br />MAILII G � IMILING <br />ADDRESS �'2'-ilia ADDRESS _ <br />PHONE NU1•IIIP.R <br />CONTP'+CTOR'S LICENSE NUIBIER <br />PHONE NIMBER if 10 / //eA) (:C�, <br />SIGNATURE <br />NOTE: TIIE APPLICANT 6lU.LL PILL IN ALL ABOVE DI �il "S C0:•II'LETELY INCLUDING THE PLOT PLAT: <br />SKETCH ON RMR OF T11I3 SHEET. THE APPLICANT IS RESPONSIBLE FOR ALL INF0:11i+TION WIIICII <br />IS FURi•IISHED ON Till: A PLICATION. ANY CHANCES IN TIi!E INFORI•:ATIO: , PLOT PIr : OR EUII.DIVG <br />PLANS SHALL BE SUEi1ITiED TO THE INSPECTIO:: DIVISION FOR APPROVAL BEFORE PROCEEDING <br />WITH THE CONSTRUCTION WORT:. <br />APPROVAL: <br />1. PLANNING <br />2. ENGINEERING <br />TRAFFIC DIVISION <br />WATER SERVICE <br />SL'tIER SERVICE <br />PUBLIC SERVICE SECTION <br />3. INSPECTION DEPARTMENT <br />4. FIRE MARSHAL <br />DATE <br />NOTE: ALL CONSTRUCTION WORK SHALL COMPLY WITH APPLICABLE CODES, NOTES ON llRA1dINCS, AND <br />INSPECTIONS <br />