Laserfiche WebLink
N <br />CI'�Y OF EVL;RIi;`I'I' <br />Dli]?AR'P[•SLNT OP COhID1UNI7')' DP•.V�LOPP113NT <br />9UILUING PERi4IT APPLICA'PION <br />DFiTP•. �,/f��� J( �/ �/ <br />ADDRESS OF CONSTRUCTION F70RK ,�j,�iD�� L.��/ <br />L�GAL DESCRIP'PION: LOT �y� __ BLOCK <br />UNPLATT�D DESCRIPTION <br />IIUZLDING DESCRIPTION: N�W _ ADDITION <br /># OP UNITS OCCUPI�NCY OR USE <br />PL12T1TT N0. 02 � <br />z� <br />VAI,UI�TION ,� �<' <br />PERh1IT L'LE �, c�c <br />�_ <br />PLAT �!/,yl('�lGI� �v /(lj�+� <br />R�MODEL \ ` <br />OR RL•'Pl1IR )� <br />STORIES <br />IS TISIS A CIil1NGE OI' IIUILll2NG OCCUPANCY: YES NO _� <br />CONTRACTOR 0{9NER ���C'(.[' SDr�/1 S �YL <br />MAILING MI�ILING <br />ADDRESS ADllRESS .S !} �N �- <br />P[30NE NUMIIER PIiONE NUMBER 2 S P- I S � J <br />CONTRACTOR'S <br />SIGNATURE I ���11 ) L!F '!'/ie1 f�l �-- -- <br />� ` <br />N07'E: THE APPTICANT SI11LL EZLL IN ALL ABOVE BLnNICS COb1PL�TELY 1'NCLUDII�G <br />THE PLOT PLnN SICETCI3 ON P.EAR OI' THIS SI�EPT. TIIE I,PPLICANT IS RESPONSII3LE <br />I'OR ALL INFOPr�'PION WIIICII IS P'UP.NISIIEll ON T3iE APPLICATION. ANY CH�NGI.iS <br />IN 'PiIE INI'OP.P1ATlON, PLOT PLAN OR IIUILDING PL�1NS SI3ALL IIE SUBr1ITT � TO 'PIIP•. <br />INSPECTION DIVISION I'OR I�PPROVAL 13EI'ORE PROC��DING WITi1 TIiE C(�tS RUC'PION <br />WORIC . /% <br />AP PROVI�L : <br />1. PLANNING <br />2. liNGINEERING <br />TRAI'FIC DIVISION <br />�4ATER SCRVICE <br />S�WliR SPRVICE <br />PUIILIC SERVICE SECTION <br />3. INSPECTION DEPARTMPNT <br />4. rIR� MI�?tSHnL <br />DI�TP <br />NO�rr: nr�L CONS7'RUCTIOId WORK S11nLL COMPI,)' [�'ITII I+PPL7:CAi3LB COD13S, NOT1,S <br />OIJ 1)Rll4INGS, i+'.�U INSPI?C'iIONS <br />n <br />