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CITY OF l:Vlil;lil"f <br />DEPARTMENT OF COi114UNITY DEV1iLOPMENT <br />BUILDING PER111T APPLICATION <br />DATE <br />ADDRESS OF CONSTUCT'ION WORT: <br />LEGAL DrSCRIPTION: LOT <br />UNPLATTED DESCRIPTION: <br />PFRII1T NO. 170 r-2 <br />VALUATION <br />PrIU•IIT FEE <br />R1ii IODEL k"bp! <br />BUILDING DESCRIPTION: M-1 s.DDITION or REPAIR <br />OCCUPANCY OR USE <br />REIGHTS IN STORIES <br />IS THIS A.CHANGE OF BUILDING OCCUPANCY: YES --/nNO <br />CONTRACTOR v�g-p:piITT nr-acINC OidNER g®Y1CZtL(X nn <br />MAILING $606 Evcrgrccn Nay HAILING <br />ADDRL+SS ADDRESS <br />PHONE NUMER PHONE NL".LiER L0YCJ <br />i'/ <br />CONTRACTol�s L2cr,. NJ1nD:P. �i - <; / - / T1 <br />NOTE: THE APPLICAi T SILILL PILL III ALL ABOVE BLAI :CS C0:- LETELY INCLUDING THE PLO"' PLAN <br />SKETCH ON REAR OF THIS SHEET. THE, APPLICIVJ IS Rl IO:iSIBLE FOP ALL INFO;'!I.ATION 1•IIICH <br />IS FURNISHED Oil TIUi APi'LICAT'ION. ANY CUAIXES IN TIT IiTORif.ATIOX, PLOT Pl,t:' OR BI ILDING <br />PLANS SHALL I;E SUEMITT;'.D TO T1Ui INSPECTION DIVISION FOR APPROVAL B'•OP.E PROCEEDING <br />WITH TIIE CONSTRUCTION 0ORK.. <br />APPROVAL: <br />1. PLANNING. DATE <br />2. rNGINEERTNG <br />TRAFFIC DIVISION <br />WATEII SERVICE <br />Sr111-M SERVICE — <br />PUILIC SERVICE SECT N Al <br />, <br />3. INSPECTION DEPART I• '111 <br />4. FIR': 14ARSITAL <br />NOT]-: ALL CONSTRUCTION WORK SHALL COMPLY 141'TII APPLICABLE CO1,XS, 11,OTiiS Oil ImAIIINCS, AND <br />INSPECTIOaS <br />