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CITY 011 L•VEIIIET'r <br />DEPARTMENT 01� CO;:NIINIT'Y DEVELOPI.11- T <br />BUI1.IlII;G PI-MI•lIT APPLICATION <br />DATE ge,",uo. J % / 7 A, <br />ADDRI'SS OF CONSTUCTION WORK <br />LEGAL DESCRIPTION: LOT BLOCK <br />UNPI.ATTED DESCRIPTION: <br />BUILDING DESCRIPTION: NIll d.DDITION <br />PERMIT NO. !y70 <br />VALUATION 00 <br />PE'1GIIT FEE <br />PLAT <br />OCCUPANCY OR US)` IIEIGhTS IN STORIES <br />IS THIS A CHANGE OF BUILDING OCCUPANCY: <br />CONTP'.CTOR'� <br />i•fAIlaiw' ,i'Y <br />ADDI:L'SS ell <br />PHO::C•. NUMBER <br />CONTRACTOR'S LICENSE NUMi3ER <br />SIGNATURE <br />YES <br />OWNER `3 <br />REMODEL y p <br />or REPAIP,�iLl/' <br />mil <br />ADDRESS <br />PHONE libo iR <br />NOTE: THE APPLICAI:T"SiIALL FILL IN ,T,T. ADOCE rIAl,^.LS COMPLETELY IITCLL'DI:'G THE PLOT PLIM' <br />SI%ETCl1 ON RELR 01' THIS GfIZET. THE Ai'i'L'f.CANT IS 1' SPO?;:;IL'L:; 1'0: ALL I?:a'O;C6ATI0;7 WHICH <br />t I: S'F ' .„'T''C:TION. AETY C11AITGI-M IN TM IiT:OKIIATIOH PLOT 1'T.e : OR BUILDINC <br />IS 1'tREI l..:D 0?i 11.1 i.t...,. L <br />PLANS SH?.LL L'l: SUIMIT TED TO TIIE INSPECTION DIVISION FOR APPROVAL BP''01'.i: PROCEL•'DING <br />WITH THE CONSThUCTION 1T01'1:. <br />APPROVAL: <br />1. PIANNING, _ DATE <br />2.. IiNGII•Us]iRING <br />TRAFFIC DIVIS10:1 <br />l:kflal. SM"Vi:CE ^— <br />S111,11ER S,^.EVICT <br />PUBLIC SERVICE; SP.CTION <br />3. INSPECTION Dl:PARTI;ENT <br />4. PIIII{ IIARSIIA7, <br />NOTE: ALL CORN'TRUi,`TION id0111C SHALT. COIH'EY WITH APPLICABLE COD1:S, NOTES ON DI:AWINCS, AND <br />INSl'CC'TIONS <br />