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( <br /> FOR OFFICE USE ONLY <br /> PERMIT VUMBER SUB-PERMITS _ _ - <br /> SITE ADORESS ' <br /> i <br /> I <br /> i <br /> � <br /> 20NIN(3 � <br /> � <br /> LOTAR[A FRONTSEII3ACK REARSEIiiACK I SI�ESE7AACK � VAGINTSITE I USETONC HEIGHTLIMITA710N � <br /> YES NO <br /> NOAFDVvELLING A�P}20VEDBY DATE COldMENTs n � ! <br /> i <br /> UNITS i <br /> I <br /> � <br /> I <br /> i <br /> BUILOING <br /> ;'��;o�- ��2��.,i��Al � <br /> BLDGlT.1.S¢E GAftAGE 512E NO.OF OCCUPANCY OCCUPANT BASEMtNT TYF'E OF CONSTRUGTXIN ' <br /> STORIES GROUP � LOAD YES NO .T� , I <br /> �;� � � r �;�,�,�:� 2�'_ ,�; .33 L-t:• , <br /> _ ; <br /> NEWFIRESPRINKLER REASON NEYVFIRC-AIARM REASON i I <br /> REQ'D <br /> REQ'D , F�. ' ;<� ' /:Y� i�)�7 �� i <br /> - � . <br /> APPROVEDBY � ��TE COMlAENTS � <br /> O .5 � <br /> -%:: ,'- ; <br /> � <br /> � ' `>'(7.� �l 8r` ` <br /> VALUATIOM� ' PLAN CHECK FEE � <br /> FEES � <br /> i <br /> BUILDING WATER � <br /> � <br /> S�RCfIARGE SEWER �'� � � U I <br /> 1 I <br /> �/ t7 ��' [�� /i` <br /> ADD PLAN CIiK SYS.DEV. <br /> PLUIdBING TR4FFlC MR. j <br /> i <br /> h1FCHANICAL 07H[R I <br /> SPIiINKLF <br /> PUOLICYV�FKR . <br /> TOTAL TOTAL <br /> � <br />