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CITY OF ISVERE.TT <br />I)EPARTMEN'r OF COMMUNITY DEVELO NIENT <br />]IMI.DING PER1117.' APPLICATION <br />DATE <br />ADDRESS OF OF CONSTUCTION WORK <br />LEGAL DESCRIPTION: LOT <br />UNPLATT'ED DESCRIPTION: <br />PFR11IT NO. <br />VALUATION G . <br />PEIUIIT FEE <br />BLOCK PLAT�li'l,�n— <br />BUILDING DESCRIPTION: NEW ADDITION <br />OCCUPANCY OR USE <br />IS THIS A.CIIANCE OF BUILDINiG OCCUPAICY: <br />CONTRACTOR ) 'a iu 4U�p„ <br />MAIMING <br />ADDIUSSS <br />PHONE NUIBSER - _ % I� ' <br />CONTILSCTOR'S LICENSE N,IFIBER <br />HEIGHTS Ill STORIES <br />YES <br />REMODEL <br />6r REPAIR <br />NO <� <br />OWNER <br />HAILING _ ;1 <br />ADDRESS <br />PHONE NUMER 4 / �% �h�.7 Y <br />J- " X ( o <br />SIGNLTURE <br />NOTE: Tills APPLIC/ffiT SHALL FILL IN ALL ADO%T, DI4':; S CO}iPLETELY INCLUDIi;G THE, PLOT PIA.N <br />SK)sTCH ON REAR OF THIS SHEET. THE APPLICANT IS RESIONSTBLE FOR ALL I NF _VTION IMICH <br />IS FIL'NISHED Oil TILE APPLICATIU:1. ANY CIUINGES IN TiT INFOMI.ATION, PLOT PLAN OR BUILDING <br />PLANS SI61LL BE SUEMITTED TO ME INSPECTION DIVISION' FOR APPROVAL BEFORE PR ^EEDIN:, <br />WITHTill:CONSTRUCTION JOIU:. � <br />APPROVAL: / <br />1. PLANNING. DATE <br />2. ISNGINEERTNG <br />3. <br />TRAFFIC DIVISION <br />IlATER SERVICE <br />SEVER SERVICE <br />PUBLIC SERVICE SUCTION <br />DL'PART1,11-M <br />4. FIRE MARSHAL <br />_ ( - --/ -! <br />NOTE: ALL, CONSTRUCTION WORK SHALL COAPLY WITH APPLICABLE CODES, NOTES ON DRAWINGS, AND <br />INSP17CTIONS <br />a <br />