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, �, , • • AUILD7NG PBRt•1I'P APPLICA7`I01d • � / y i � , � • <br /> . . y�j. <br /> • nnnlicank To Com��] eL•c Thi.s 1 or.m s/��,�` • <br /> If m��:e than one buS.ldi.ny is� to bc con�tructcd, :ub�niL• a scp�r.�te per.mi.t• <br /> appli�•aL-ion for cach builcling. A �cp�irate �>cr.mi.t wi.11 bc i�:;ucd f'.or c�zch <br /> buzlc'.ing. ' <br /> Owner �r�rv Ir�TR�cK -j�RS�LNit'' IIu•ilclincJ ncldress �Z/,5 �ini,,c-,E'OR <br /> �_'U���;/ <br /> naar_��S 2?/> ��i�L�iF- �? Ll� _ Lot V— `� Rloc1: z__ <br /> City L��,.-R��7 Phonc �s.-3-�y�> Subdivisi.on (Plat) <br /> Arch�tecL-/lingincer <r�.-i ,t: e , - ,r-,,.� c_ <br /> City Phone Metes £. 13ound� (Unpl�,lted) , <br /> Contract-or �,tr.� Sec: Ttap• Rgc• <br /> RCT(IZ_'SS _ <br /> L'11:}' P�lO17C ' —, ' <br /> Statc Lice�sc: 1�'umber • —.-- <br /> Er.piration Date . <br /> ' IIui.ldi.ng Use � py2l1C-[= . <br /> � DescriUe l•7or1: to I3e Done t�.�a Fcc�iu��- <br /> C01�7'?,:'_':' PLG? Pi;.1; Oi�i P.E�'y!�SE SII13 <br /> FsyytP' 'nl I3���' O _ <br /> Number oi St•ories � _ <br /> hill.lsT M�rru'r��N , p 1vl.Lt..l I3asemeni: <br /> �� • � '�'r'� -�.-�vM ��� . , Neta_ Addition Repai.r./P.cmodel' <br /> ��P��(' �-- �� � Valuaeion of Con�t:�uction $ <br /> �V�,Lv�t�(� Gc�t.�. GQha� � � �. v n � <br /> Signed IIy J�%.: /. J7r�_. .L-. <br /> . �Z-'o v.i�,-u-� � � 3 `Iz. �'r, e�' ' <br /> . For <br /> �lt�E P l..l — • ' o�ener. Phone <br /> , ' � , ' �J .,3JZ.'�I7r,� . � ' •. . <br /> • Do 1'ot P;ritc 13clorr This Li.ne -Fw- Ci_t:y U,c On].y <br /> Datc !:eceived ��� (r . . , ' Use Sone 1: -_ I„���.� C. '�s�ln'�i." <<'.�s� <br /> � �_3 <br /> lTlan C;iec1: i�umber � �7Lv Z�7'� • rire 7.onc �.— <br /> e I <br /> Valu�:ion ��j�j�' � � � ' OCCl1p�111C}� •Group � <br /> Fcrr;it I'ce �l-Q. eU Type� of Coitat.r.ucCion �� - 1--1 __ � <br /> l�lan Cl�cck Fce /Z�' ��' OccuprinL Lond __ <br /> ' ``�� S �rinl;.icrs Recuir.cd <br /> 9`otal Fee Due <'�(v 1 7 <br /> I)ai:c Iscucd CITY OF f'_V[R�TT <br /> � , � . APPROVED FOR DUILGIiVG .FEi ivil I <br /> , • • �. . • . �• �ate • �/�-�.. /lc� !�Y—f�-- �-- <br />