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. , • IIUILDING Pf;l:MIT APPLICATION , y,� �-, ��� . <br /> • ApplicanL• To Completc 7'his 1 orm ' 3��9 ,�/,� <br /> If more than one building i,' to Ue con�tructed, submit a separ.ate jSeimit <br /> applical•ion for each building. A sep�rate permiL• wi.11 be SSJUCC� Lox each <br /> Uuilding,. <br /> Owner ��� ra /cl �+ ia f�, �,�; -��- '� Buildinq Adda-ess fJ;? 7 j�,e.�i�r�ic,z <br /> F,��.�c r! <br /> Address 1_5 �1 7.•r(�,c /l e• � s_ ;l r r� .. Lot �-� /�� ]31oc1: �l J <br /> City c�,�4'�4,-t.i— Phone .�a_s a - 3 1�-� Subd:.yision Plat ,'• . � � <br /> ( ) � � _� 7 -1- �',1; -,�: <br /> _-�– � <br /> Architect/En41IlCCY __ - - -.-----� — � ��P�� ��.�IItrrJ • �r'Hi�r�.�, .J r^',>�:,;, <br /> CityJ_--� Phone Metes & IIounds (Unplattc:d) <br /> Contraci-or �,�ti g (,�„!�{rz „�_%,�k-. Sec. T�vp. Rge. __ <br /> Address � �/�v �l �_ �. t�) - <br /> CitY ���,;,.J �,,:�w � Phone 7-'L-� ,� !2` f . <br /> State License Number .�..). � c,-� S�'� o <br /> Er.piration Date � <br /> • Building Usc ��'s7-.� • _ <br /> Describe h7or1: to Be Done <br /> ���/' C� /- ��',- c'.� <br /> C01•TL� PLOT PLA11 ON REV�RSE SID� ( <br /> Number of St:ories <br /> - . , <br /> , • � BasemenL• _ <br /> ' � " NeeJ Addition Repaxr./Remodel� <br /> . . • Valuation o Const�ucLion $ <br /> • . . � . � . • n� �!.,�...�' � [y. o d� �-��— � <br /> • . . • � Signed IIy ,���t ���t <br /> • . . r or '�'��w /�( ,/;>.,. 6 �_ f . <br /> � Owuer � Plio�ie ,' �1, 1���% <br /> _ Do T�ot Write Delo�v 'Phis Li.ne -P'or City Use Only ' <br /> Date Received ' ' ' ' ' ' "� � Use Sone ` , <br /> I$an Check Number ' • Firr. 2one <br /> Valuation _ ' • Occupancy •Group <br /> Perr,iit Fee • Type of Construction � " <br /> Plan Check I'ee ' Occupant Load <br /> Total T'ee Duc Sprin)cicrs Required <br /> Datc Issued � <br />