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CITY OF L•'VI:I(IiT•r PERMIT NO. / <br />DEPAR'1'NEN1' OF CO:i?IU,'%IITY DMIELOPMLNT S'.25��>� <br />BUILDING PIMMIT APPLICATION VALUA'C70N / Z vOo"r <br />1 VEIRMIT PEE S b o= <br />DATE -�' I -/ - 7z, <br />ADDRESS MY CONSTUCTION WORK <br />16L41-1 E�) <br />LEGAL DESCRIPTION: LOT-, 1%-'2- BLOCIC�?,cX ��54 <br />UNPLA'1TED DESCRIPTION: <br />pi11T� r��s�— %7,,c) 14 <br />REMODLL <br />BUILDING DESCRIPTION: NEW 4DDITION or REPAIR <br />OCCUPANCY OR USE c <br />HEICHTS IN STORIES <br />IS THIS A CHANGE OF BUILDING <br />/OCCUPANCY': YES <br />CONTRACTol( <br />run.Il;G A 1ILIIIG <br />It D D R j,'SS S J�/� /�/ .5 z 1 --1`7 ADDRESS <br />PHO <E NUMER G/ oC 577710 <br />CON'1'R &CTOR'S LICSiiSE NUNGEP. <br />SICMURE <br />Pllo?:r NUMBER <br />NO <br />NOTE: THE APPLICr`:.1:T MILLL FILL IN ALT, AliO�L' BIAl" ', COai'T..liT:iLY rL'CLt.;llI;:G T]iE PLOT I'I,�N <br />SRE7'Cl1 Oil RE1.R OF THIS SfMiT. THE AI'PLY.CA1:7.' IS l:;i 7?Oa:iIDLI: I'0 ALL li;:'Oi(?T;iTIO;i WHIM <br />IS F11i:i;1.S ]D:D ON THE, A.PPLICI.TION. ls•'Y CU?.1:GrS IN TUB IM,01:7I1TION, TI.O'i OR 1I11I1,I)II:G <br />PI.A??S S71ALI, L'r S12*11TTED TO T1113 INSY1iCTIG;'1 DIVISION FOP AT'T'ROVAL DEF011I: PROCEEDING <br />WITH TIM CONST UMON WORK. <br />APPP.U:`,LL: <br />1. PLANNINGDATL' Z 7y <br />2.. <br />ENGINSERII:C <br />TIJ&i7C DIVI IM <br />I;/iLlai. SI:IIVIC-H <br />SEULl', Srl(VICr <br />PUMAC "I+RVICI: SECTION <br />3. INSPECTION DEPAIMEI;T <br />4. FiTtE DV.LSl1AL <br />NOTE: ALL COaGI'G110TI011 W01:1: S11111T. CO:U'TY ldl9'II APPLICABLE WOES', I:0'!'ES OW Dl;la:L11CS AND <br />INSPECTION", <br />