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� , ' IlUILDING PP;RMIT APPLICATION • >.r"- �:�� . ' . <br /> • Ap�ilicanL• To CompJ.etc 'Rhi.s. Porm ' . ���;,!->�; 1�� <br /> ; Tf moze than one building i,� to be constructed , submi{: a separ.at�, per.mi.t <br /> application for each building. A scparate ��e�:mit �•�i.l.l. be :i.s:uc�d for ea�h � <br /> building. <br /> Oo-mcr i.:'� i) � /.-, IIuilding 1lddress ���,���� ; �r� tii ; r- <br /> Address / ��S`U 7 �.' -' j��' � Lot , �� �.- �s � � T31oc1: � <br /> -- � � <br /> City �1�- "�'v� - ' Phaie ' ';:�� Subdiyisio�i (Plat) "'/�: i• - <br /> G- <br /> Architcct/�ngineer , . , � .-� � � � / ; r_ <br /> City Phone Metes h IIounds (llnplcitCecl) <br /> Contr�ctor C Cc• : - . : �'�. . Sec. T�ap, Rge, ' <br /> Addre•;s � ••, , <br /> City �" �.�,r..: c ) � Phone �>;:�: <br /> State License humber , 7,�`, �/ �� ',� � <br /> Er.piration Date L / •: �7/ ?' <br /> � Building Use r ;� � J ,_,,, ,- <br /> Descr.ibe P;or1; to IIe Done <br /> C07•�?,'=^ PI,OT PL/;i1 Oti R�VEI'iSE SID.^�, r_ � ` /1 u`/_:r _ <br /> Number of Stories � <br /> . • • Basement• „ <br /> � • ' " �'ldeta% Additiw� P.epair./Rcr,�ode1' <br /> • � Valuation of Construckion $��:i:, '� <br /> ' , . • . Signed IIy � I.,, <br /> • For <br /> , , Owner � Plione <br /> • Do t.ot i•;ritc 13el.o�a Tiii� Linc -I'or Cit-y Use Only <br /> Datc Reccived ,3 y 2 ' ' ' ' . - Use Sone �,�� -��,y�.Lp,,v <br /> I'lan C�ecl: Number G./Q'L' � . Firc zone �`--3 <br /> l�alu�tion �`Z.�m. �� ' • _ Occupancy •Group <br /> Pemit ree �Z• 6'v Ty��c of Con�i:ruction ' <br /> Plan ^',•-.ck rce ¢(o, �a Occupant Load <br /> Total Fec lluc /�c� •°t� �'��� <br /> cu��2� Sprinlcicrs Requircd <br /> DdLC IJJUCC�{ . <br /> i <br />