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CI'l7' OF EVIERET'T <br />DRPARTrniN'T 017 COIaNUNITY DIEVIET.OPIBENT <br />BUILDING PEPsIIT APPLICATION <br />DATE <br />PERMIT NO. 4/0 3 <br />�z <br />VAil1ATI0N 0,7 9 -3 Y./ <br />P1iRMIT PEE -Z6, <br />ADDRESS OF CONSTUCTION WORK -.5-6C) I 'y NI) L L <br />LEGAL DESCRIPTION: LOT a'J+,-V N BLOCK _ PLAT .S /7/1`S Ir'f-ly-WlI 041 <br />TO 7-v4z"A) OF LGC✓,EC_L <br />UNPLATTED DESCRIPTION: <br />BUILDING DESCRIPTION: Nr.W-DDITION <br />OCCUPANCY OR USE Fs'1 Pc N0 F_ WEIGHTS IN STORIES <br />IS THIS A CHANGE OF BUILDING OCCUPANCY: YES <br />REMODEL <br />or REPAIR <br />a <br />NO L� <br />K I T O (-(tc'n <br />CONTRACTOII 'Jt 2FrT & 02Sc,PT PA=ti�2 y <br />NAILING MAILING <br />ADDRESS I?IskA( &WADDIUESS She <br />PHONE. NUMR <br />l`L ^ 3 - %L <br />PHONE <br />NUMBER <br />COP.'1'RACTOR'S <br />LICENSE NUMBER E2 <br />a 3- 0/- <br />SIGNATURE <br />NO'TH': THE APPLICANT SHALL PILL IN ALL ABOVE RIAN1,S COMPLEMY INCLUDING THE PLOT PLAN <br />SRLTCII ON RIAR OP THIS SIIEE'1'. THE APPLICANT IS RESPONSIBT.tE FOR ALL IZ VOKIATION WBICI1 <br />IS FURN13HED ON THE APPLICATION. ANY CILIWGES IN THE INFORIMATION, PLOT PLAN OR'IIUII,DING <br />PLANS SHALL BE SUBMITTED 'TO THE INSPECTION DIVISION FOR APPROVAL BEFORE PROCEEDING <br />WITH THE CONSTRUCTION WORK. <br />APPROVAL: <br />1. PLANNING <br />2. <br />ENGINHERING <br />TRAF-rlC DIVISION _ <br />WATER SERVICE <br />SEWER SERVICE <br />PUBLIC SERVICE SECTION — <br />3. INSI'IiCTI011 nEPAIMIEIJT <br />4. FIRE 11ARSIIAL <br />DATE <br />NOT1E': ALL CONSTRUCTION WORK SHALL COMPLY WITH APPLICABLE CODES, <br />INSPECTIONS <br />NOTES ON DRAWINGS, AND <br />3-I - 7 �- <br />