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CITY OF EV1:1:1:TT <br />DEPAWI;Iii:1' OF C0:?PJi7I71' DI:VCLOPNIiNT <br />BUILDING 11Ei::I1T APPIALATION <br />DATE�`- <br />ADDRESS OF CONSTUCTION WOIT 4,e5� <br />PERMIT NO. <br />/ _ <br />VALUATION b -& <br />PEIU•lIT FEE _ 72, DO <br />U.-MAL DESCRIPTION: LOT BLOCK _ PLAT_ <br />UNPLATTED DESCRIPTION: <br />RMODEL <br />BUILDING DESC:IPTJON: NE ' S.DUI1'I0:7 o'r REMIR <br />OCCUPANCY OR USE HEICHTS 171 STORIE'S <br />IS THIS A CIV,NCL' OF BUILDMG OCCUPANCY: <br />CONTRACTOR <br />MAILING / <br />YES <br />NO X <br />OWNER <br />ItA MIX <br />ADDRESS <br />PHONE IM"BER -- f�� PHONE :li:31.R <br />CONTRACTOR'S LICENSSLL•' I:UI ER <br />SIGNATURE <br />NOTE: THE APPLI=IT SMALL FILL IN ALL ALOVE, BIAI,'S M.-IMrTELY INCLUUIitG THfi PLOT PLAN <br />SKETCH ON RL•'AR OF THIS SHEET, THE APPLICX' T IS RESPONSIBI.Ii POR ALL INi O ,' 1T10ii 1.11ICH <br />IS FURI7ISHED Oil Tiir A?PLICATI0:.1. ANY ClU.::CGS IN Tli!;- INFOR3112MON, PLOT I'1..:; OR DUII.UIi:G <br />PIARS SHALL BE SUI:9IT:ED TO TIM INSPECTIO.: DIVISIO:: FOR APPROVAL BEFORE rROCEEDING' <br />WITH THIi CONSTRUCTION WORK.. <br />APPI,OVAL: <br />1. PIANNI= DATE <br />2. P.NGINEERINC <br />TRAFFIC DIVISION <br />ld.\Trp S1SP.VICE <br />SL1lER S);I:VICE <br />PUBLIC SCRVICF. SECTION/ <br />3. INSPECTION DEPARTMENT <br />4. PILL MARSHAL <br />NOTE: ALL CONSTRUCTION WORK SHALT. CO}li'1.Y WITH AI,I•LTCAP.Lr CODES, NOTES ON DRAWINGS, XM <br />INSI`RC'fIO"S .,./ B � <br />/}AEG JS AA)el t SL�Pc Oo <br />