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• IIUILDING PPRt.IT APPLICATION • '� ��% ' � +• <br />. , . '/�--�, ; <br />• RpplicanL- To Compl.elc This Porm j_-.;:�� <br />If more than one building i,�to be consi:ructed, suUmit a separ.ai•e per.mi.t <br />applicaL•ion Por each building. A separate permit w3.11 be iscued fo�� each <br />building. ` <br />Ovmer .�� � F'r) � " / �� � IIuilding Address � S�'� �� <br />�—T � LoL- � � '� ' I31oc1: , 1:i o <br />Address � </� � / r S/nJiA <br />City ��-�-u� Phone ��S;Z_ /j� Subdivision (P1aL•) L d�,r^��f 7�d;! <br />Archi:ecl:/Engineer _ <br />City Phone Met:es & IIounds (Unplr�tted) <br />Contract•or �"I�u,J f� r�✓TP �-e•rCC: Sec. T<<�p• Rge. <br />Addre=s �ffo- Z/�- Su�. — <br />City iT ,� � t�-n� Phone ) �• �- (X ' • <br />State License Number :� 2� n�- 3�<,: � <br />Er.piration Date � — <br />COl-PTW""B PLOT PLAid 0?J REVEIiSE SID� <br />� <br />� Do t:ot �•�ritc IIe].o�a Tl <br />Datc Reccived � Z.c�7 Cr � � � � <br />islan Checl: Number ' � <br />Valuation ¢{>l ' �" ° � ' <br />Pernit Fee S • �v <br />Plan Check Fee <br />c�z� <br />TOL-al Fee Due `'�.� <br />Datc Issued <br />�� ' <br />'C=�!�� ii��'t� ,��' %�,�iir <br />}3uilding Usc �_ ; <br />Describe T•7or1: to IIc Done <br />S'� P � �� �S1 <br />Nuinber of Stories <br />IIasement <br />•' i�ea� Addition Rcpai.r./Rer,iod=1' <br />Valuation of Const�uction $ ya(��' <br />� � VT � �� �e�i <br />Signed Dy � f �E � Q� <br />.For /�I/� � ,/-����'� <br />Oaner Phone <br />is Linc -I'or City Use Onl <br />� Use Sone _ <br />Firr. Zone <br />Occupancy•Group _ <br />. Type o£ Co�isL-ruct-ion <br />Occupant Load <br />Sprin]clers Required <br />� <br />