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BUILDING PERMIT APPLICATION <br />Applicant To Complete This Form <br />If more than one building is <br />plication for each building. <br />ing. <br />to be constructed, submit a separate permit ap- <br />t separate permit will be issued for each build <br />owner -Ll - r3 J 1✓19CY1_ <br />Address•�,���r �V�" <br />City11- �YP� Phone�2� II-� <br />Architects �/jvv Ol 2VI i -�urn' <br />City r `_ Phone <br />Contractor ''ll//l//�WLY <br />Address (1 <br />city_ �__ o_ " '.`��'`- Phone <br />State License Number GCJ <br />Expiration Date <br />�, sec CST F77� <br />Date�Reccived <br />Plan Check Number <br />Va].uStiicn_ <br />Permit Fee <br />Plan Check Fee <br />Total Fee Due - <br />Perm!': Number_ <br />Date Issued_ <br />Building Address <br />Lot I it Blk.7(,9 scc.� <br />Twp. Rge.- <br />2 52 <br />Subdivision (Plat) <br />Metes 5 Bounds (tinplatted)�_ <br />Building Use ���.i(. "1_ "++ <br />Dec-eribe Work to Be Done__ <br />�,..� _I s�. r�d•{,�., ✓ems <br />Use of Building <br />New p;-Addition ,XRepaiirr,//Rem'o`d�el <br />valuation of Construction <br />PLOT PLAN 91 <br />Indicate lot size, name of streets. <br />indicate location and width of <br />alleys, locate proposed and all <br />existing buildings ,show distances <br />to property lines, show distances <br />between buildings. <br />Lot size x <br />F. <br />Lot area_ S.F. <br />Sizc of Bldg.__•_. -.-- <br />Number of Stories <br />Basement <br />Use zone <br />Signed By pn- <br />i <br />For -, " <br />Owner <br />Fire zone -- <br />Type of Construction <br />occupancy Group <br />occupant Load <br />Sprinklers Required <br />APPROVED FOR BUILDING PERMIT <br />