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CITY 017 M"111iT•f MalIT NO. 16171 <br />DEPARIVYIlT OF Mr,4UNITY DEVI'LOPMENT S/t/73 <br />BUILDING PLIUIIT APPLICATION VALUATION j ;' <br />nnrPERMIT FIX <br />e � - z � — 7 3 <br />ADDRIRSS 0:7 CONST'UCT'IOII WORK �CJo`y ��IETi+nco/! <br />LEGAL DESCRIPTION: LOT ZZ-3 L BLOCK <br />UNPLATITD DESCRIPTION: <br />BUILDING DESCRIPTION: NEW ADDITION <br />OCCUPANCY OR USE HEIGHTS IN STORIES <br />IS THIS A CIIANCE OP BUILDING OCCUPANCY: YES <br />REMODBL <br />6r REPAIR <br />140 <br />CONTRACTOR C2 <br />iq (7,* c2 c OiltlER <br />MAILING MAILING <br />ADDR)-'S$ ADDRESS <br />PHONE NUMBER 3 3 7- 7 3 S S PHONE. NUMBER <br />CONTRACTOR'S L.ICENSO•01.1313R 2 2 3 ^ O / — /D <br />SICNATURE <br />NOTE: TUE APPLIeMIT SHALL PILL IN ALL ABOVE, BLAIBCS'COMETELY INCLUDING T111i PLOT PLAN <br />SKETCH ON RakR OF TI IS SUEE'r. THE APPLICANT IS MSPO;:SIBL' FOR ALL INMUTATION WHICH <br />IS 1'URNISHED ON THE APPLICATION. ANY CHANGES IN THE INFOR?1ATION, PLOT CI OR BUILDING <br />PLANS SHALL BE SUBMITTED TO TILE INSPECTI0:7 DIVISION FOR APPROI'AL BFPO t . PROCEEDING <br />WITH Till. CONSTRUCTION WORK. <br />APPROVAL: <br />1. M7ANNING. DATE _ <br />2. ENGINEERING _ <br />TRAFFIC DIVISION <br />WATER SERVICIi <br />SI:WHIi SI:RVICii <br />PUBLIC SERVICE SECTION <br />3. INSPECTION DEPAIMIJ., <br />4. Fin' MARSHAL <br />NOTE: ALL CONSTRUCTION WORK SHALL COMPLY WITH APPLICABLE CODl4S a NOTES Oil URAWINGS a AND <br />INSPECTTONS <br />