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�, <br /> . , • � . <br /> ' • DUILDING PERMIT AF1'LICATION • , � ' <br /> ' � • • Ap�licanl: To Compl.e�e '�his 1'orr�i� ' . <br /> � If more than one buildinq i.� to Ue constr��ctod, submiL• a seplr.�te per.mi.L• <br /> appli^.ai:ion for each building. A scparai:e perntit a�?.11 be %���=C1_��yt>> ' <br /> building. ,� ,' � <br /> Ovrner (��� o�� .- �^ �. � `��'�`'`f:t•`�uildinq Addr��y � <br /> A d c lze�s 1�� c I ._� n^� di 1�- �-�'�^'��• LoL•� �'t �' �� I31o�1: F�1�, <br /> City _ Phone �?� - 'c.�'S� Suudiyision (Plal) ' ��'L�� <br /> �-,� �a a. � <br /> Arehi':ecl:/T:ngineer �Y�..�;_ �.;�{'��L� �� <br /> City ��� Phone 'z�,-2-- 3;� � Metes &� IIound� (Unplatted) <br /> Cont_�cL-or 5�4...� Sec. ��P• � ���• <br /> I�Qdr�ss so.---�- -1�•S- �7 l ) � <br /> City . <br /> Phone �I-`b�- �bb3; • . <br /> Sta:e Lice;�se humber 2�'3-0 � ` � ���� <br /> Et�izat.:�on �a�e � z -/ V - -� � ' <br /> ' � . • � Building USC �' '� b�wNt � '/buNL75 <br /> � � Describe �•:or}: t� �3e Done <br /> COI^P?,� PLOT PLA27 OV REV�RSE �;ID� . <br /> ' Number of• Si_ories �i <br /> , • � ' B-a-��t _'_—_ <br /> .• . ' • • • ' � Ne�•� Addition Fepai.r.fRemod�l� <br /> � aluatxon of Con�i:rucL•ion $ <br /> . . . . . . ' � � -.. . ' . �/l-��C,�G "�' � <br /> .. ---- �, <br /> . . : Signed IIy(` + �, . <br /> \ <br /> ' . Fc <br /> . . ' Owner Phone ___ <br /> ��- . <br /> . . '.. . .. .. , . . ' . . . <br /> � Do �'ot t9rite I3elorr Ti:is Linc -I'or City Use Only <br /> Date Aeceived 2. � "��r ' � � � � � ' <br /> � Use Sone <br /> � Firc: 2one <br /> IS1anC5ec7:. Number �I(d/ 7 ' ' • <br /> Valu=tion � _ • Occurancy •Group . <br /> � . Typc of Consi:ruci:ior, ______. <br /> permit Fee � <br /> • �—s-`--% ft� 2 •, 7y Occupant Load _ ._-- <br /> �lan Check I'ee �6��-��• <br /> Sprinlcicrs Required �_ <br /> Tota1 Fcc lluc • <br /> Date Issued ' � ' � <br /> • � . ' . • ' <br /> . ' ' � � . , . . . , . <br /> _ - .��_ �- � _ <br />