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CITY OF I'VI,, ' M : T Pr•.rufdT NO. , 7363 ,/'/ <br /> DEPARTIH,, OI' CO:C•AIR"11' U!il'I:1.01'IiIiNT 2 **f <br /> 111111.1311;6 1'1i1411T APPLIC TIO:1 VALIIX'fION <br /> PRLP11'r 1'IiL' ,/�. 00 <br /> DATE <br /> ADDRESS OF CONSTUCTION WORK <br /> LEGAL DESCRII'•rION. LOTS L 7- BLOCK / e �' FI.AT�i.. <br /> UNPLATTED DESCRIPTION: <br /> REMODEL <br /> BUILDING DESCRIPTION: NEW ►.DDITION or REPAID . <br /> OCCUPANCY OR USE !, f. - HEIGHTS IN STORIES <br /> IS THIS A CHANGE OF BU':LDING OCCUPANCY: YES ,4 /NO <br /> CONTRACTOR OWNER :Z t116 — 4 (`:L'"�• , ,—/ _ <br /> MAILING MAILING " <br /> ADDRESS ADDRESS _� - r L`t <br /> rHME NUMER PHONE. NU!Ill ER <br /> CONTRACTORS LICENSE tVIMEP. <br /> SIGNATURE <br /> NOTE: THE A 1'LICANT S17.LL FILL IN ALL ABOVE BVil'(S -'O:IPLETEIY INCLUDING Till-* PIAT MAN <br /> SKETCH 01i REAR OF THIS SHEET. Till' APPLICANT IS IU:SP)NSIBLE TOR ALL INF0:91ATION WHICH <br /> IS FURNISHED 0:1 THE APPLICATION. ANY CHANGES IN TM' I:.TORMATION, PLO')' PLL:1 OR BVi1.DING <br /> PLANS SHALL BE SUENITTL'D TO THE INSPECTION DIVISION ,'OR APPRWAL BEFORE P EEDINC <br /> WITH THE CONSTRUCTION WORE. <br /> APPROVAL: <br /> el <br /> 1. PLANNING. _144 DATE ' c <br /> dl <br /> 2. BNGINEERING <br /> TRAFFIC DIVISIC:I <br /> WATER SERVICE , <br /> Sli ml SimVICE <br /> PUBLIC SERVICE SEC'r10;1 --- <br /> y <br /> 3. INSPECTION DEPARTMEAT ' Y ' 7 / <br /> 4. FIRE MARSHAL -- <br /> NOTE: ALI, CO::STRUCTION 1111111: SHALL COMPLY WIT ? APPLICABLE CODIS, NOTES 011 DRAWINCS, AND <br /> INSl'IiCTIONS <br />