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c'C:�-y OF GVhIiRT'1. <br />DRPARni;NT OI' COj.G.luNTTY DIMLOPWNT <br />BUILDING PERMIT APPLICATION <br />DATE <br />PHRNIT No. <br />VA7JUATION�1 <br />PERMIT Flit: s*l <br />ADDRESS OP CONSTUCTION WORK <br />_ _ <br />LEGAL DESCRIPTION: LOT BLOCK PLAT <br />UNPLATTED D1iSCRT.PTiON: We '-Ioe'z <br />--- REMODEL <br />BUILDING DESCRIPTION: NI-4 ADDITION or REPAIR <br />OCCUPANCY Olt USX, <br />IS THIS A CNANGE <br />CONTRACTOR _ 4l L !: LC'1 <br />MAILING <br />ADDRESS •J I RG <br />PHOill; NUMBER <br />IN;ICIITS IN .STORII;S <br />YES j 110. n� <br />01iN1;11 <br />MAI LING <br />ADDRESS <br />PHONE NIR4D6R <br />COi2'111".(;TOR'S LICENSE. IM111110,•— <br />�tv n - <br />SICc;ATURE <br />NOT):: THE APPLICANT SiIALL PILL IN AM, 1+!Wr1 I+1,4I';G C0:11.'IXTELY IE 11TI)ING TIM PLOT PI.PN <br />SKE'i'C11 ON RGt.R OF 1'll].S SHEET, TIU; /+l'i'T,ICAIII' IS 1'.CSPO::;I.Ilv,; Poll ALI, INCOIG1MON W11IC11 <br />IS PlI1:NIlillliU ON Tlll; APl'LI:MION, AN1' (111AI:CE;; Il: '1'11E I00111.14TION, PLOT PLAN OR-BUILnIIIG <br />rVillS SHALL 1SE SUDMITTBD TO 'Fill; INSPI':CI'IUN DIVISION 1'Oit A1111ROVAL DI:P0112 PROGREDING <br />WITH TIU; CONSTRUCTION l+'Old:, <br />APPRWAL: <br />1. PLANNING — DATE <br />2, ENGINEERVIG <br />TRAP)?IC DIVISION <br />J-1al R. SI:1iV I CE _— _.-- <br />SXimit SERVICE -- <br />M11111C SIiRVICI; Sli(:'rION <br />1IISPECTION DEPAR'CMI NT <br />4. FIRE MARSHAL <br />DOTE: ALL CONSTRUCTION WOnit SiIALL C0;11'I,Y WITH APPLICABLE CONNS, NO'1'I;S ON Dimi.NCS, AND <br />I111,1'CCTIONS <br />