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C:I'TY OP rVE1,111,1, <br />DSPAL'TNIiia OI' CM-111:ITY DEVE1.01'MENT <br />DUILOINC PIiRI'IL'T APP ICATION <br />DATE D /2 r% 3 <br />ADDRESS OF CONSTUCTION WORE; <br />LEGAL DESCRIPTION: I.OT 3 BI.00I: DO 2 Pd <br />UNPLATTED DESCRIPTION: <br />PFRMiT NO. J 7oL ' -7 <br />VALUATION -� <br />PERMIT FEE o0 <br />!to/ <br />lil•'1•f0Uli1. <br />BUILDING DESCRIPTIOV: 1XV1 ADDITION i� o'r REPAIR <br />OCCUPANGY OR USH, HEIGUTS IN STORIES <br />IS THIS A CHANCE Or BUILDING OCCUPA14GY: YES NO <br />CONTRACTOR //I OWNER __c 1L �ti►n•�.�-� _ <br />MAILING Ti91 MAILING <br />ADDRESS R goo S . DDALSS <br />1,110,11E NUDRSER .2 5-3 - D 2t 49 2- PHONE WMER <br />CONTRACTOR'S LICENSE NLIM)-,r �2Q� 3 O { /�L f✓ <br />SIGNATURE <br />vnL <br />NOTE: THE APPLICANT SHALL PILL IN ALL ABOVE BI101.0 COMPLETELY INCLUDING THE PLO"' PEEN <br />SI'XTLH ON 'REAR OF THIS SHEET. THE APPLICANT IS IUiIiPO;4SIBLL FOR ALL INFORIINTION HITCH <br />j IS FURNISHED ON 'Till: APILICNTTON. ANY CHANCES IN TIT INTOTMATION, PLOT PLAN OR BCII.DING <br />PLANS SHALL BE SULMITTLD TO THE INSPECTION DIVISION FOR APPROVAL BEFO P OCEEDING <br />j WI'TH TILE CONSTRUCTION WOM. <br />APPROVAL: <br />1. PLANNINGDATE /D��7,r <br />2. ENGINEERING <br />TRAFFIC DIVISION <br />WATER SERVICE <br />HIM SERVICE <br />PUBLIC SERVICE SECTION <br />3. INSPECTION DEPARTIOM <br />4. FIRE MARSHAL <br />NO'1'R: Aid, CONSTRUCTION 140P.K SIIALL COMPLY WITH APPLICABLE COMI.S, NOTES ON IMMINGS, AND <br />INSP iCTIONS <br />