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CI9'ri01 IiV1;111;1"l' PERMIT NO. n <br />nitPAIITMNNI' Or CMAMITY DI>VIiI,OVI&'MT _ <br />HUILMNG 1'IiRtilT AI'1'LICATION VALUATION _ 17 S 10 <br />P14RidLT FEE _ /0 2. , Cx, <br />DATE / %7 2 <br />ADDRESS 0"• CONSTUCTION WORE. <br />IhAL DESCRIPTION: LOT BLOCK PLAT <br />1 <br />UNPI,ATTIiO DESCRIPTION: Al W L SEC <br />1 — q -- <br />REHODE+L <br />BUILDING DESCRIPTION: NrW _��ADDITION or REPAIR <br />OCCUI'Ai:(.'i OR i1S1i IIEICHTS IN STORIES <br />IS THIS A CHANCE OF BUILDING OCCUPANCY: YES NO <br />CONTMC'1'Olt' _D'C_n • OSlt.T.R _ <br />jIAILING Mill I1X; <br />ADDP.t.'.^,S ADDRESS <br />PHOi1R NUMBER PUMP IiUMHIat <br />coarRActol, S 1.1t:...,.,r IJUtP,Ei <br />SIGNATURE <br />r <br />NOTE: TIM AP),LTCA,:T S1C,I1, F1I1 111 1,11 1,11GVr MA.MS CO:IPI.I rELY ItiCLUDI::G T1ir PLOT PLAN <br />Sl%ETCil Oil Rla.fi OF THIS AI'i'LIC.%_2i' IS 1 :'PO::G1111, 1'0: ALL Ii::VICIATION Ililli'l <br />;; , •,,.... f tr i , i .1 <br />IS 1'Pi.i I; 1 Ia Ga TLC , . , � • ,u) Cfi'.EC ..^> It. '1'i;C li:-'(1 :,i.v1'10:�, PLOT 1 ]d�. Oil 11UI1.iJIl•:G <br />PI.A:1;: BiE'J,1, 1/T: SSIB?1YTllib '1'l) ' _, IP:SPI:CI'IGiI EIVISION FOR Al'i O;ti1L DiFO '' I OCEIiDIi:v <br />NI'rll TIIIi CO:iSJ'!�U(:TIO;v 1:OIH:./�' "�_ -•.` .. <br />1. PLANNING A& DATE 1z-1-7 z, <br />2.. ENGIE'IJiRXNC <br />TIJ�I'FIC Pi ' „ <br />SMIM, S::RV1.cr _ <br />1'Ulf]rk8—i;7:Ri�F6F—$f!t t <br />i <br />t <br />3. INSPECTION DI:.^Ail1'd:Gl;'r-- <br />C <br />I(. FIRE 11 11MI11, — <br />2-.__. <br />1 2 — 7 — 7-- <br />N0TE: ALL C0N;Vl I.I(,1'10Il WOI9( SHALT, C(1:;I'iY WITH APPLICABLE CODRGO NOTES Oli DIIAWII:CS, AND <br />