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r <br />DEPA10111:4T 01' Cp1C:U1lI'1'Y DEVI'LOPMENT <br />llUILDIFG PER11IT APPLICATION <br />DATE % 3 <br />ADDRr',S OF CONSTUCTION WORK / 5 <br />LEGAL DESCRIPTION: LOT 3 F— BLOCK <br />UNPLATI•ED DrSURIPTION: <br />PERMIT NO. <br />/L_.��7-�� <br />VALUATION�p— <br />I'EIth1I'f <br />a <br />REMODEL <br />BUILDING DESCRIPTION: NEW � ADDITION or REPAIR <br />OCCUPANCY OR USE /'C l S REIGIITS 114 STORIES <br />IS THIS A CHANGE OF BUILDING OCCUPANCY: <br />CONTRACTOR <br />NAILING / �} <br />ADDRESS E2 �e % •/9f.�d>0 �tti f s� <br />PHO11E A'UMBrR <br />CONTRACTORS LICENSE NUID)rll 7 23 <br />SIGNATURE <br />YrS <br />OWNER <br />NAILING <br />ADDRESS <br />PHONE NUMBER <br />NO <br />NOTE: TIM APPLICANT SHALL PILL IN ALL ABOVE BLANKS COMLITELY INCLUDING THE PLOT PLAN <br />SKETCH M REAR OF 111IS SHEET. THE APPLICANT IS ME,PONSIBI.E POR ALL INFO211ATION `JIIICII <br />IS FURNL411ED ON TIIE AMICATION. ANY CHANGES IN TIE INI'OR11ATIDiI, P 11M OR B)ILDING <br />PLANS Sl1iJL BE SUENITrED TO THE INSPECTION DIVISIOD FOR APPROVAL BE RE PROCEEDI`IG <br />WITH TIM CONSTRUCTION 110M. <br />APPROVAL: e <br />1. PLANNING. Z %j, C DATE <br />2. ENGIIIEL'RTNG ^% _ <br />WATER SERVICE G <br />SLIDER "u1:RVICE _ _ S�/8- 73 -- <br />PUBLIC SERVICE SEMON <br />3. INSPECTN DrPARTNIiNT <br />lz <br />4. FIRE MARSHAL <br />NOTE: ALL CONSTRUCTION WORT: SHALL COMPLY WITH APPLICABLE CODES, NOTES ON DRAWINGS, AND <br />INSPRCrroNS // AO ��BG. G�� <br />