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A Y 01I1V1:1t1iIT <br />DEPAWI LENT OF CO:S•RINITY DEM-0,011MENT <br />BUILDING PERMIT APPLICATION <br />DATE `% <br />PEMIT I:0, 16 / A�D <br />'iyr'7Y73 <br />VALUATION pGio <br />PERMIT FEE <br />ADDRESS OF CONSTUCTION WORK <br />v <br />LECAL DESCRIPTION: LOT O?tC` BLOCK _ PLAT ,�M�v�JOu'/'Ji✓Q�! �� <br />UNPLATTED DESCRIPTION: <br />REMODEL <br />BUILDING DESCRIPTION: NEW // A.DDITION dr REPAIR <br />OCCUPANCY OR USE 1?e S HEIGHTS IN STORIES _Z__ <br />IS TPIS A CHANGE OF BUTIAM'r OCCUPANCY; <br />CONTRACTOR /J 1 <br />NAILING <br />ADDRESS ��b S IQQWY"W <br />�J b IL liL� <br />PHONE NUMM <br />CONTRACTORS LICENSE ixtBSER .J 2 <br />YES <br />NO <br />OWNER <br />HAILING <br />ADDRESS _ <br />PHONE N1IMM, <br />-OI- <br />dell <br />G�i--� 9� <br />SICNA•IURE -;� /i l/Ia _ Iz i i6�, •- <br />NOTE: TIM APPLICANT SHAT.L EILIlIN ALL ABOVE Butims mirLET_ELY INCLUDING T11E PLCT PLAN <br />SKETCH ON' REAR OF TI11S SHEET. THE APPLICANT IS iU3SP012SIBLE FOR ALL INFOMIATION WHICH <br />IS FURNISHED ON THE' APPLICATION, ANY CIIANGCS IN TDi: INEORMTION, PLOT PL4N OR BUILDING <br />PLANS SHALL BE SUMMED TO Till, INSPECTION DIVISION FOR APPROVAL BEFORE rR0CrEDI1G <br />WITH THE CONSTRUCTION WORK. <br />?PPROVAL: I <br />1. PLANNING C/ e, _ DACE 41"—/ k- <br />2. ENGINEERING <br />TRAFFIC &ViS[ <br />WATER SERVICE <br />SLM11 SERVICE. <br />PUBLIC SERVICE <br />3. INSPECTION DEPARTMENT _ <br />4. FIRE HARSUAL <br />%- <br />—Y&6 <br />NOTE: ALL CONSTMICTION WORK SHALL COMPLY WITH APPLICAULE CODES, NOTES ON DRAWINGS, AND <br />INSPECTIONS S�/aNDA71D jf,36,�t1J 4� ��v <br />