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<br />. <br /> <br />\ <br /> <br />BUILDING PERMIT <br /> <br /> USE 0" B'JILOING <br /> 7 -- <br />}- 8 Class of work: ~W ~1TI0N D ALTERATION o REPAIR D MOVE <br />Y- - p n- r2.- T ,,-f' f' lLo n T <I .p.. en c.. e. <br />9 Describe work: r-e I1C c. ttV <br /> .Lols . <br />-- ~. e}, l'I1-} -r-h~ ItOt.l.se. <br /> <br />SPECIAL CONDITIONS Ty~e of <br />1/. J-- If J 1. J I ( Of)}/ <br />~ ../:.... e.. ) <?_ 0~r e...O C{ r)~ ~ /J~7 t-/ In ztcfrBldg. <br />~... Jf I .' J 'lIH~I)Sq.Ft <br />/1/ / ~ 'C..{ W h I J10 r 12Jc2;t.l1 t e jJJ! .R j/[ 1 S IIA ir~ <br /> <br />APPROVE.D FOAISSUAN\r~One <br /> <br />No. of <br />Dwelling Units <br /> <br />Jurisdiction of <br />Applicant to complete numbered spaces only. <br /> <br />)/ <br /> <br />J08 AODR E55 <br /> <br />~ ~ ~LL <br /> <br />l\e~R. <br /> <br />LOT NO. <br /> <br />Re.~ I ~ ~ /2-y <br />~ '7 ~~S-I.CK 3 I TRACT <br /> <br />/ MAl L ADO"ESS <br /> <br />b. COYJTi2.~(2~S-;rR <br /> <br />y <br />/ <br /> <br />1 ~~~~;. <br />II} I d.- <br /> <br />OWNER <br /> <br />2 /3e-n n-' e <br /> <br />II 8'0] <br /> <br />CONTRACTOR <br /> <br />MAIL ADDRESS <br /> <br />3 <br /> <br />ARCHITECT OR DESIGNER <br /> <br />MAIL ADDRESS <br /> <br />4 <br /> <br />ENGINEER <br /> <br />MAIL ADDRESS <br /> <br />5 <br /> <br />LENDER <br /> <br />MAIL AOO"ESS <br /> <br />6 <br /> <br />y 10 Valuation of work: $ '3 (J ,,~. (.~ <br /> <br />APPLICATION ACCEPTED BY <br /> <br />"LANS cAEeKEO BY <br /> <br />NOTICE <br />SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB- <br />ING, HEATING, VENTILATING OR AIR CONDITIONING. <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- <br />STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 6 <br />MONTHS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR <br />ABANDONED FOR A PERIOD OF 6 MONTHS AT ANY TIME AFTER <br />WORK IS COMMENCED. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE <br />PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> <br />x <br /> <br />S~UA. ~la;;;: <br /> <br />SIG'>lATuIH.. OF OWNER I'" O......N("R 8UILOERJ <br /> <br />.':)4 T E) <br /> <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />CK. M.O. CASH PERMIT VALIDATION CK. <br /> <br />CASH <br /> <br />(OA TE) <br /> <br />r2- /'-1- S-' /0 <br /> <br />PLAN CHECK VALIDATION <br /> <br />A-I <br /> <br />'\ -.' ~ <br /> <br />P A- ~ 1< <br /> <br /> 1 <br /> ., ~ <br /> :li 0 <br /> "- . <br /> .. . <br /> :a 0 <br /> 0 <br /> :a <br /> .. <br /> co <br /> co <br />.. - <br /> <br /><OSEE ATTACHED SHEET) <br /> <br />ZIP <br /> <br />E. fL;'lfbRC~/<' <br /> <br />PHONE <br /> <br />~'73-7 S.~ ~ <br /> <br />PH ON E <br /> <br />REGISTRATION NO. <br /> <br />PHON E <br /> <br />REGISTRATION NO. <br /> <br />PHONE <br /> <br />REGISTRATION NO. <br /> <br />S"ANCH <br /> <br />o REMOVE <br /> <br />/,u <br /> <br />-T4e <br /> <br />TLJ..J 0 <br /> <br />.. <br /> <br />PLAN CHECK FEE <br /> <br />I PERMIT FEE <br /> <br />Occupancy <br />Group <br /> <br />Division <br /> <br />No. of <br />Stories <br /> <br />Max. <br />Occ. Load <br /> <br />Use Fire Sprinklers <br />Zone Required DYes <br /> <br />OFFSTREET PARKING SPACES, <br /> <br />Covered I Uncovered <br /> <br />DNo <br /> <br />Special Approvals <br />ZONING <br />HEALTH DEPT. <br />FI RE DEPT. <br />SOIL REPORT <br />OTHER (Specify) <br /> <br />Required <br /> <br />Received <br /> <br />Not Required <br /> <br />M.D. <br />