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f <br />•tj <br />CITY OF LA PORTE <br />PERMIT APPLICATION FORM <br />BUILDING MECHANICAL *ELECTRICAL *PLUMBING <br />*(SEE BACK OF FORM) <br />PROJECT ADDRESS : f0~1 ~ p~j,'„~Sn~ R~~ LOT # : ~ <br />SUBDIVISION: ~ ,A~ BLOCK # <br />OWNER'S NAME: Ot'G. _~_ i ~. PHONE # 7D-4 f ~ <br />ADDRESS: <br />CONTRACTOR: <br />ADDRESS: <br />ENGINEER: <br />DESIGNER: <br />EET <br /> <br />CITY <br />7S <br />ZIP <br />SL's 1" <br />STREET <br />P.H : ( ) <br />CITY <br />ZIP <br />BUILDING USE: _~ ~.~1 C~'e ~,,p <br />VALUATION: ~~ 8 dd _~ <br />i <br />SQ. FOOTAGE: <br /># STORIES: <br />DESCRIBE .WORK : L f~,~,ic ~y, ~f ,~ <br /> <br /> ------- <br />--FOR CITY~USE ONLY-- --------- ---------------- <br />-_ ~ <br />" `-_'~ TYPE FLOOD ZONE ~_ CLASS WORK <br />SQ. FT. <br />-~~e:~~r TYPE ~ <br /> USE ZONES # STORIES ~_ -~- <br />PKG REQ <br />~_,mM= BLDG. PLANS ONLY - FIRE MARSHAL APPROVAL: ~"~ <br />DA.TE.: '^ <br /> <br />------,i innonrssan T.'r 117 TSRii~ rrr- nr~ ~/V~CiD <br />b~ <br />Ds~ <br />DATE: ,5-a6 <br />-=~:tAL CONDITIONS D ~~~ QN~ C~) ~~ £ (~ ~ ~_E}Al n ~ ~ A i1w/'T <br /> <br />S <br />HIV ~-~ D ~' \ L.~VI l~w <br /> <br />- - --~ V i J ~i V VI <br />IQ ~.C,DR Q ~D _~~ ~ ~~z p~iv <br />-------- ---------------~ ____~ ~~i~[~_E~~~~~___________________ <br />~n~z~~r N0. - PERMIT FEE S (ATTACH TO ACTUAL PERMIT) <br /> <br />