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<br /> <br />'. ~ ~A^~"~ .aA.J.,., \ ~ HISD~ <br />. W~'- k).ov,.v.~..- ~o'O . . , <br />-F- ~ \l ~ ""'- V!jjo 'I. <br />. C- (:.s--?~ <br />"e <br /> <br />City of L~ Po~te <br />E.stablisJzed 18~ 2 ' <br /> <br />"" <br />:. <br /> <br />281-471-5020 Ext. 259 <br /> <br />Buildmg <br /> <br />Mechanical <br /> <br />~Electrical . .' ,.', *Plumbing <br />*(See back .of form) " , <br /> <br />Project Addr~ss: :2 I eLl- . U tl J fr. W'O 0 I <br />Subdivision: '.L P' 0/ L s <br />Owner's Name: N ~ L;-ti. c.Jtr/srU/II <br /> <br />,<'J, <br /> <br />Lot: <br /> <br />- <br /> <br />Address: <br /> <br />~ frYl'l E <br />Street <br /> <br />, .~.77t.... 4/&) /J' <br />'frlLolP..5h.tp' &f LP (b:Pbcr,j, .=SOhflSCI/' <br />Phone: :::#: 7/3 - .3 tJ:l ~ I~..s ~ <br />- Ofl,... :il81-'171-.::J.6?P' <br /> <br />City <br /> <br />Zip <br /> <br />Contractor:" '13'0.. S ,- 'f) ~1J n e R <br /> <br />Phone: <br /> <br />Address: <br /> <br />Street. , <br /> <br />, : ,City <br /> <br />.Zip <br /> <br />. Engineer: <br />Building Use: '. ~v..'r-cA~r r~ ... >~~. Footage:. # StorieS~ r . <br />. .~ 8 ;2{'jO~E ~~~~aJn- vbescnbew~ulreO)\..~t."I;.r"'\~,...,'l.. e'~._ <br />. ~~~: (LJ 1 ~I'=~.-'-', <br />.' ' . "F:~r .GityV~',Only., ..,.. .-" .<c,~ <br />-Occupancy Type ~ 'Flocd z~rie' 'X : ' , ~i~ 'Wb~k" . f E. Sq. Ft.- <br /> <br />Construction Type' ------. Use Zone G'~ . . . <br /> <br /># Stories' .-- Parking Req - <br /> <br /> <br />pate <br /> <br />ht \4.S-T <br />Taxes - <br /> <br />eltC'e. ' <br /> <br />Permit No. ' <br /> <br />Permit Fee . Plan Check Fee: <br />S:\CPSbare\Inspeclions\BldgPc:rmitAppIOlOJ.doc <br /> <br />604 W. Fairmont Pkwy · La Porte, Texas 77571 · (2~1) 471.5020 <br />