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<br />I' <br /> <br /> <br />PERMIT APPLICATION A/J / r-> <br />.. {/~ /y~ <br />gDOZ Ii~VY of La Porte ~q, <br />o:J/I/~J _ . r Established 1892 <br />3~ <br /> <br />281-470-5073 <br /> <br />Address: <br /> <br />"'Electrical <br />*(See back ofform) <br />Projed ADdress: ~ / (' ;V( h/ ~ :z 2/j 2i ~ ;;;63 <br />Subdivision: ~ 0 t/T kp Block: . <br />Owner'.Name: ~ /---r -b ..J"'/4 2Lid~e: ~. 70/. 577 c: <br />//3/.5 M:);/ /-~ ?7~7( <br />C"lty Zip <br /> <br />*Ph.rmbing <br /> <br />ContractOr: <br /> <br />.>' ~,.-?1 tE" <br />Street <br />~~r <br /> <br />Phone: <br /> <br />~/?J;; <br />s~ <br />Engineer: /2 ~ <br />'BuiIdingUse: ~C?~/:? C, <br /> <br />Address: <br /> <br />city <br /> <br />Zip <br /> <br />Sq. Footage: fI: Storiesp <br />~ ~ !3<J,e..tJ 6....J <br />Descnbe Work: <br />.Dei) ~QrJ <br /> <br />For City Use Only .6~NO "&o/Ul.l 4( Dol ' <br /> <br />Flood Zone X . 'Class Wo~ urJ Sq. Ft. <br /> <br />Use Zone L L fI: Stories / ParIqng Req. .d-- <br /> <br />Valuation: <br /> <br />Occupancy Type a <br />Construction Type_I/' <br /> <br /> <br />Taxes <br /> <br />HeAD <br />Residential 'driveway tie-in fee: <br /> <br />_6- <br /> <br />~ <br />/. <br />Plan Check Fee: ----> <3 - <br />S:\CPShare\Inspedions\BldgPC%JIIitAppI02505.doc <br /> <br />Permit No. <br /> <br />Permit Fee <br /> <br />604 W. Fairmont Pkwy. · La Porte, Texas 77571 · (281) 471-5020 <br /> <br />=xHIBIl ~ <br />