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o ~~~~4~ ~•~~ ~~~~~fi s~:• ~~r <br />CITY OF LA FORTE ~°t` ~'' ~~ '~~`'~~ <br />~ ~ ~~ <br />PERMIT APPLIC3TION FORM ~ ~.; <br />• MECiiAIviCAL *ELc.CTRICAL *PLUMBiNG <br />BUILDING / <br />*(SEE BACK OF FORM) . <br />PROJECT ADDRESS • ~ `3 ~ ~ c~--„'~ >' ~ S~' _ LOT <br />~~ r~ ~.~tirz-~ ~~~- ~f. <br />SUBDIVISION: ~~- ~/`~ ~~~ BLOCK K <br />STREET <br />OWNER'S NAME • ~~ ~ L~~ Y~ 5 /~~"'i!-' ~ P HOtYE ~ ~ 7C~ - ~.3 c/.? <br />- l ~- y- / 7/~- <br />ADDRESS: <br />STREET CITY Z1P <br />CONTRACTOR: <br />ADDRESS: <br />ENGINEER: <br />DES I G:tER <br />CITY <br />/G~/7 <br />7 `f <br />ZIP <br /> <br />BUILDING USE : . > ~~ SQ . FOOTAGE.: I% ~~~, R STORIES : I <br />LUATI ON : 3 ~ ~v DESCRIBE FiORK : ~/-~ - <br />n l n _ <br />_____------------------------: OR CITY USE ONLY-- <br />OCCUP TYPE FLOOD ZONE CLASS WORK SQ. FT. __ <br />CONST --T?~PE USE ZONE T STORIES PKG REQ <br />r <br />COMM . BLDG . PLATYS ONLY - FIcZE MARSFirZ'L• AP.;PROVdL :~--~•- ~.® ~-- D <br />_ ~ T <br />C:HECKiD/APPROVED FOR ISSUANCE BYf ~; ~m--'~-%~ ~ ~ 3 ~, ~ DA_E.~,~~1~ <br />SPECIAL CONDITIONS: r~ e- o +' 'n''"'~ t s v~ w r~ ~•-u-~- <br />~,._ . e I.~ G7,JjN C,1...0,, I ~~ k ~C1r 1`r•~.{' ,L <br />~RMIT NO. - PERMIT FEE S (ATTACH TO ACTUAL PERMIT) <br />~y-/`7i ~ <br />`7 7 S 7/ <br />- ] D~^M'^]~ , ^ =/.'.'~~_ -•, -~=ire <br />