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<br />! <br />\ <br /> <br />, . <br /> <br />BUILDING PERMIT <br /> <br />Jurisdiction of <br /> <br />pplicant to complete numbered spaces only. <br /> <br />Joa ADO" (55 <br /> <br />oq{O <br /> <br />A 1/;: "H 11 <br />lac. <br /> <br />IHACT1 . <br />tV'f.. of 0, L <br /> <br />LOT NO. <br /> <br />LEC....L <br />OESC~. <br /> <br />O~N[" <br /> <br />M....ll.. AOO"[55 <br /> <br />/)/;<':J~J L (C/ut:.- I~. <br /> <br />CONT""'CTOfill <br /> <br />"""AIL ADDRESS <br /> <br />: ),,_ i-l <br /> <br />....RCHITECT OR 0(5IC....'1II: <br /> <br />~""IL ....ODRESS <br /> <br />(",CINEtR <br /> <br />MAIL ....00RE55 <br /> <br />L (N 0 [R <br /> <br />M....IL. "'OOIltESS <br /> <br />uSE OF 8UH.DIIllC <br /> <br />/; ~ J L ~ ~ ., -. -+ <br />( <br />Class of work: ~NEW <br /> <br />510 r'" -< <- <br />./ <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />Describe work: <br /> <br />I!r '-<.- f <br /> <br />~ <br /> <br />Lfolf X (0 /1 ~fa,-~ <- bo./! IJ.:c.., <br />-' ../ <br /> <br />10 Valuation of work: $ 5:, 0 cJ C7 ~ <br /> <br />;PECIAL CONDITIONS(U ~~_..., ':f do~'" r.o-rGJ:>~C-~ <br />- / ..... 1..: ~ ,., r "'" (e. <..,)... .'..::..&1.. I..... "'" 1<... <br />./ <br /> <br />a....... <br />/ <br /> <br />"7(';" " <br /> <br />NOT ICE /' ij j~ '11 <br />SEPARATE PERMITS ARE REQUIRED FOR ELECflicAL, LUMB. <br />lNG, HEATING, VENTILATING OR AIR CONDITIONING. I <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 AND 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 />~?PLICATIOf\,j ACCEPTeD BY <br /> <br />PLANS CHECKED BY <br /> <br />~]1:=TO"~~~~E"T <br /> <br />lOA T[, <br /> <br />SlCtotA.TVR[ 0"- OWNER <br /> <br />I" Ow~(1It aUILDER) <br /> <br />lD.... T E:t <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 />'LAN CHECK VALIDATION <br /> <br />'iY7 <br /> <br />liP <br /> <br />Pt(ON ~ <br /> <br />P,..ON E. <br /> <br />PMOH( <br /> <br />o REPAIR <br /> <br />PLAN CHECK FEE <br /> <br />Tyoe of -;II <br />Canst. ~ <br /> <br />(DSE.( ATTACI-l[O SM[[TJ <br /> <br />PMON[ <br /> <br />REGISTRATION NO. <br /> <br />REGISTRATION NO. <br /> <br />REGISTRATION NO. <br /> <br />e"'ANCH <br /> <br />o MOVE <br /> <br />.. <br />o REMOVE <br /> <br />I PERMIT FEE f 1 <br /> <br />Occupancy() 4 <br />Group r..- c c_ DiVision <br /> <br />00 <br />- <br /> <br />Size of Bldg. No. of <br />(Total) SQ. Ft.20c/e/ Stories <br /> <br />Max. <br />Occ. Load <br /> <br />Fire " J /I <br />Zone '/vlrt <br />1 <br />No. of <br />Dwelling Units I <br /> <br />Special Approvals <br /> <br />ZONING <br /> <br />HEALTH DEPT. <br /> <br />FI RE DEPT. <br /> <br />SOIL REPORT <br /> <br />OTHER (Soecify) <br /> <br />/43 / <br /> <br />Use () J Fire Sprinklers <br />Zone 1'- .... Required DYes <br /> <br />OFFSTREET PARKING SPACES: <br /> <br />Covered I Uncovered <br /> <br />Required <br /> <br />Received <br /> <br />Not Required <br /> <br />M.O. <br /> <br />EXHIBIT B <br /> <br />1 <br />" (; <br />~ . <br />z <br />~ > <br />;a 0 <br /> 0 <br /> ;0 <br /> ~ <br /> ~ <br /> ~ <br /> <br />DNa <br />