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Building Depariment � <br /> . � `. <br /> Date Received phP.ne.Gontac.�f,or PerTn.ittin �) <br /> Owner's Name 2(� ►1� K Owner Phone Numba 3 ' s <br /> , � ,. <br /> , Sfl�Q. Owner Phone Numbe <br /> d ss . <br /> �rvner's Ad re <br /> . Fee Slmple Titleholder Name f Owner Phone Idumbe <br /> Fee Simple TltleholderAddress i <br /> JOB ADDRESS �3 S 2 A s h�i ��e d 2 �P��Y����s ~� 3 3 sy LOT# / 2 <br /> I <br /> SUBDIVISION <br /> S i�v�2 p(��c. PARCEL ID# 'd�-26-zl-d 2D -d O - �! ��O � <br /> (OSTAINED FROM'PFt FERTY TAX NOTIOE) <br /> WORK PROPO.SED � NEW ONSTft e ADD/ALT L� SION � 0 DEMOLISH <br /> INST LL f2�PAIR <br /> PROPOSED USE 0 SFR Q COMM [� OTWEft <br /> TYPE OF CON3TftUCTION 0 BLO K � FRAME C� STEEL 0 <br /> DESCRIPTION OF WORK � P�AC 2 . r T S Z2- S�Ze � `�Dy. � � <br /> SUILDiNC3 SIZE SQ FOOTA(iE� HEIl3HT <br /> a <br /> • BUILDING 5 C� - VALUATION OF TOTAL CONSTRUCTION <br /> O <br /> [�ELECTRICAL $ AMP S�RVICE L] PROO ESS �NERGY �] W.R,E.C, � � <br /> �PLUMBINO $ �' <br />' �MECHANICAL $ VALUATlON OP MECHANICAL INSTALLATION <br /> - ` �GAS � ROO ING Q SPECIALTY � OTHER <br /> � <br /> . =1NISHE�FLOOR EtEVAT!ONS FLOOD ZOtJE AREA �YES NO • <br /> �l G �Ck,E-� 1�� <br /> t <br /> r <br /> 3llILDER I � COMPA�lY � ow e S l-�oM�.,�e�iT'e2s i rJ c. , <br />