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04/06/2020 03:08 8139863210 WESTCOAST #6137 P.001/002 <br /> 4CIAIr11Uw r lmll R I"fI)IAIki uml 'anv nry uvrvar <br /> 13tn't�gl Dapertnletlt <br /> pale ReGdved Ile— Ff1onB Contact for PemltW <br /> OwresNmm &+ �?i@L �aC�iEi4$ DwnwPfmwNumber <br /> nw+ .Ad*.bLqi L"J 0(!er �ri;ue, owner PfIM Ntnettfrr <br /> Fee Sanpfe tttlaImMer L Omw Phone Number 1 I <br /> Fee3lmple'I'ttlet+etdarAdd e-� <br /> �OBADDRESS 'f7 /,G[ Qr # 3 <br /> WTAmw FROM Pwffmv TAY k6"m <br /> WOM PROPOSED e NEW CQMSTR M ADDIALT Q SIGN p Q DEMOLISH <br /> INSTALL RVAIA <br /> PROPOSMUSE Q WR Q COMM Q OTHER <br /> TYPE OF CON57RUCTION p BLOCK p FRAME p STEM p I <br /> DESCRIPTIONOFWORK N r-a w,AJC Rt S 5'j 2e o: i ze I- <br /> BL"NGS2Z SQFOOTAGE KErM <br /> �,r �LALOING 5 �2-W VALUATION OP TGTAL CONSTRUCTION <br /> ©ELECTRICAL s AMPSF.RVICE p PROGREW ENERGY p W.R.@.C. <br /> MPLtAu me <br /> =Mt:CFIghpCAl VALUATION OF MECHANICAL INSTALLATION /� 1 <br /> Q p ROOFING SPECIALTY © OTHER V <br /> FINISHED FLOOR EI I VA Ns F4000 40NI ARFA =YES NO <br /> sedom "di <br /> COMPANY —ae;' <br /> Address 8tofe # yb <br /> ELECTMCIAN COMPANY <br /> SIGNATURE REmsTEREo Y I FEE Ctl%tEt1 /N <br /> Address L.is# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERM YIN FEE GUMREN <br /> Addrm Ucenae#F. <br /> MECHANICAL COMPANY = <br /> WAIATUM Aw4TEItEO I YIN FEECUFMN v!N <br /> Address # <br /> OTHER COMPANY <br /> SIGNATU11M rEcastrxca Y!N MECURFMNtY'/�N <br /> Lkcrrss#I <br /> s..IQE. JP:i'.1k�.��ie.i`i,Ettw:i'SSi!IE��tY.lftls:+Ir..1Ira�R.1671C7.aL:fi�.iQ.i.>C9E,idF'.1.�.t:.>FlRlii:tlr..sr.7'.aCi;i.i,ia <br /> RESLDENTIAL AttAGh(2 Mot Plana;(2)sale of Iskmd;nS PIAJW(1)ad of Umm Fri RAW Pa tfor new oDnsV mn. <br /> MiMmWn (Ta)Wodd�dsY+?1tCr SUbRifltal QatA,Regnit�90 OnBlta,COnS tiM P19I1°.3t0(rttwBfe*PWrs;p w!.Silt Fe11C6 UISfBAed. <br /> Sar&4 &1 dumpster;Sits Work Poomt far wA6mhdmrm4wBe projects <br /> COMMERCIALAU;ch =n*m seta of Buttdl Q PLIM ptm a Life Safab Page.(1)sat of Enelpq Fwm Row PWM for new�buctim <br /> EfftLa (10)worlcrng daya efOer&I&riltMI data Requ fw ansite,C tstfucton LNG,&omw0ar Pleas wr SIR Fence 1n.akd. <br /> Sanitary wlmee&t dle+lpster.Site work Paw ford new projects.All oomwelaat fmire 4ma moat"00womoe <br /> SIGN PEWIT Attach(2 sets of 6e9'kwwW Plans. <br /> SURVEY requited for all xmNm*hgftN <br /> D'aeetloils: <br /> Fill omwappti000n <br /> Qwner&ConWaw or hack of appacaft ,e <br /> If ow$250o,s No600 Camnleamtent is requ'�(AIC appmom over S75M <br /> Agent Qar the or Poti►Igr of Atteew(for the owner)would to someone with notarized WWfrom owner aulhorwng same <br /> OVER THE COUNTER P (copyofoal"Arequim) <br /> Rel**1F*k+9lea Sewers SslKoetrp Wes AIC Fsno9s(PIoVSmoy/Faouw) <br /> Cmwft;S s�-,w r if on public made ao..neec&ROW <br />