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<br />(Y-r;~ " RAHE Z r rvl
<br />..awtfER' S ADDRESS '39"33 b
<br />JOB ADDRESS_.. ,. _ _..,_5fi#1 L
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<br />LEGAl. D&SCRIPT!-.~" v\"~{;;:;'J_ _ ,___BLOCK
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<br />StmDT"ISIOlil
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<br />PARCEL I. D.'
<br />
<br />WORK PROPOSED:-XlNI'ev f;oos~:ruct:ion _Addition _Alteration _Repair _Install
<br />
<br />__Sign
<br />
<br />__~ve
<br />
<br />_Deaolish
<br />
<br />PROPOSED USE:
<br />
<br />Single Faaily
<br />~ec-ercial
<br />
<br />~K/F
<br />
<br />_, of Units
<br />
<br />__K/H
<br />
<br />_Indust.
<br />
<br />_Stria. Pool'
<br />
<br />Ot:her
<br />
<br />_Rest:aurant &- Hea1t:h ~t: Approval
<br />
<br />BUILDING SIZE:
<br />
<br />x
<br />
<br />__,_ __Square Feet,
<br />
<br />$b.~. #'1_Height
<br />
<br />. _ RESltit::::TIAL:
<br />cottKERCIAI.
<br />
<br />ATTACH (2) Pill:t PLAliS c UJ SEI'S OF ~UII.DU!G PLAJlS &: (I) SET ENERGY FORKS. **
<br />Anl~CII (3) SETS OF BUlI.DDIG PLMiS fir. (1) SEI' mmRGY FORKS. *:1:
<br />**COPT OF GUln'KAi.'T I.irlk~L1lUlD.
<br />
<br />r
<br />
<br />S/t-z... t..JO~ nmtITS ~~rlill
<br />~ BUILDING $ ? r ?,-~ 7, U7J Valua'dOfi of Total Constr:uction
<br />~ J--
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<br />_ELEC'fRICAL
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<br />ANP "",,_ 'LVJ.("'(
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<br />_F~o:i:'lda ~cwey 'l;::>rp.
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<br />W.!, E..C.
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<br />__KECHAKICAL
<br />
<br />$-
<br />
<br />..__V..:h. "::!L0fl ,.)f Hed;.anical Inst:allation
<br />
<br />_PLUMBING
<br />
<br />~
<br />
<br />,_I<<'.,{)FIJjG
<br />LSteel
<br />
<br />SPECIALIT
<br />
<br />Tr>~ OF CONSTROC'TIOlNl': _Block $-J!raae
<br />FIWISHED FLOOR ELEVATIONS: 16 -~.
<br />
<br />Ot:her
<br />
<br />YES
<br />
<br />A-
<br />NO
<br />
<br />IS PROJEC'l lJ!i FLOOD ZONE AREA?
<br />
<br />***********, ,,*******"'*-ir*'f:'i-'.l-***************
<br />
<br />..DIIII'I'RACI'OR SieC!'ION
<br />
<br />BUlU>ER
<br />
<br />f.U!tPAN'L
<br />~ St:ate ~rt. or Regist. ,
<br />. . City License Registration ,
<br />******************************************
<br />
<br />,-5.~/
<br />
<br />Signature
<br />
<br />ELEC'l'RtCIAN OO!lPMW h F IoAJ E/-e=~(-I--IG cc) ~ J0C-
<br />
<br />~ .....::7 ./ St:ate Cert. or Regist. '~~ 9~ rz f)
<br />Sil!Ilatl1re~ 4~ City License Registration f __ ..;._
<br />*******~tl*v~**w*******~**********:I:********
<br />
<br />,PWKBER CO!tPMiIY
<br />St:ate Cert. or Regist.. ,
<br />Signature City License Registration ,
<br />******~*******w*******~~***:I:**************
<br />
<br />ttEalANICAL CO!tPMff
<br />St:ate <;ert. or Regist. ._.
<br />S!.gnature .. City License Registration I
<br />*********",~**********.....H",..,*"".':"'''''-!<'''''.l-':t-*******':t- ,
<br />
<br />0'T1IF.R
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<br />c...~i'),L,: "
<br />
<br />Signature
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<br />,.11:.,.'1-::- '. ___ or Keg i!:!: , 'fr_ __,.,
<br />C:i.!:y' ir;-,.,,,cs,.. RCi;iz .C"dtion *
<br />
<br />APPLICAnO~ APPROVED
<br />
<br />..........,... -*......dt'.....';\ ',,1,_ ....p.o1l. "i. ;':".-: ,:..~.. ~'f: ...~~~.-~.'Ir*..':C..+~\.~"':! JIt.:',...'Il...: ~
<br />
<br />
<br />BY ?f ~&<~.Lc)~
<br />
<br />PERKIT OFFICFP
<br />
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<br />~
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