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<br />~.,. <br />'~b. <br /> <br />APPLICAnOll fOR PERllIT <br />CI1Y OF LIWIIIKHIT.U: <br />BUIlJ)IJIC DEPARIImlIT <br /> <br />OWlIER'S lWtE S/J1/ i7{ r' A 1/2e. ../-?f:tJue.- fB)!IE ?;J 2 -'b 10 D <br />OWlIER'S ADDKESS ~ 7e:J;1.. S rT I<r,.,.'t f( 0 <br />JOB ADDRESS 05;2D t6~r{LI'(}()D &J"f /vt: <br />LEGAL DESCRIPl'IOII: IDI(S) .if A 1- j 6 ~SUBDIVlSIO. 51 (ue,e ~K5 <br />PARCEL LD.' ()i-:1~- ,;)..(- ()o<.[o -oOtJf10 - 00<(0 <br />liOn "':POSED: V;ew Constructioo ~tioo _Alteratioo _.Repair _Install <br /> <br />S' <br />- 19D. <br /> <br />_lIove <br /> <br />_.De.o1ish <br /> <br />PROPOSED USE: <br /> <br />Single F-Uy <br /> <br />_"'F <br /> <br />~ . of Uni1:s <br /> <br />_II/H <br /> <br />_ec-ercia1 <br /> <br />_Indust. _Swia. P001 <br /> <br />Ot:her <br /> <br />BUlLDIRG SIZE: <br /> <br />to <br /> <br />R_t:aorant 6: Hea1t:h ~t Approval. <br />3~76 $ <br /> <br />x 60 , <br /> <br />qlo"~ I JI I~ <br />~ Feet. Q.. - IS-O ,At Height <br /> <br />RESIDENTIAL: <br />aJIftIERCIAL : <br /> <br />AtTAaI (2) PIDI' PLA1IS 6: (2) SEI'S OF BUlLDIJIC PLAIIS & (1) SET EllERGY FOlUIS... <br />ATrAaI (3) SETS OF BUII.DIJIC PIAIiS 6: (1) SET EIIERGY FORIIS... <br />..OOPY OF mBTKAcr RIIQUIRED. <br /> <br />/ <br />BUILDING <br />7' <br />F.T,RCJ'RICAL <br />/ <br />--.JIEQIAIIICAL <br /> <br />/I'UJHBIIIG <br /> <br />$ <br /> <br />-$ PIlRIIT'IS REOOESTED <br />I/o, OOd . c:> ... Valuatioo of Tot:a1 Construction <br />, <br /> <br />f 5' /) AIIP Se:r:vice A10rida Power Corp. <br /> <br />V.R.E.C. <br /> <br />$ <br /> <br />Valuatioo of 1lechani.ca1 Inst:a11atioo <br /> <br />GAS ROOFIIIG <br /> <br />TYPE OF mNSTRUCl'IOII: ~1oclt ~ _Stee1 <br />4); 4, /if. ~.t.. <br />FINISHED FLOOR ELEVAUOIIS: I '{ FI' . IS PROJECT III' FlOOD ZOIIE .AREA! <br /> <br />SPECIALTY <br /> <br />Ot:her <br /> <br />/ <br />~ <br /> <br />YES <br /> <br />110 <br /> <br />.......................................... <br /> <br />aJII'rRACIOIl SECl'IOII <br />it. '''-._...~ lDIPMY 150 '= -reed.. ~c. 1i:3 <. b <br />'.. St:ate Cert. or Regist.' 6 <br />Signature. City License Regist:ratioo' 3 82- <br />. .......................................... <br />F.T.P.cr.RICL\II~ ~!2 OOIIPAIIY /11oRroJ ;;..ue <br />::::: .,.,. /J-?'1/?~ St:at:e Cert. or Regist:.' FIIC{ <br />= l: ~ U/r~J.'/T'- CH;y Liceose _tta~i<m' ':1./ <br />.......................................... <br /> <br />RIlTT.DO <br /> <br />PU-.rRO OOIIPAIIY ~JO#e..rre, I<Skte 11-//t~.rnb//7,1 <br />~A-1 ,/2.. ~ St:ate Cert.J Regist. ,. () <br />Signature (;T'lPLL ~ City License Regist:ratioo , / <<<J' <br />.......................................... <br /> <br />OOIIPAIIY So A/ ,v f 5 <br />~ ~! St:ate Cert. or aegist. , <br />'"... ! ' -- City License Regist:ratioo , <br />~.... ................................. <br /> <br />~ OOIIPAIIY &) Z IL-re{/( J#C <br />~ __ St:ate Cert. or Regist. , <br />Signature City License Registratioo , <br />, .......................................... <br /> <br />APPLIc&nllR - BY '1/ ant' -:j d/...'AA.j- <br /> <br />MltCllARTrAT. Ii <br />/ ! <br />Signature ?~0 <br /> <br />JJ... <br /> <br />O'I'IIRR <br /> <br />J?;;L <br /> <br />PERIIIT OFFICER. <br />