|
<br />Inn f-tlINGt'EPARnr.ENT
<br />
<br />4 "
<br />
<br />'~I\j:~IC 'c, HH4B.!J-e.rtJ-lc!lt1 e.". .(~ r:fJ;lftr.Y]p_.____PHOME..1P' 3..:.- CJ 5'1./2-
<br />,~'N€F' 5 JI1IlU5.~3 '1eL,< //.eM ~<I_" _ ~h4fh!l6-,- F I, _ -'3 'Y:;Y7
<br />H ADORBS>_<__~9 .!!i_I {p__~ .._..~ r.Z0jUtvrr .bUL2_~Fl.,____3J,~3:'1-
<br />
<br />L: ,'.
<br />
<br />,Q;:i _ '18 !,Jl U; J_ ___.
<br />
<br />;lWlv.S ION
<br />
<br />,*,,".-,<,.. _._-,~~.--., ----'..........- ~..-
<br />
<br />I, HU PROP'\'!5KfI, _.Jew., I ,
<br />
<br />A.id ,( 'Fe"
<br />
<br />~JnL.L".JJj_ L~2lUjrR.RTY TAX itur.1-c~)
<br />_.F1.." ;.. _.Jj!pah Lr;~~l
<br />
<br />T'!l
<br />
<br />i), t,
<br />
<br />. _.si....
<br />
<br />/~Jye
<br />
<br />...Pet
<br />
<br />PRUi'<.LcB.O USE.: -J~e Fa.lllY
<br />
<br />~~:=
<br />
<br />__,._' of Un j l5
<br />
<br />_...Jtl f1
<br />
<br />_eo.terc 3. -1
<br />
<br />indus t .
<br />
<br />_.-SwLt !"J.Jl
<br />
<br />_.Otber
<br />
<br />Je~t.a::u'
<br />
<br />d.v~ '4 l.t~ j\ _.._~~.~. W-!i,z-,t i~J'!"~.~~'-7Oi ~
<br />
<br />DESCRIPTIO. OF WOU:~/~ 4r~. 6.1!li:!.-...kk ~0!_I.~~_S!:l1! 1-I~7-
<br />
<br />BUILDUlG S LZB I
<br />
<br />A.___ .__~_,.;.qt.Mlre p..,-
<br />
<br />.......JIe i gh t
<br />
<br />~i)EY1'LU.; .Jj \2) pt..ur P1...\ti~. & (~) S1. u.!~f) PUN~; & (l) 8lST ENERGY FORMS.
<br />.,;i1tClAL: Al'tAal (3) sns Or &tt~I.lllHG Pt..I......~ !.c (1) Si:;T E~ZRCY POR.'tfL
<br />PROPERTY SURVE'1 KP.>J~' i ~.(Et- FOR All ~;g," (.()JlSTRUCiION.
<br />
<br />PKIlMlTS RWU&.,TEQ
<br />
<br />----6UiLDING
<br />\,../' El.tLl1U~
<br />_~CHAnCAL
<br />
<br />$
<br />
<br />_.___._Va.luaUIJU of Total Couatruction
<br />
<br />MP Servic'" _"~Pll)c!da Power Corp. .....-..,;,.W.R.E.C.
<br />q cP
<br />$,__.,_.J.-5.==-__Vah.wU<m ot MethAllical :~'latall.aUoD
<br />
<br />:"~alJlG
<br />
<br />,_._" " . ,'Ae:.
<br />
<br />R()(iFl "Q
<br />
<br />SPSCULfY
<br />
<br />TYPE OP OOIIS'lIn,.
<br />
<br />____...Block _Pnu.e _Steel
<br />
<br />_Other
<br />
<br />f~i" l'illBD FLOOa IU...KV",rlOJlS:
<br />
<br />..YT.
<br />
<br />IS FRO-JECT 1M i'lOOD ZVfi!E ......RXA'f
<br />
<br />YlS NO
<br />
<br />..".il.. ...,. ~_... It ~ -. ~'Z ~ .oi.... 'Ill a Ii;... -i u......-;; . -i~.
<br />
<br />~DlA.(;"j].lI S2Cf 10N
<br />
<br />1U.lJ.l..llQt
<br />
<br />~PANY
<br />
<br />-5t~or,.~ ~
<br />
<br />-,
<br />;" ,>-.
<br />
<br />4
<br />
<br />~s..t-~~~" ~~-~- &,F
<br />
<br />... .~.. _ u ~ ~ ~ '-....i'U f .-.....'_
<br />~ -~... *' ~ . ~~- ~.. '&;...-..
<br />
<br />J,.l~~
<br />
<br />".~' liil";;. ;'..i"~~ I I /I
<br />
<br />:"",, . / .~Y-ll
<br />SL&u.lill,\Uj:Jt . ,," _._
<br />
<br />
<br />':QZ'ii,_' ;-kl1rtffv..-e-z-. E;;'?drt~
<br />SU,-e "fln- vr "A~ei6\.. ,_.~fiJ:)75D~~-~~:"
<br />(;1 tJ 11cen8e ReIl18i:18U0I1' _~,_._____
<br />I ~.~.~*,.~.*..~t~w~.~.r.,..
<br />
<br />Signature
<br />
<br />Gt~~'i_ ,_..~__
<br />SLate Cert. or Jit"J#,itlt. '__~_~
<br />_. ___~_ Cilv llcetae Reatstuti01l . _
<br />~~~.~z.t~~~,t~..'...~.......~..........~..
<br />
<br />1?~i
<br />
<br />~ ~ COlfPAllCAIf. I1-lu~~t!.r&; file
<br />.. ~... ..... 5tate..cert.. or Regi. at. ._..~" ~.D Stdo70 _
<br />Slgnat.UT~ ____ ""_ _. H'." City l.lcen8~ Regt_tntloll . _~_ _
<br />" ".., ...." a,..,'. ,.............. ,...... "..
<br />
<br />Sign. tUff>
<br />
<br />COKPILNY _.~._ ~~ ._~.' .",",,'~"~~'~ ~
<br />bLat.e Lert. or ReSi&L. *____ _
<br />Ci c.y licenae ReguU8t10n . _
<br />
<br />~.)} ~:_..i,~~
<br />
<br />c.~ .'~~W "ot J~~~..... ~....~~....*...~&..
<br />
<br />.\.f\ Ll.tJ\T1 Die APt:BO\E':! In ~__
<br />
<br />_ _,~ ~~_ )?cru-UT OFPIGER
<br />
|