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<br />~j~'.., <br /> <br />,*'; .>>*: ". , <br /> <br />Al'PL'ICATION FOR PERKIT <br />(;ln' oeo ~l!rorRUU.ts <br />D1l11tDlRG DUPAR1UE'm' <br /> <br />'.:s'~..,r .;f;, <br /> <br />.' OWNER. S NAM.E iJ/ E 1....1-1 ~ <br />OWNER'S ADDRESS j 9 1-.3 5. <br />. .Jon ADDBBSS .,. -3 <9 ~3 9 <br /> <br />w ;q.:T,,- Q. tV <br />9M /7u ~ <br /><7 J'7--I /1u C <br /> <br />l~JO~m .8/.:? - 7~2- ~"2 9 L <br /> <br />LEGAL DESCRIPTION: tDT(s) <br /> <br />n~sonDIVISIOR <br /> <br />P~CEL X.D'.# __ .--' <br />~~RK PROPOSED:~~ew Construction ~ditioQ ~eration ~ep3ir ~lnst311 <br />I <br /> <br />PROPOSJro US,E :' <br /> <br />_Sien <br /> <br />~inele Fa.ily <br /> <br />_Hove <br /> <br />_Dc.-olish <br /> <br />_---1f/J! <br /> <br />_' of Units, <br /> <br />--H/D <br /> <br />. _eo..cX'cbl <br /> <br />--Xndust. _Swia. Pool . , <br /> <br />Other <br /> <br />:B.cstaUX'(l1'\t & JIc.a1th DCp3.-ct-.ent ,^pproval <br /> <br />BUILDING SIZE: <br /> <br /> <br />x <br /> <br />Square Feet, <br /> <br /> <br /> <br />RESIDIDn'lATA <br />COKKlmCIAL : <br /> <br />A'ITACJJ (2) PlOT PU\NS << (2) SIL'I'S OF BUILDItvG fI..MS Ii (1) SET ENERGY FORKS. it. <br />ATrACU (3) SETS OF nUILDX~G PLANS << (1) Set F..NI!.RGY FORtIS. ** <br />".COX'!' Of' CONTkACT lUlQUlRIlD. <br /> <br />J)f.lmlTS ln~OUP'....')'rP.D <br /> <br />, . <br /> <br />-DUILDING <br />---..ELECTRICAL <br /> <br />$ <br /> <br />ValU3tiOQ of Toul ConstJ:'\Jc::t:lon <br /> <br />AMP Service <br />$ 4';; Lj 9S-o~ <br /> <br />_---"lox:;ida P<x<<:r Corp. <br /> <br />W.R.l:.C. <br /> <br />----1{ECUANlCAL <br /> <br />V3l.WJtion of Hcch..onica.l Installation <br /> <br />-----"pLUMBING -"CAS ROOFINC <br />TYPE OF CONSTRUCTION: _Block ---Y'rae _Steel <br /> <br />SPECIALn <br /> <br />.Othet' <br /> <br />nmsl'IEO nooR EUVATIO~DS = <br /> <br />FT. <br /> <br />'IS PROJ'ECT IN FLOOD ZONE AREA? . <br />, YES <br /> <br />. - <br /> <br />~...*eta*t...e...**.*~*..........tt.ti...* <br /> <br />NO <br /> <br />Q'"rnA:::P,ctlQ! fI/ if <br /> <br />State Cert. Or Recist. I <br />City T.iccnse Registration' .. <br />t.*..t~.*~*.*~.~.~..........*.t..t...t.tt. <br /> <br />BUILDER <br /> <br />Si.c,n.atuX'e <br /> <br />Et.ECTRICIAl{ <br /> <br />CUlH.l'ANY <br />Stat.e Ccrt. or Regist. , <br />City License Registration f <br />e~.***.**<<s...~~t.tttt.ttt.t.*t.*~t~t~~*.. <br /> <br />rv19 <br /> <br />SiP.n:J t~J're <br /> <br />. , <br /> <br />...' <br /> <br />OOlU'ANY' <br />State Cert. Q~ Rccist~ . <br />City Lic~ose Registration . <br />.*~**.*.***....t*..*...t.tt....t~*tt~A.~t* <br /> <br />(UJ4 <br /> <br />PLOKnm <br /> <br />Si&n3ture <br /> <br />II&a1ANICAJ. ~ . C:OOPiI!<Y: .sOU 'r r-l jZ.~>v <br />. . Stat~ Ccrt. or Rcgist.. , <br />Signatur"-\~ . ,. /~"f'-'~ Ci,ty Lieense lteCistratiuR , . <br />*~*.*..*...t.tt*tt*.***~*t**.*.*.*.*...*t. <br /> <br />,e 0 Yh- f ()~'t.-l IL-:::r <br />~r11 00 i.s:O G ~ . <br />~ ~'--3 <br /> <br />Sienatw.-o <br /> <br />conpc~ IV ;/J- <br />State Ccrt. Or R~ei$t. . <br />Ci~ Licenso R~ci$trQtion . <br />*.....*........*..*.*.tt..tt...t.~.tt...t* <br /> <br />~ <br /> <br />APPL'ICAnOK Al'PROVeo Dr <br /> <br />PE.Rl{IT OFFICER. <br />