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<br />APFl,U:Atl0M r(,n rRI\HIT <br />CITY or ZEFH1RH1LLS <br />bUILDING DEPARTMENT <br /> <br />~~t q0 . <br />2~ [) .. <br /> <br />, ........ .. <br /> <br />OWNER'S N>>lIL-__L.J::!,L_.H,aKao_~.,__,._,_____________~___PHONE '(;13' Q'/3.. 5'56' <br />OWIBR'S AUPUNI P (.1.&'10 .::i...2..8, ,Ne.~ ?~T /2"~kV, 1=/ ,'-J("''5"'" Q"":~A <br /> <br />JOB ADDRZS8 j=3g I ';/: I ~ ..,.. h I~~E.., <br /> <br />('),-/ 'J ,:, 1 - ~ . __ <br /> <br />LB<W. PISCRlJ'TION; J..OT(S)_~ <br />PAROEL 1. D. f I,~ -_.&1..,..;.A..l..:_.,_o_ <br /> <br />__BLO~ <br /> <br />.SU8DIVISION <br />(OBTAI. PROM PIUP"'" TAX "QTICR} <br /> <br />WRIt PROPOSl1h-LNftV Cotl.ot.ruetioQ ----J'.ddltlon -L':.ALterauon _.Jepalr _last.i! <br /> <br />..-..-..81811 <br /> <br />_.._Jtu"t! <br /> <br />_"p4'!IIol ish <br /> <br />PROPOSED USE: -L.J3 inale Fa Uy <br /> <br />--1J/F ...JJ_.t of Units ..-Jl/B <br /> <br />__eo..ecclAl <br /> <br />__Indu!lt. .__swia. Pool _other <br /> <br />__....Re.taur..nt , IlcAlth Vepu:rtAent APprove1 <br />DBSCRIVrlOH 0' WORJ,;_-......s...e..,;:....-f))'I iO.~1"" F-:-t.> WI<:., IE. - ~ ~ PLAN";) <br /> <br />BUILDING SIZI: <br /> <br />J.. <br /> <br />."____..___Slluare Feet,_.. ...--_.Hei8ht <br /> <br />RBSIDBI1TIA.L: <br />ootIKRRClAL = <br /> <br />ATTACH (2) PLOt PLANS & (2) SBTS OF BUlLDING PLANS' (1) SST BNBRGY PORMS. <br />ATTACI1 (3) SBTS OF BtJILDlRG PLANS, (1) SRT BNBRGY FORKS. <br />PROPIRTY SURVlY REQUlIl&D FOR ALL NEW CONSTRUCTION. <br /> <br />llMUj I\BOV.BfilU <br /> <br />~UlWIRG <br /> <br />./' IUEC11l1tAL <br /> <br />LJmawnc;:AL <br />/~tltR~.G <br /> <br />$___,S8,..:i~~~~~_Va1uaUon of Total Construction <br /> <br />~ ' t:I. ~p Sent J ce <br /> <br />_._--...;F 10t1OO Power COrp. <br /> <br />I W.R.E.C. <br /> <br />S..___._~~___~_V.luatioll or tlechl!ln1,cal 1000taUation <br /> <br />___.~GAS <br /> <br />./ <br />~_,....__~OOFI NG <br /> <br />_____._Sl'scUJ..TY <br /> <br />TYP! OP OOIISftUCTlOM: L.l'lock _Fra.e _steel <br /> <br />. other <br /> <br />nHUIID n.ooR BLBVAtloNS=___..FT. <br /> <br />IS PROJECT IN FLOOD ZONB ARIA' <br /> <br />YIS <br /> <br />- <br />NO <br /> <br />................*......................... <br /> <br /> <br />CORIMJ4IU.1LS~QI.I.Wi <br /> <br />V / (:utltAML-.Cla1?..uc.-Harn.e'il q ])~lJ. R'f LAR./t;,.\/'l! <br />-/,,;/~__.____,JU:Allle C~r.t. or ~e8I,.t.. CB (!O ~~.,o.Iq <br />.~Y.;:l!X!__._-,_._... Ulty l.l(:@'ftsl@! Re8iBtr..Uon . /9..3 <br />....................**...*~............... <br /> <br /> <br />4L41/ <br />/ COMI)ANY_.._._fLtig~~r;~'TR.' c- <br />, State Cel't. or a.8let.' ~.R. oO~.Q.aq <br />. ctZ.'bI_.-_..---.--,--- City LicenrJl! RI!8istratiou . ~<.. q <br />~..............................****...... <br /> <br />==-- <br /> <br />IJdlPa A" ~/ C;OMPAtfY_~__i:.~ TA'/IiSS <br />",/ StAte Cert. or Re8ht. '_!3.f- (. 4l:, ~ <br />SJgnAtw:e .....M ...___.._ City LicanJIIn ftfegiaUation' /b ;; <br />.. ...................**................ <br /> <br />IL ~ <br />KECBAIIlcAL . a" OOHPANY_~,...Si"I<Ti::;tEJ'ltl:t ~fT'ECI~r EN"1*". <br />" f" St...t.f! Cr.TL or Real.t.' KAI=! ()onp 9 <br />8lpat"". 7~- :3:1- ~---- City 1.l.cens. ...istration t 5'" <br />.~~... ..t~..................*.*.**...... <br /> <br />O'I1IER _ Kot> F . ~OO"PANY_ C 1A:<riJ..-;-8~/'7\c!> / :DE.), 8,'1 ~tt.tI-'N <br />. State Cert. l)r Regt.t..' Ceca Y~B{.1. <br />SilJD8.ture tl:I't __ City Llce1.l8e Reaistl:atioll . /- t6J- <br />......................................... <br /> <br /> <br />APPLICATION APnOV1!:b BY __..____._,."'---~,~-- <br /> <br />PDMtT OPFICER. <br />