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<br />JUt,I-O'3- , '37 r'lCI/J 15: 43 I D: <br /> <br />TEL t"jCI: <br /> <br />i:l8':,'3 POl <br /> <br />APPLICATION FOR PDKIT <br />CITY OP ZBPBYRalLLS <br />BUILDING DBPARTKBNT <br /> <br />OWNIR I S NAHB A If Y A /V ft1 E AJ I'\' < / /1/ PIIONa i <br />OWER'S ADDuss / Vi:1 d-.. ,J) /,tV ~ / IJ/l/ AI/L, L /:J /;, L/J/('f S hlAfT;4/A ~A~'9' <br />JOB ADDUSS < ~ 9, '{ ~ S S / X' T /-I A V E. ;::::<',(3 PA!E/f /Y/LL.6 ~/-. <br />- <br /> <br />LIOAL DIlSCIUPrIOIl, !.OT (S) 00 1.. {J SLOCK. SUBDIVISION \ l/ ;:r ,(6::: A;/ t? /17 O=;C <br />PARCEL 1.0.. /:2 -;)..k-, --;1,./.... ()O::L8-09,,;'OO -00/0 {OBT~III ~ PROP,," TAX Mot___l <br />WORlt PROPOSBD:---.New Coastruction --Addition -Jltel'atiou ----Repair ~...tall <br /> <br />_8180 <br /> <br />---..Hove <br /> <br />-Duo11eh <br /> <br />PROPOSED US!. -k::Sin81e PeaUy <br /> <br />-HIP ___, of Units -->f/a <br /> <br />_eo..et'cial <br /> <br />_lndust. _Swia. Pool _Other <br /> <br />--..Re.t.aur8llt . Health Departaeot Approval <br /> <br />DBSCJUPl'ION OP WORlt :~ k ,/7L/,} C E M J:: /V T <br />. <br /> <br />ft18gJLE ...<)~I -/~/ <br /> <br />BUILDING SUI: j b X d:z, /092.. Square Peet, <br /> <br />Hetght <br /> <br />USlDlIITlAL: ATTACB (2) PLOT PLA.HS , (2) SETS OF BUILDING PLANS Ii (1) SIT IHDGY POMS. <br />COtIlDCIAL: AnACB (3) SETS OP BUILDING PLANS Ii 0) SET BNERGY FORMS. . <br />PROPDTY SURVBY RlQUl.R!D POR ALL NEW CtJHSTRUCTI0N. <br /> <br />Dl11I.DING <br />~CAL <br /> <br />~ClWfIcw. <br />L..nutm1.O <br /> <br />PERMITS RmUESTRD <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />/.{ () <br /> <br />AKP Service Flodda Power Corp. <br /> <br />W.R.I.C. <br /> <br />$ <br /> <br />Valuation of "echaoical ID8ta~tion <br /> <br />G.\.S <br /> <br />ROOFING <br /> <br />SPBClALn <br />y' Otber <br /> <br />1TPI or OOIrSTIlucnON % -..Block <br /> <br />--1r811e _Steel <br /> <br />rDIsUD PLOOJt 8LBVA'J'IONS: <br /> <br />PT. <br /> <br />IS PROJECT IN FLOOD 10.. ARIA? ~ <br />YIS NO <br /> <br />.......................................... <br /> <br />aUI~~1I <br /> <br />CON~CTOR SECT::(,Q,Pl <br /> <br />OOKPAHYP~rS/jEE ~e CL:/f/T~ <br />State Cert. or Resist. . //o~/f C;; <br />City Licen81f Re8btraUoo f .:1. lOr <br />............~.............. <br /> <br />SiaDature <br /> <br /> <br />SilDatur <br /> <br />COHPANY ~ /L.LIS ;::-LEG <br />State Cert. or Resist. f EIf{'OO 9.5 be; <br />City Licet1a;r.- ae.btraUoD' ~/ o.;;z <br />..................1.............. <br /> <br />PIJDIRIR <br /> <br />OOKPAHY__h A //1/..u~ /fr <6f/ /l?,(j;1 A/;; <br />State Cert. or Reat.t. ~ <br />City LicHu.e Reai8traUou' .:2 / 0 L/ <br />...................tt.............. <br /> <br />Siaqature <br /> <br />COKPANY #E"S A/C---- <br />State Cert. or aesiet. . <br />ctty LlceW'e Reai8tr.tioQ . ~ :;1.../ () 5? <br />..................~............... <br /> <br />J1lIII <br /> <br />COKPAHY <br />State Cert. Ot' Resist. . <br />City License aea1etration . <br />.......................................... <br /> <br />Slpature <br /> <br />APPtTGAifflJJ _P~("lVl'r-. ~\:" <br /> <br />"''1-.,..........,..,"1'., "..._."".,..,,,,,,,... <br />