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<br />-7J~ .~6:' // <br /> <br />D'toiNRR ;" ~A- \ Y G2-H tA rt~\~"") 40..-"\ . <br />~Hf:l;' ADDRESS 4V;lifc. ~T\t .sr <br />JOB I iURESS S Cf~ <br />J.E<;./\I IJESGRIPTlOH: LOT(S) /3 ~UBD1V1S:IOIl.ii\toIQJ - \ST A-Ji'l. <br />PARe: I .D..J'-I--l-t -( I~O DID -0 1~fX) - 0130 (OBTA"llll FROM PROPERTY TAX NOT1CRl <br /> <br />?~/tfd/S' <br /> <br />PHONE 732-,RSlf <br />.{2(3~S"Y6 <br />( <br /> <br />WURlZ WPOSED:~ew Coostructioo. ~tion ..)(.J1teration ~epair _Install <br /> <br />_Sign. <br /> <br />~ve <br /> <br />~lish <br /> <br />PROh':D USE: ~ingl.e F&aily <br /> <br />.--Jt/P _' of Unit8 !UB <br /> <br />_eo-ercial <br /> <br />_lJldu.&t. _Std.-. pool _Other <br /> <br />.--Jlestaunnt &: ae.al.th J>epartaent Approval <br />"f. <br /> <br />l'rlON OF wolllt: (.,,, V~ , +- ~r O~, ~ ~,~ \-. ~ <;- 'oS, rt.. """" ...., I G l.,J-r , c. <br /> <br />DES! <br /> <br />BUll. ING SIZE: <br /> <br />KBSl t,:NTIAL: A'l'TACIl (2) PLOT PL&BS &':(2) SE'lS OP B1J1LDUG PLANS & (1) SET ENUGl' POBMS. <br />COMH RCIAL: AttACB (3) SETS of BlJlLDDG PLUS & (1) SET ENERGY :POmtS. <br />PROPERTY SlJRV8Y 'lBQlJIBED !'OR ALL NEW ooasUUC'fiON. <br />'~" . <br /> <br />x <br /> <br />, <br /> <br />Sq1la:Ce Feet. <br /> <br />-Beight <br /> <br />~.~~~;: <br /> <br />2PMITS 'R'P.01JESTEll <br /> <br />ilILDING <br /> <br />$ '16oL{.- <br /> <br />Valuation of Total CoostructioD. <br /> <br />l..EctlUGAL <br /> <br />N.W Service <br /> <br />FloricW Power Corp. <br /> <br />\Il.R.E.C. <br /> <br />:.~CBAIflCAL <br /> <br />$ <br /> <br />~ val.uatioo. of Hechanicall.DStallation <br /> <br />',UKBING <br /> <br />GAS <br /> <br />JlDOFlNG <br /> <br />SPECULTY <br /> <br />':'11' IF CONSTRUCTION: --..Block _Fr:eae --1itee~ <br /> <br />other <br /> <br />i' U. (ED FLOOR ELEVAfiOJlS: <br /> <br />fl. <br /> <br />IS PROJECT IN FLOOD ZONE AIlEAT <br /> <br />- <br />YES NO <br /> <br />t.L <br /> <br />j;I>NTIlAG:I'OR SRCTYOR jJ:l "0 - ~ ~ ~ - %bS- <br />() [) K.Q-V\ <br />~ARY '( .Q. \ rt\&;. -\rv.\.L f <br />r _ State cert. or aegist. f .5> c:..L DS;;2.b'-l~ <br />. !Cure ...--:::::::::: c::--- Id" d City LiceD&e lle&i-stration' 7 S 1 r::. <br />12 ..****.***.~*..........._-**..*.......*.** <br />r::: t4LL -~,,' CllII1'AIN AI\ ek~t':'<- Se...vo '-~~ C-o. <br />I ' 'If ._ ,'ii . "(!lute c:e<t. or Ilesl-&t. . . 1:"- ()O<)\ 0 Sf'" <br />_,~ ~ __-:- __ l...1:ity Uc....... Ile&iatration' -=-;1.\ '1.'t <br />" *.****...*.***..*..***..*.-*..._***....... <br /> <br />.*........**.........._._......_....*-*... <br /> <br />-= <br /> <br />lllJ <br /> <br />5.R <br /> <br />c' <br />." 1 <br /> <br />~ <br /> <br /><: I "I <br />~'- <br /> <br /><:f; <br /> <br />:j i '/ fl ture <br /> <br />QOHPABt <br />"State qUt. or Resist. · <br />~ - City License Registration f · <br />....**...__..*-**_.****.._**_._.**..**._.. <br /> <br /> <br />- <br /> <br />lllli . rLfJt <br /> <br />S '-i,., \R. t.ure. <br /> <br />'OOHPAIIl . '. <br />State Cart. or lle&ist. . <br />City Lic~e ltagistr!!.t!on · ~--- <br />..*.-...-...-..*..-.--*.-.--.*..-......... <br /> <br /> <br />{if U I"~~ 1 GAL <br /> <br />i ;~(151 tu.re <br /> <br />COMPANY <br />state Cert. or Ilegi.t. · <br />City License Registration. · <br />*.e.--._..**_..-**_."**..**.*"***...*..- <br /> <br /> <br />QL\L''J.'.. <br /> <br />., pp '-leAnOR APPIlDVBD BY ~ ,.......RfN:J) <br /> <br />pElUfiT OiFICER. <br /> <br />-----~----~:::-~----------------------------------------------------------------------~-------- <br />'j'-";; ...... <br /> <br />~t:;.:; ., <br /> <br /><.~. <br />;'... <br />:~.:.. . <br />t:~~;.. <br />