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<br />C?~U~) <br />7 -/1-- ~ [/ <br />, ~RJ-~f,16 <br /> <br />Af~LtaArlUN ru~ PKRMlT <br />tlTY or JRPllrlUltU..8' . <br />BU1LblNU'bIPARtHRNt <br /> <br />t:. \ ~ !. <br /> <br />OWNa's HAItH g cL ~ =rr\.:h:L8T-f\tE <br />OIlIflllljl AbIlIU!lI!I ..3 S- d ~ 7 .~; 6 L lJ) ~(':{ <br />Jolt AbO'U$S '-I <f03 C i)-II 7\ C L~ <br />LEGAL DBSClUi'TIUNl WT(S) <br /> <br />.PIIONE <br /> <br />,~'-I W <br /> <br />BLOC~ <br /> <br />SUBDIVISION <br /> <br />PARcet. 1.b.' <br /> <br /> <br />~ORk ~ROPUSBOt~ ~w ton~t~ctlon ~dditlou ----Alteration ~epair ____Install <br /> <br />_stAll <br /> <br />----1Iove <br /> <br />-Pe.o1ish <br /> <br />. <br />PROPOSED USE! ____Sill81e tally <br /> <br />---li/F _' of Uuits _JIll <br /> <br />_cUlMlerclal <br /> <br />_lndtJst. _sw111l. 1'001 _0 Lher <br /> <br />~estaurant " lIealth Departllent Approval <br />bBSCIIlPTIOll 0' 1IlI1Ut. ~ O~ --tf j. ~ / <br />BUILDING SIZE: If.1l /~. /~ ~ SqUAre reet.-LJleight <br />RES1DENY1Att; A11'At1l ;(2)IPwr PlANS & (2)' SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. <br />cO~Rc1AL t ,AttAtd i (:J) sm .0' 8U1LblNG l'WS , (1) SRT ENBlGY FORtIS. <br />. ".tJ.,tnttt SUlVlt: ltIqUIllW .l'O.'. ALL NBW, OONSTRUCTlON. ' <br />< .. , ., ". - ,~ ...., - . . . " <br /> <br />. I . <br /> <br />. I \ <br /> <br />." 0 e'F.lUttTS. tuWUESTED <br />d/J 9. S vflluat.loll al Total Construction <br />/ ' .' I <br /> <br />.AIIP Senlce ; I it l'lodda Power Corp. <br />valuatlon of Heclaattical thstallation <br /> <br />W.R.E.C. <br /> <br />" 1 . <br /> <br />.1 <br /> <br />_BUIWING <br />~UtctRlcAL <br /> <br />,$ <br /> <br />---"ECDAJllt:AL . j$ <br />---'LtlHBltfG <br /> <br /><<:AS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CO..STRUctlOIU \ ---,loclt _Frue _Steel <br /> <br />Other <br /> <br />FllUSHED FLOOR ~lJlVAtlORSI..... yr.. <br /> <br />lS'PRUJlct IN FLOOD ZONE AREA? <br /> <br />YES <br /> <br />NO <br /> <br />'. , ,. <br /> <br />......"".,....,...."...,............... <br />i ~ . 1 I ~ <br /> <br />BUIWER <br /> <br /> <br />Slgnahtre <br /> <br />EIJmIRlClAH <br /> <br />tottPANY <br />State Cett. or Regist. , <br />tit, Lic~nse Registration , <br />.................."...................... <br /> <br />Sillll8ture <br /> <br />cotWANY <br />st.t.~ tett. or Realst. . <br />tit, License Registration , <br />.......................................... <br /> <br />PLUHBER <br /> <br />Signature <br /> <br />OOtIPANY <br />state cert. or Regist. , <br />cit.y license Regi~tration . <br />.......................................... <br />. <br /> <br />HEGlIAHIJ:AL <br /> <br />Signature <br /> <br />Signature <br /> <br />COMPANY <br />State cert. or Regist. , <br />elty License Registration . <br />.......................................... <br /> <br />JJ'IUER <br /> <br />^PPI~lC^TION APPROVED BY <br /> <br />PERMIT OFFlCI-:R. <br />