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<br />JAtl-13-'OO THU 15:03 ID: <br /> <br />TEL HO: <br /> <br />l:*250 POI <br /> <br />3J-:rn~- . <br />~ '1"'" <br />7:J.q '11/; ~II~,. <br /> <br />OWNBI'\' 3 !UIHE <br /> <br />&>>PLJ:c::&UOII rea ~T <br />C%ft' or ~ZLLa <br />aU%LD%R'G ~ <br /> <br />DAtJ!& ~ /->'/1-0'0 <br />.LUra ~ ~ <br /> <br />~t: <br /> <br />1:J.4 V"""tL'1" A'7.6~ ~ .I "YcZ <br /> <br />J!'HONIt r"'1f' ~ 9 ~ 11' - ~d7, <br /> <br />JOB ADDRZBS <br />LEGAL DE3CR%PT%ON: LOT(S)/~ .-/i <br />PARCEL rD .. <br />WORJ< PJtOPSltD: JBlNEW CONSTRUCTION <br />o SIGN <br />PROPOS2D USE: []SGL rAHZL~ DWELLING <br />~OMMRR.CnU. <br /> <br />BLOCK <br /> <br />suaDzvrSZON <br /> <br />~/ ~.L~ ~~.r~ <br /> <br />o ADDITION <br /> <br />It'>>R'P.a.TN ....,.. PD^DII!D'I'V .....'" N'n"'T~~' <br /> <br />[J HOVE <br /> <br />OALTEJUlTION <br />a DEKOLI:SH <br /> <br />a IUl:PArR <br /> <br />a INSTALL <br /> <br />OMUL'l'I-FAHJ:LY <br />a INDUSTRIAL <br /> <br />D. OF UNITS <br />a SWDtKI:NG POOL <br /> <br />o MOBILE HOM]! <br />o OTHER <br /> <br />c::J RESTAURANT & HItAL"l'H DE~^"THEN"r JU>~ROVA1. <br /> <br />DESCRIPTION OF WORK <br /> <br />.......l~L~...~.~.~ <br /> <br />A.JIII'..JI.tI",4, <br /> <br /><r'~~~ <br /> <br />8UXLDING SIZE <br /> <br />/~D' r .//!!fZ.' <br /> <br />SQUAR.!: FOOTAGE <br /> <br />/--C./ 1l 0 <br /> <br />HE.IGHT <br /> <br />.sl~ <br /> <br />RESIDENTIAL. <br />COMMJtR.CDU.: <br /> <br />ATTACH (2' PLOT PLAN'S & (2' SETS or BUILDING PLANs & (1) SET BlfERGY FORHS. <br />AT'rACH (3' SETS OF BU:U.OXNG PLANS & (1) SET ENERGY .I!'ORMs. <br />PROPERTY SURV!:Y RJ!:Qu:nitED FOl'l ALL NEW CONSTJtUCTI:ON. <br /> <br />~UILDING <br />~LECTI'\:tCAL <br />U-PLUNBING <br />~CKNUc}u' <br />a GAS I:ir"" ROOFING <br /> <br />$ <br /> <br />, ,(tt /Jl"'JrJ_ ~ ~ <br /> <br />P2RMZ TS lUCQUli:STED <br /> <br />VALUATZON OF TOTAL CONSTRUCTION <br /> <br />g~~ <br /> <br />AMP SERV:ICE <br /> <br />J1!! FLORl: OA POWER <br /> <br />a <br /> <br />W.A..E.C. <br /> <br />$ <br /> <br />....~~,J..... <br /> <br />VALUATZON or Ml:CIlAlfC%AL :J:NS'l'ALU\.T'ION <br />C OTHER <br /> <br />C SPECIALTY <br /> <br />TYPE OF CONSTIWCTrON: (]r""SLOeX <br /> <br />Cl~ <br /> <br />o STEEL <br /> <br />o O'J."HEk <br /> <br />F7N%SHSP FLOOI'\ EL~Tl:ONS <br /> <br />9 /.. ~j- <br /> <br />:rs PROJISC'1' ZN 1"LOOD ZONl!!: AJU:AO YES <br /> <br />o NO <br /> <br /> <br />~.~n i <br />SJ:GtUl.TUR2; ~~ IV <br /> <br />~ <br /> <br />COHPJlIJfy. .H....~.....-.. ".,....~~_...,..,,~ /_t:" <br />STATE CERT OR RBGIST" Q.&~ a~.JI"1'9 <br />C.rT~ PROCBSSZNG . "2.< 71-J ....-- <br /> <br />.**.****.**...********.........***.**.................*..****..*** <br /> <br />KL'8C'D1lZCXAR , <br />SIGNATURE .~a~ ~ , <br /> <br />~~ <br /> <br />COMP.ANY ~fI1IA,~.J6 .J!T.LM4III!LrA~A~ 4"~""'~"", <br />STATE CEItT 01'\ IU!:GIST * 9 C 4:TD 0 /.s-? OL <br />CI:TY PRoCESSING .. 20......... <br /> <br />............****..***.******..***.**...******..................... <br /> <br />"..- COMPANY. ~,.....,~..- "'JLu~--..L d....._~ <br />~ /J J'f!3:..9-1 S'l'A!1'& C&RT Olt 1t.BGJ:I5T,. ('FCc.5~ EJ"~ <br />SIGNA'l'U ~V1~ CZTY PROCESSXNG .. R3 <br /> <br />..........~.. .................................................... <br /> <br />~1I1ID.-'" <br /> <br />SIGNATURE <br /> <br /> <br />COMPANy. A till... ...,/~ n ........~~~~ <br />STATIIl CaRT OR AaG:tV ~_ c.J ll~ I.J <br />CITY P~2SSXNG. I <br /> <br />.....-**...----..--........................-.. <br /> <br />~ <br /> <br />s:r GNATUJltE <br /> <br />COHPAH-r <br />STATE CERT OR RKGIST ,. <br />C:rTY PROCBSSING . <br /> <br />.....**............***....**.....**.**..***..*................-.. <br />