|
<br />~n: ~u~u; n .u'-n.... .L.H-H:;l r ~nJ.YJ.J. -.r .1\.1:'.1:' ld-l~A'l.',!, l)J~
<br />lHilIi'AR'I'MllIN'I' 5335 ~~h S'l'RlllBl'r ZIllIi'H,{RHI~I,S, :n 3:1540
<br />ibon~IB11-?eo-qo2o FkKIB13-7eO-0021
<br />UA',L'Jll ftIllOJU:VJllD ___.._,...... .~...,_,,__
<br />fI,A1~a ftlllVIIiIW fiJll____''~_...-_~
<br />
<br />mmii:R I S !lANjjJ She: t \CL Nc-\'~ C,- l?HONEl COll'.l'AC'L.8i3.::2.Q2:_?8& 9
<br />:f013 SI'l'li: ADDRESS" 3SJ3b___,Sb n-.-.av.e.__.__Zc()h'i_;J;J'jl.$+L?"'"_~___________,___.______
<br />
<br />....~.....
<br />
<br />llUILDINCi
<br />
<br />LIl1GAL DblSCR'I f"rIOll: LOT (8)
<br />
<br />Sf/oeK
<br />
<br />SlISlnVI s lOlT
<br />
<br />.......-._-~.....--- 'r--~--""--~~_.._~._
<br />
<br />I?AIWIiJ!. In #
<br />
<br />-_._-_.-._--..------~---
<br />
<br />(OBTAIN fi"ROM PRD~ElRll"V 'rJiX 1'10'J'H~jj))
<br />
<br />WDRK iJRfJi'SllIfJ: [J1UM CONs'rRlJC'rION
<br />
<br />----.....-..~-----_._-.._..._......-~~---....,-'.....-.-........
<br />
<br />o ADD1'!'ION
<br />
<br />IJSIWI
<br />PRO!?DSEfl USE: lfCSGL FAI>1ILY DWELLING
<br />[J CQtlJlvllilRCIAI,
<br />
<br />[j IYlOVE
<br />
<br />I] AUl'ERATJON
<br />~ DE1'10I,rSII
<br />
<br />o RElP1UR
<br />
<br />[I lUa'j'#f,11
<br />
<br />Dt11Jl,'l"I - FAlvlILY
<br />
<br />['I # OF UN !'l"S
<br />
<br />I] MOlj Jl,&l UDI'41ll
<br />Ll n'l'lllllR
<br />
<br />o mpU~'l'RIAL
<br />
<br />o SWIMfYlING pornl
<br />
<br />D RIilS'l'AURAwr &. HE1H/l'Il nEf'ARTMIllNT API?ROVAL
<br />
<br />IllilSCRII?TlON OF HORK __.h~.o.rtl'\o." -_Llow.'C\ ~r::- (lp<:2"d4l.~~____
<br />B{HLOINr~ SIZE SQUARE fj'oO'rAGE _ /tJ<<)
<br />
<br />_..~--_.~----.......-..--.....-'---....-
<br />
<br />IIEllWl'l'
<br />
<br />RE8IDElUTlhI'l
<br />COl>1lvl!j)lWIAI~ I
<br />
<br />ATTACH (2) PLOT I?I"AHS '" (2) 8ElTS OF BtHI,DING PI,ANS '" (1) SliI'j' B/NlilRCfl( fj'ORlIl's I
<br />A'I"I'AQU (3) SE'l'S OF BUIl,n:mG PLANS & (1) SET ENEIWY It'ORt'iS,
<br />I?ROPERTY SURVElY REQUIRED FOR ALL NEW CONSTRUCTION.
<br />
<br />F~RMIT~ REQQE~TBD
<br />
<br />LJ BIJILnUIG
<br />
<br />$
<br />
<br />VALUATION OF TD'l'AL CONS'l'RUC'l'ION
<br />
<br />Ll III I. lllC'I'R r. CAI,
<br />
<br />AMI? ~ERVrcE
<br />
<br />o
<br />
<br />FI,ORlfJA POWER
<br />
<br />[)
<br />
<br />W,R,El,P',
<br />
<br />U l?LLJj'1B IHGI
<br />LJ HliJCHAll r CAI.
<br />
<br />~----,
<br />
<br />-- VAI.UATION OF lvlECllAl'ICIAI, INSTAI,I,A'!'lC)N
<br />
<br />CJ ems
<br />
<br />[J ROOl"IllG
<br />
<br />r] SPlil(JlAL'l':{
<br />
<br />[J Cl'mER
<br />
<br />'J';{Pbi UI" (J(INS'I'RIJCTION; [I BLOCK
<br />
<br />o FRANa:
<br />
<br />[] S'l'lJJH:L
<br />
<br />[I ClTHlilR
<br />
<br />FHlif)IiUllJ l"J,OOR till.EVA'rIOHS
<br />
<br />I S PROd EC'!' IN v'Loon ZONEl ARElA [J VliJS
<br />
<br />[11m
<br />
<br />
<br />auunlilR
<br />
<br />--------~._---------~----~---
<br />
<br />C01'IJI?Jl.NY ~_.______..____.__~.______~_...___.__._.._
<br />STA'I'H: CfliR'i' Oij REleHS'l' # _...__.__...___~_____.__
<br />CITY PROCESSING #
<br />-----~-~-~~-_._--...----...-..------_.._,---
<br />
<br />fj I (1NATUHE
<br />
<br />· * * "I; .~ i. * . * " " .. .. .. i. * * . "I; .. . '" '. . .. .. * .' *. "I; .. .. .. .. . '/; . " 'k "I; . '. .. k t . * ".. . t .. '/; .. .. " . Ii "It .. * ;/; .. ..
<br />
<br />liIll,IlC'fUCIAU
<br />
<br />CO!'1PAHY
<br />-..._-----.....--_----..,-...~..~._---........__.--:--,.----..,...,.,-.......~.,"--_..
<br />STA'l'~ CERT OR HE~IS1 U
<br />SHmA'f'UREi ---------.-____.__________ CITY flROCESSlNl3 #
<br />
<br />.____n__... __'__"_ __..'.._......_~____.~__ ",..~.._.-.--' ,._".._...
<br />
<br />.. · * "I; · * * II k .. .' .' '. * . * .. ,. ,. . '. .. , ;I- "I; . * * '. * .. * .. .. * * .. .. .. .. * A'" .. " * . .. * .. . . .. * .. .. '" " '/; .. .. .. '" i
<br />
<br />-..-.--'-.-~.............,............"_.4..._,._____............____
<br />
<br />:ti'LU~lElJllR
<br />
<br />--.-----..--- --------.------~
<br />
<br />(~O(V1PANY -.,-'-----.____.,-_.__~.,.__..,...__,.___.__..___
<br />
<br />STATE CERT OR J\EGIS'l' If ____~_._._..__.___"._____
<br />eITY I?ROCESSING H
<br />
<br />S WNA'l'IlR fil
<br />
<br />MIlICHANICAI,
<br />
<br />*""*"*'*"**"'****"****"*II*****II****.****"~*****..,**,,",,*,,**...
<br />
<br />......--...-_._----~-_.,--:,<..--.----:---.-----
<br />
<br />C'OI"1P ANY ____________..,_.______.____..,_,..__,._.._____
<br />STATE CERT OR REGlIS1' #
<br />CI'l'Y I?ROCE:SSIl~G #
<br />
<br />------~--._--~--. ----...-.---.-----.--
<br />
<br />SIGNA'l'URE
<br />
<br />.---- ~~~.--..-,_..__.~......-~ '~----.--.-..
<br />
<br />'A'A***"*."'A*****'*'."'"",*,."."",*"".",,,,..'t."'t**,
<br />
<br />OTlUilR :l)~pa~~ '" ()___.____.__~.._ COl'-I I?Al1 Y .fu5s.._&N'~n DJ ell h:ll :Z.~lf.!0...?-I/I/~
<br />S']"A1'liJ CElRT OR R2cnST # C-&(!.oc"d-.Cj8/
<br />SIC3HA'!'IJRE Cl'ry I?RClCHlSSING # __"n"__~..__,___.~."oo.____
<br />
<br />.**..*******'**'***.******.**,,****.***,****.*********".*t*****.
<br />
<br />- -..,--...... ..... ,-......~------- - -.----,.'.r..~ .,r<-.,....""..... -.~--.~.____.._._
<br />
|