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<br />APR-22-2004 07:42 PM <br /> <br />P.02 <br /> <br />'.r . ~.,. ":.. I.~ <br /> <br />., "J.:' <br /> <br />>>~LlCAT:tOJr I'Ol\ nNCIT <br />C~TX or ...axMRILLa <br />aUILDlwca D.~AI\'I.'MII:WT <br /> <br />MCI 3299 <br /> <br />DAB gal"" <br />PIMa MVIn .... <br /> <br />PARCEL ID .. <br /> <br /> <br />SUBDIVISION <br /> <br />OWNER'S NAME <br /> <br />JOB ADDRESS <br /> <br />WORK PROPSED= <br /> <br />o ADDITION <br /> <br />o ALTERA'f I ON <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />I"KUI"USl!:U <br /> <br />o MOVE 0 DEMOLISH (j. ~N0 <br />DMuL'n-JrAMILY 0" Of' UNITS 0 MOBILE HOME <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o OTHER <br /> <br />DESCRIPTION OF <br /> <br />BUILDING SIZE <br /> <br />SQUARE roOTAGE <br /> <br />f\SSIDmNTIAL: <br />COMMBRCIAL: <br /> <br />, <br />i <br />1;(21 PLOT PLAN~ & (2) ~ST~ OF DUILDING ~LANS & (11 SET ENERGY FORMS. <br />.1 ! (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />.. SURVET 1\EQUIRI!:D FOR ALL NEW CONSTRUCTION. <br /> <br />'PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />VALUA'fION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />. AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.~~ <br /> <br />o FLUMBING <br />o MI!lCHANlCAL <br />o GAS )J{ ROOFING . <br />TU'E OF <br /> <br />$ .1 I <br /> <br />, ! <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br /> <br />D OTHER <br /> <br />o t..HAA.Ilt <br /> <br />o ::rn;I!iL <br /> <br />o U..l.I....E~ <br /> <br />IS PROJECT IN FLOOD ZONE MEAD YES O. NO <br /> <br /> . i <br />.UILDD , , .. COMPANY: <br /> .. <br /> - , <br /> .' , STATE CERT OR RBGIST It <br /> r <br /> , <br />SlQNATURE I CITY PROCESSING It <br /> <br /> <br />***.******.....................*..*........*.*.*......."'. <br /> <br />BLBCTlUCID <br />.A<:":~!i~N~TU~~~.,._ <br /> <br />. . <br />'_"_M_._ ..".....~H .. <br /> <br />COMPANY. , <br />STATE CERT OR REGIST # <br />. __.._...... .,...._ C.!~.!. P.~g~E~~~tI.~__.~_ .. " <br /> <br />~~-.ll~' H <br /> <br />H ~_ " <br /> <br />*..** <br /> <br />: " ..,: . . <br />:~..*.* "'. *,***..... .'...."'.. ...... ... tIl-*......* .**...". .'... *....".. <br />i 'i~"':" . . ".. ' .' <br />. \- <br /> <br />~LVM8IIR <br /> <br />SIGNATURE <br /> <br />i , <br />, I <br />. i ~ <br /> <br />COMPANY <br />STATE CERT OR REGIST ff <br />CITY PROCESSING * <br /> <br />............. <br /> <br />I . <br />! ; <br />I , <br />t: ..~.~.............................*...*.***..*..."........ <br /> <br />_CIlARICAL <br /> <br />: I <br /> <br />COMPANY- <br />STATE CERT OR REGIST * <br />CITY PROCESSING "- <br /> <br />SIGNATURE <br /> <br />I . <br />'.: i. <br />! : <br /> <br />I. . <br />. . <br />..... .' .....*......................*."..".........................* <br />, . , <br /> <br />SIGNATURE <br /> <br /> <br />,"'.;,' I ,. . <br />..*;".,,' '., ...".".".... .... ........... .... * ..." **..... ...."........". ... ...... <br />, <br /> <br />COMPANY MILBl\R ~crlOO, INC. <br />STATE CERT OR REGIST # COC 051562 <br />CITY PROCESSING" 218~ '. <br /> <br />OTBJ\ <br />