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<br />APPLICATION FOR PBmaT <br />CITY or ZBPHYRRILLS <br />BUILDDm DBPAll'l'MER'J! <br /> <br />'& <br />.. P o/:t!,p.,...f <br />DAD UCBIVBD, fit <br />PLARS UVIBW I'D c--- <br /> <br />OWNER'S NAME <br /> <br />It-JLAN D S .~ ,....I n-1 CA ~ } <br /> <br />fft r~ r _ <br /> <br />, <br />M 'd7IIl 1 <br /> <br />PHONE (4- (; ~ &- 7 I - 3 b c{ S <br />-'I '\ <br />M- C./U';f-I f1'rI'J r ~ c... <br /> <br />JOB ADDRESS <br /> <br />'7333 <br /> <br />G-A. L I...-- D <.- 0 D , <br /> <br />Z-~ H '1/7-('1 I <-L:. <br /> <br />LEGAL DESCRIPTION: ,LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />~ <br /> <br />USE: OSGL FAMILY DWELLING <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br />. <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />'0 OTHER <br /> <br />PROPOSED <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />, _ \ A \\ (' , , I ? ^- \ ,." c, .<::,' n.. If j I 'A (J, C" ( G-rJ <br />DESCRIPTION OF WORK ~,...... \ T lA...- ~ ~ c.....-.,....., '-' ~ .~ ~ I.J .......... '-"-" ~ <br />'\ S ( cr \)/LIC-F(l....urJ j [--' 3 7 rh I ( ( I <br />BUILDING SIZE (7-.) SQUARE FOOTAGE I' ..~ HEIGHT I c.o <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br /> <br />~ILDING <br />~CTRICAL <br /> <br />$ <br /> <br />:<" 3 70 <br /> <br />- <br /> <br />AMP <br /> <br />OGAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br /> <br /> <br />o PLUMBING <br />o MECHANI CAL <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />BUILDER <br /> <br />S-I GNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />I NO LI .s. T iL (C -> <br />r::s...\) c () 0 ISO <br /> <br />CITY rnOCESSING # <br /> <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />***********~****************************************************** <br /> <br />HBCBAlnCAL <br /> <br />-ceMPMty <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTIIBR <br /> <br />s ( G--r-0 COMPANY A <---L c-rJ <br />'-::T/ ~ ~ J STATE CERT OR REGIST <br />SIGNATURErtYlJ;, /) 0<-; ~;'M(~ CITY PROCESSING # <br /> <br />**** *********************************************************** <br /> <br />I i''-.itJ .:.( S' 'I /L i E ~. <br /># C~-U('G':',r(\ <br />