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<br />07/18/2006 11: 13 FAX <br />s'Ju1.19. 2006 10~30AM <br /> <br /> <br />CORE <br /> <br />Of fltlan <br /> <br />I4J 002/003 <br />No. 33 0 3,,-81::p. 21Q~1 <br /> <br />Oot. R.cel~d <br /> <br />OWn.r'. M~. <br /> <br />OW".r'. Ad~..... <br />F.. ~lmPI. T1U.hOI~r N.~J <br /> <br />OWIYr "hone Number <br />JQ cawn.r Phanoll Nwnb...f- <br />I. DwnIIr PhDne N~b~t I <br /> <br />F.. Slmpl. T1l1enoldet Addre_ <br /> <br />'08 ADDRESB <br /> <br />~DT' <br /> <br />!lIUIlDIVI810N <br /> <br />NoRI< ~MOP08BD <br /> <br />COITAlNKD ~M """''''''1T TAIl NDTlc~ <br />SIGlN 0 MOW' c::1 <br /> <br />DEMOLISH <br /> <br />OTHER <br />lITEiIiiL <br /> <br />I E A"'~~ <br />o OTH."', ~ <br />:: <br /> <br />1- . <br />i <br /> <br />Hl90HT <br /> <br />ROD~INCJ <br /> <br />I <br />r <br />I <br />I <br />cj <br />I <br /> <br /> <br />.'L::J <br /> <br />PROGREe8 I!NaRCW <br /> <br />CJ <br /> <br />W.R.H.O. <br /> <br />::J <br />::::J <br />:::I <br />:::I <br /> <br />BUILDING <br /> <br />ATION 01" TOTAl. CONsTRUCTION <br /> <br />ELl!~IfH\L <br /> <br />PLUMBING <br /> <br />MI!CHANIC~ <br /> <br />ATlaN OF ME~~ICAL INSTALLATICt:4 <br /> <br />SPEOIAL TV 0 <br />, F"LOOD ZON" AAIiA <br /> <br />OTHIil!,R <br />c::::JVl!!O <br /> <br />C:::INO <br /> <br />.r; <br /> <br /> <br />~~~~ ~~fTZf"y{N J <br />. UQWl..1lI IC6-,- r"y.l.).)O' <br />=~~~ I ~ ~fy ~~~Rfs!"Ltt'~eC.; <br />13?b/~ J Up.~~. . [b-c...-ootJ{) 98 ( <br />. COrtllPANY' I <br />~~D y I ~ I'.IOU""5HT LY I N I <br /> <br />Adefro.. <br /> <br /> <br />COMPANY <br />l'lr;ol.R'nDwQ <br /> <br />, ~ I <br />J <br />I. <br />I <br />I <br /> <br />IU1LDER <br />llGNATURI! <br /> <br />.LEOTRlCIAN <br />UONATURE <br /> <br />~ ~JL <br />I U/Qh'A-A'V.:~~~ .iZ <br /> <br />ACldr... <br /> <br />"LUMBER <br />UGNATUIUI <br /> <br /> , <br /> I Ucen.. . I , I <br /> A~~I'II.. <br /> I : , .: J <br />/I~CHANICAL COMPANY <br />IIGfoIATUIUI MGll8TIINIg I YI N I ~ CUMDrr I Y/N I <br /> - I , I <br /> Ad Ii..... WCWle. .. <br />)THEA. COMPANY I L :.r!~ . . I <br />IIGNATUREi IU!CIIIII'I'II~IID. I "1111 Cl../MaNT I Y/N I <br /> Adelr... '1 Ucenl!lll ~ r I <br />tulDI!NTIAL Attaol'l (2) PIClt Pllln..; (2) 1I11t. of BuildIng P"".; (1 .. of en.IVY I=lllmIlI. . <br /> MinImum ten (1 Olwarld"U de~ 'lfWr -..brnltllll dil" : Aequl..s anaJ'-. COnalruollon Plene. !SlInltary PllcIIllI_ . 1 dUmlllwr <br />:OMMIlACIAL At1.lIotl (3) e_ eI' Aulldl"a "'1_"lIl (1) 15M or liiNlIgy 1"Orm1l. . <br /> Mlrllrn\lm ~n (101 \Wr1cJn,a d.YlIllftlN' 8ubmlltlll deb: . Roqunwcl onlIlle. ContlrUcUon ..I.....s. a.n1l11ry ".olllt/!III & 1 dumpller <br /> All ~",m.~1 flIClU/lWmMt. mUM meet oOmpllllnCll 1--' ' . . <br />IIGN PBRMIT AftllOI'l (2) ... of Enuln..-d P'-nl. <br /> ....PRQP.&RT'Y SURVEY .-.qUlNCI to. allllU!W Gel" IlIInJDtkIn. . J f 11"J 11 r I <br />11111 I MJ I J 1 J I J J IJ.. &1---"'" b.....ll.. . I ;11'1 I J I J J I... . a~... i JJ 111 J 1 11 I. If.. 11 If. 6l.~11 till {J I.J 1J HI ~ J.L <br /> <br />)lnla6on..: . <br />Pili uut IIppllc;llU!ln oomplstllly. . I <br />Ovwrler I/, conlnlotor IIlg" back of IIppll_lIun. nohlrtz"d I . <br />It owr .t2SOD. .. Notloe of CammenClem.hll. r.qul....d. (AlC up rad..'aver tsoOO) , <br />AeJent (fer It\e oonUliClllgr) or'~awilll' of ''It<lm''Y~(gr Ul. owraW)~' be ..moon. 'WIth noblrtud I"'. m,m o\II:1I'Mf lIutt-tzJng ...me <br />)VIiR T':IlI5 COUN-rER P.iuil1TINQI' (Frvnt of AppllClllltJon Onbo) <br />Fiel'OOt'l S_.... GWYI_ UPClllld.. AJC Drtvwwe~ ponoee (~IOI/SIUN~lFoo.g.) <br />