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HomeMy WebLinkAbout1698 (25) ''� !�ITY �7F D�A►�iA01�� �AF� PRESS ` '� ' ' ��F�R1'MEiVT OF BUILDING,Aa10 SAFETY -� �UI�.DIh1G PERMO'F FIRMLY JOBSlTE /'� A����� C1 ,,��� ADORESS ,�,�� C�a 's"!'• ISSUE �v_G -"�°���R,�J~�CODE � APN LOT TFI.ACT�� DA7E � t�' �� .��.�COhlST. GROUP e CR05S STRE T._��.�'�-�`��P� ZOMING S�TBA`CKS '""'a�.�,�s - OWNER �✓i /�0��7�'!�/�.�_ �ROP1T RW ❑ o ADDRESS ���-�'" RE�1R (� W CITY ZIP �7EL. SiDE/Si[}E STREi=T RW ❑ o APPLICANT ��`'�-_�� 1fEL _ SIDE ❑ x a CONTRACTOR � " SEIA'AGE o ADDRESS �.yr' " ISPOSIi� � �BUC PMT� ,� CITY f ZIP_.�IL�1 TEL. ❑ F'RIVATE SC].FT./100 GAL z S7ATE ' y LIG NUMBER � I���d�N� n�u•vd5•��c%• CU YDS FILL y ARCH/ENG/ �g ��� � � � ADrI. AREANALUATION � DESIGNER � � _�_ o ADDRESS _ �g 2 ` 2 CITY ZIP TEL. � 3 '• � PROPOSED USE � 4 .._. � L✓� �'s_�! 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Ia C:'��I:j � � , , � pVISION OF INOUSTNIAI SAFETY PERMR CEflYlFxp7l�l: r " ".•"." �_,_ � e Ci nneey ceney mu no e�uvnwn Mx 151 w mre het m depah mro wPisA s paam is is�cxrd x 9eycW. _,��_,�� � wiY 6e made in cmneclm w�M warY au1Mcld.M tha P�X.ud MH m hWA�smaeltila.��tr�Nddir$.fMe�at. v amaMian v dsnn�liry tkmaf.wil Oe mue'tlwn HuiN�sn'(381 Mi hildi(Wp.,3'.I:Gry 2.An 2.�'.ac W 3A1.Ltle8.CAC1 - ' . . � .. x `... .. , .. . , . .' - � ' � 3 ❑As owrw-hmlder.I w�l nm emp4y�+�Wne to d�waY wi�h�+umld npwn c 0�„ken�Aa R�pon d � InA�snial SaIAY.as rohE abye.inl�s vrli perian Fu e prMe ro do wch wmt kae tlr diwm. W ❑°"„�°'�'�""��'`"""�"° � TOTAL FEES ! o � � �����������,���n���p���� z o1 us wart For w�wcn E�is penm u usuk(S�c.3097.fer.G6 1 o ��x�� --- C ME J � � �_ C.r G��'' m �,:aeeRu � p t CERfIFfATE Of C�1AI'LIAlCE ANf!AIRI�YU7Y11 OF ENtRY:I crd9y I Mw rwE tlp�wop+ni nwo � th�dr Mlmroeen g�wi n crnct I�pu ro aaiqly weM al tuw Wes aN dN�rslomq m Ai1dN; 1 y caurcunan.+M wtlmve a npmm+ny�A tlr aa!SdrY 1e enfr ysn fM paprry = Inr wAsh 1 hwe Ipu qrmil kr the H �� ��--�/} ��'y+' �`-�-'�--'-'�— RECPT Nd._1�� PAI�BY_E.�—.���C� VAUDATION� SqnN�d Appleait a Apnt—� pN WHITE—Depenment Coov,YEILOVY—Finance Copy.PINK—l�ses�or Copy,GOLOENRO�—Fk Capy,GREEAI—Applicar�b Capy ' . ., . _.y � . ' . � � , a ......r ... . . . .A.. . "� .'3i"�'',�� .:� w '�}i� `:�.'�'�'`-F>✓.0.yyaf.,:�� 'W Y�: ��C S< .. _ w '.4R::(.�x <...x.i.'�A'b'.5�%�t..,t� .in'�.^�i' :n , s _a�p.��� .0 �i}, b�a « m� r�� �� ,+r � �� ��� S i a,.E..w.�'?-.�'�.:�g�?a P ����or x .�R4aY' . 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