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BUILDING DEPARTMENT — <br />&You APPLICATION FOR BUILDING PERMIT AND CERTIFICATE <br />Applicant to fill in between heavy lines. OF OCCUPANCY <br />BUILDING ADDRESS <br />"P-1 <br />CLASS OF WORK <br />NEW 1 X I DEMOLISH <br />LO LIT Pl..--A1--- <br />ALTERATION REPAIR <br />ADDITION <br />I I MOVE <br />NEAREST CROSS ST. <br />USE OF BUILDING <br />ARNI ECT <br />ENGINEER PERMITTEE <br />NA �SL t - �/�G�� <br />SIZE OF BUILDING 1(_X lv HEIGHT \�% <br />AID <br />{{�(/l AI `l/ N <br />NO. OF ROOMS <br />MAIL ADDRESS �/' �j <br />PilJ,7j0 7� 1 L <br />NO. OF FLOORS 1 <br />CITY TEL. NO. <br />I f O fAr LI <br />C*'T <br />NO. OF BUILDINGS NOW ON LOT <br />NO. OF FAMILIES <br />NAME <br />SIZE OF LOT Z (-16 ""16 A Y'�/' <br />// �• <br />ADDRESS <br />USE OF BLDG. NOW ON LOT <br />CITY <br />SPECIFICATIONS <br />FOUNDATION <br />STATE LICENSE NO. <br />MATERIAL <br />EXTERIOR i PIERS <br />CONTRACTOR <br />NAME <br />WIDTH OF TOP <br />WIDTH OF BOTTOM <br />ADDRESS <br />DEPTH IN GROUND <br />CITY <br />R.W. PLATE (SILL) <br />SIZE I <br />SPA. <br />SPAN <br />STATE LICENSE NO. <br />GIRDERS <br />LEGAL <br />DESCRIPTION <br />SUBDIVISION <br />�- <br />BP-1-5 PL ACTS <br />JOIST 1ST FL. <br />JOIST 2N0 FL. <br />LOT NO. RLK. <br />P--1 <br />P16'1V- A- <br />JOIST CEILING <br />EXTERIOR STUDS <br />^^ <br />i1. District '�f b y <br />2. Type of Construction <br />I, II, III, IV, VI <br />3. Occupancy Group A, B, C, D, E, <br />F, G, H, I, Div. 1, 2, 3, 4, <br />4. Use Zone; <br />5. Fire Zone 1 204 <br />INTERIOR STUDS <br />ROOF RAFTERS <br />BEARING WALLS <br />COVERING <br />EXTERIOR WALLS <br />ROOF <br />INTERIOR WALLS <br />REROOFING <br />FLUES <br />FIREPLACE FL. FURNACE <br />KITCHEN WATER HEATER <br />FURNACE GAS OIL <br />1 hereby acknowledge that I have read <br />this application and state that the <br />above is correct and agree to comply <br />with all City Ordinances and State <br />Laws regulating b 'Wing co truction. <br />Applicant <br />BUILDING PERMIT NO. <br />70 <br />VALUATION <br />5 cow <br />DATE ISSUED <br />( .vs`i- 7( <br />BLDG. FEE <br />$ 5 c <br />PLAN CHK. FEE <br />TOTAL <br />a- 00 <br />BUILDING <br />PLUMBING <br />ELECTRIC <br />FOUNDATION <br />ROUGH <br />ROUGH <br />FRAME <br />PLASTER <br />SEPTIC TANK <br />FINISH <br />SEWER <br />FIXTURES <br />FLUES <br />GAS <br />MOTORS <br />FINAL <br />FINISH <br />FINAL <br />tK G7 — <br />3 L A4 P 'P}l <br />T2J2 S <br />By: <br />Approved: CHIEF BUIL <br />By: <br />3N11 A1213d021d <br />A <br />PLOT PLAN <br />3N11 111213dOLld <br />STREET <br />MAP NUMBER <br />NO. ASSIGNED BY <br />FIELD CHECK BY <br />DATE <br />PLANNING & ZONING INFO <br />TYPE OF OCCUPANCY <br />TOTAL FLOOR AREA <br />NUMBER OF STORIES <br />AREA OF LOT <br />TOTAL HT. <br />FRONT YARD SETBACK FROM PROP. LINE <br />SIDE YARD SETBACK FROM PROP. LINE <br />REAR YARD <br />NEW CONSTRUCTION ALTER <br />CHANGE OF OCCUPANCY FROM <br />To <br />