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10D-030 (8) IV. IDENTIFICATION - To be completed by all applicants Nome Mailing oddress — Number, street, city, and .Stale ZIP code • 14 N 0 - OM ,� i • a O NOTE and Data (For department use) I. /./'�� . ' c�/ 5'0 9 Owner or a V 94 _ V1h)61 0 Z 3 2. Lessee © Bui lder's � 1 . L Contractor G Fari tie di 6 v e 0/026 :±Pa 13 3. 6 opt it byreiv00*/ " 1144;2 Architect or Engineer I hereby certify that the proposed work is authorized by the owner of record and that I have been authorized by the owner to 2 make this application as his authorized agent and we agree to c•nf•rm to all applicable of this jurisdiction. Sig a re of applicant Address 6 i ' A Application dote 3 p / dd 8 1 ' , - r �� DO NOT WRITE BELOW THIS LINE s V. PLAN REVIEW RECORD - For office use Plans Review Required Check Plan Review Date Plans B y By Date Plans B Notes 6 Fee Started Approved BUILDING $ 7 PLUMBING $ MECHANICAL $ o ELECTRICAL $ OTHER $ L d VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS 1 Date Date Permit or Approval Check Obtained ned Number By Permit or Approval Check Obtained Number By I Z BOILER PLUMBING �� CURB OR SIDEWALK CUT ROOFING ELEVATOR SEWER ELECTRICAL SIGN OR BILLBOARD L FURNACE STREET GRADES ll GRADING USE OF PUBLIC AREAS CJ OIL BURNER WRECKING OTHER OTHER 17 VII. VALIDATION 1 ( r Building c � FOR DEPARTMENT USE ONLY lr 1 Permit number \ . J , /� l • Building. U Group P Permit issued (Q �! j ' 19 : 2. • Building Fire Grading Permit Fee $ 1 i ' t . C Live Loading Certificate of Occupancy $ Occupancy Load Approved by: Drain Tile $ atlaptei) r rr fr ,i l Plan Review Fee $ - TITLE - d U d I °lysod swoosyyoq oN 1 I Lb saA r 1 917 10 Jaq •17S _ _ ■�i ■ ■rr iiiu•r • • U .. . ii '" i ' , S!lSSlrtwaNSSS= . M ^ swoon a • Joyonala uo aq ..1.1414 II'M / ?��dS — Ja4 +0 1 1 6E S•••! .v t ' ! � �saa:a � i $ j onneumir . •••• O•••• •• oo • • •r ■ 17..•17 .. = lsaaaaassa lr i; :sa + + = s :as:s t . 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