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1986, 02-13 Permit: 00009692 Addition[ ' � S|GNA7JRE0F APPLICATION OWNER ORAGENT PDATE JOB ADDRESS PROJECT# STRUCTURAL Boilding Code Fee BUILDINC ValoationCorr 15552 # of Floors 01 # of Bedrooms 000 # of Rooms 000 PRIMARY STRU(IT U RE� Desc� DWELLIN� CrooR-3 TygeVN Sq—Ft 648 Occopancy Load Rate 24.00 SECONDARY STRUCTURES: TOTAL FEE TOTAL FEE Permit Fee $1.50 $171.O0 17i.00 07—l'�—�� �lV� *l7��8' "^ �' "" ,^,z �.�."�� OFFICE COPY PH: LICENSE*: ARCH /ENGINE.R: I -CEL- CENSUS TR: 0999 SPECTOR: PLAY.: ILOT IS - LOCK PLAT NAME; STRUCTURAL Boilding Code Fee BUILDINC ValoationCorr 15552 # of Floors 01 # of Bedrooms 000 # of Rooms 000 PRIMARY STRU(IT U RE� Desc� DWELLIN� CrooR-3 TygeVN Sq—Ft 648 Occopancy Load Rate 24.00 SECONDARY STRUCTURES: TOTAL FEE TOTAL FEE Permit Fee $1.50 $171.O0 17i.00 07—l'�—�� �lV� *l7��8' "^ �' "" ,^,z �.�."�� OFFICE COPY SIGNATURE OF OWNER OR AGENT JOB ADDRESS 1 � APPLICATION DATE PROJE FEES: I PAID BY: ICA CK CG INC , COUNTER APP. PLANS EXAM: DATE: INSPFrTnR'R r SPY OWNER: ADDRESS: CITY: ST: ZIP: APPLICANT: CONTRACTOR: - ADDRESS: CITY: ST: ZIP: PH: LICENSE-: ARCH/ENGINEER: ADDRESS: CITY: ST: ZIP: PARCEL-: CENSUS TR: INSPECTOR: PLAT-: LOT & BLOCK FINAL PLAT NAME: ZONE-: ZONE FSB 5-1 S-2 RSB MOO USE OF PERMIT: JOB ADDRESS: PROJE FEES: I PAID BY: ICA CK CG INC , COUNTER APP. PLANS EXAM: DATE: INSPFrTnR'R r SPY