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1986, 06-11 Permit App: 00011518 Repair Fire DamageI I <�' (THIS IS NOTA PERMIT) BUILDING PERMIT APPLICATION WORKSHEET PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND COMPLETE IN INK (Please return this original and your building plans to the Department of Building and Safety) SHADED AREAS ARE FOR DEPARTMENJrAL USE Pro ectt Number /i Owner's Name LAST FIRST MI Project Address (Street Nam Number) Zip ,C /61X 07 / e 92 Applicant Address City State Zip Phone ( ) Business Phone Conttar/Ag Add ess 74 Q Cny ^ State J( �- Zip 9�"L 07 7 / ii Phone n_ac7y Contact License Number (Required) UaR7HS�4 47�1/�( Business Phone ) Architect/Engineer Address City State Zip Phone Contact Business Phone ) Lender Address City State I Zip Phone ( ) Describe Work.. . t._. f „.,.-r •n�. wy... _4zO T,. rl:.h. 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