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Dishman Mica 515 Bunker - Restrooms & Exit
_ _ - _ ~ . A . _ ~ (THI 5 1p NOTA P E RNI IT) BLIIILDING PERMIT APPLlCATIC3N V#I"OF~~SHEET . RLEASE RRIh1T AM[) C{,]IVIPLETE ONLY THOSE PARTS ClF TME F+QRM YOU IJNDERSTAND CONtF'LETE IN INK (Pjease return this origirral and y+aur building plans to Ihe Departmen# of Building and :Safety) SHAC]ED AREAS AFiE FOR DEP+4RTdvMIEIVTAL USE - , Projecl Numbi2r Owroar's Nam$ LAST F I R$ T mi ` _ Pr*jW Addrms (Stree'I F1arne $ Mumber) - ~ ~ i Zip ~j~ ~ I'~'/~~ ADpibCar1t +4ddrm ~ ~C-4tY ~ State .-Zip - - Phon~ _ ~ q2-4 gU3lf1es5 PhiDf1e f ~ C~Vlr Address Otr ' Stare Zip Phwone 1 ~ Caneact License Nurnber (F~equired) Busirress Phoane Archi#a! fiEnq mr ' Addrem ' CaY Slats ' ZiP Phone { 1 Ctyn#mi Business PM,a+ie - I ~ LBfloor ~ AtidfESS W city SRaie ZiP Pha ne ~ I 1 , ~ . _ , ~e~s. C,rorsxn, ~ x . . . , . s ~ .r. ;.h~~~.,. ' , • ram-~.~ L(" Rlock Pl$R Nurnber ~ 4 ~~~~'s - . . . ZD1e ~',+011'1p, Pla11 ~li'U# Tf8C1 NufrFber oi BuJJdd rrps Lot Size (Sq, F1.1 AtCre) Deslh Frontage ~ . , i '8dw" filight SetbaGc ~ ftK SBth1Kk R 1 VMf 'ViJid1#w _ . • ~ _ ' 4 _ ~ . Squere Footag+a sw; t' 'fC T- ~ • , r. 0 ~p .,n . iY'.•~!!~'~• i•# . F . . • ~ 0 ~ ~ ~ ~ ' ~ ~ • 0 Nstihm d Bed ron+'ns ~ T+IIC~lldIc' n r M,f::w~ , • C1[I ~ Grvu p y TYPe i E r'a: . ~ ~P .F - . ~ ~ r ~ DEPARTMENTAL REVIEW Cone. Approved Approval Nold Erwironmentil H"lth Applicatlon M ~ W. 1101 ColleQe Room 200 . . • ~ , • ~ I ~ Plsnn(n9/Zonlnq N. 721 Jatteraon ~ EnqinMrt N. 811 Jefferson ~ Utllitles N. 811 Jafferson Plsn Rwlrw/Flre Prwsntbn ~ N. 811 Jefierson - ~ OtMf (SEPA/Crftkal Mslerial/oto.) ❑ 'Fast Trsck/8pec1al Inspsctlon Informallon ~ Pmject Representatlve Phvne Addreaa ' I certlfy that I have examtned thls applicatfon end atate that the Intormation contained in It and aubmitted I by me or my agen o :777 rrect. SlQnatu r 1-Oate ~-7 ~ a f t ~ ~ ti ~,s ~ ~ ~ - f . y 5 . +l{~.~ ~ ~ V ~ . ~ . .rf"~f . I~ t ~ t { ~r ' ` ~ 1 ~ ~y ~ f~~ , ~ ' ~ ` ,f . ~ ~ tit • ~ ~ . r~ ~ ~ ~ , ~ ~ y . ` ~ ~ T . , . ~ ~ ,yrf • ~ t f GJ ~ . • ~ ~ r~n . ~1 ~ ~ ~ . ~ ~ ~ f ~ # r~~ , . . . . 1 . - ~ ~ ~ ~ R f • ~ -p` 1 • ' . ~ ~ e ~ ' • ~ ~ r ~ , ~ + ~ V ~ 1 ~ ,1 ~ ~ ~ . . . ~ ~ {r , ~ . l ~ r~ ~ MtlD '1 - f~o • . ~ ~ t ~ ~ . ~ ~ . ~ , , , r - • , , . , • ~ . ~ ~ ~ ~ ~ . . . ~ ~ . • • ~ , . . ~ ~ ~ i ~ . ~ ~ . . . r _ r 1Y ~ ~F~I ~ . . ' fr' ` . • • ~ ~ . ~ ~ ~ , w ~ ~ . , ~ ~ ~ . , . , ~ , - ~ , ~ ~ ' ' ~ ~ . , . + . . ~ ~ ~ `+f ` ~ ' • . - ' '1 r' - . ~ ti . , ~ / , , ~ f~ r - ~ 1 , . , ~ . . ~ ~ ' . ~y I . ~ , ~ . ~ , ~ ~ ~ • ~ , I~~ . ~ ~ . ~ ~ . ~ f ~ ~ e . ~ ,r ~ ~A+ ~+4 ~ . _ ~ , . ~ . ~ ~ • , ,,~I~ ~ . . . ' ; ~ • { ~ ~ ~ r ~ . I ~ ~~r . . I r ~ ~.l 1 ~ i ~ ~ ~ ~ T~Fle-: ~t-t- _ . . Y ~ ~ k" ' ~ w ~ . ~ ' . - .i . ' ~ . . ~ ~ ~ ~ ~ ~ ~ ~ r . t ~ ~ ~ - t ~ ~ - , ~ . 4z) %k- _ , • ~ r' _ ~i „ , , ~'1~-~ . . . ' . ~ ~ ~ , / ~ ~ • - ~ , s . ~ 1 ~ • ' ' ~ ~ ~ 1 .yf ~ ~ ~ ~ 7 4 ~ r y f9e.~ . r,y~J ■y ~ ~ ~ . ~ ~/~f 1~~~1 i/J~7.~ ~ ~ . ~ ~ • I ~ , ~ Y ~ fy~~j ~ • ' i ~ ~ _ ~ , . t3 . ~ ~ • Ci . ~ , ~K 5,~', t~• . ~ . ~ d , ~ 1 . , ~ . ~ ^ ~ _ li „ , ~ , . ~ , . . . . ~ ~ _ . ; ~ ~ ' _ . . , , t ~ r , . . ~ ~ . ~ , , . ~ . , , . . .B'~ . • ' . ~ . ~ : , R. ~ , . ~ ~ . + . , . . ~1~~ : . . . ~ . + ti ~ y . p?• ~ , i ~~~'ha ~.4~ . . - . - . . . , . - - 1.' ,t~ + ~ .l ~ ~ . p . ~ • ~ - ~ ' ' ' ' . ~ ; ~ ~ . ~ . : ~ ~=~L~l.~ ~ ~ ~tJ.rt7 . ~ . „ „ . ~ . . . . . „ . . ~ • •.a, •.~t~t j . . ' . . ~ il ~ ' „ ' ~ • , . . . • . . . . ' y ' 'v • i ~ . . • . . .