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Euclid E 15616 Itron Corp - Temp Commercial Coach Bldg (THIS IS NOT A PERMIT) ,~j , k ' BUILDING PERMIT APPLICATION WORKSHEET ` ' PLEASE PRINT AND COMPIETE ONLY THOSE PARTS OF TNE FORM YOD UNDERSTAND ~ ~ COMPLETE IN INK (Please return thie origlnal and your building plans to the Department ot Building and Safety) SMAOED AREAS ARE FOR OEPARTMENTAL USE . Aroleet Numbe~ , ~ Ownet'e Neme LAST FIRST MI .1. 'T--tZ 61,! C o lZ P Prolect Address (Si(eet Natrte 8 NumDer) ~ ! ~c ~ s) ~tJ I~I ~P ~C1 L 2,2 / App+lmnt Address 4E*,,5.4~ 6 4574-5G ~ ~ ~ , if, . • _ " ' b-a 1 f r CiIY StBte Zlp phpne t~go►- t69 ~ 9z y- f9'~ e e~iness Phone CSZZ w• ~ Cant►edor/Agent Address Whl l St819 l ZID Phone I 1 co^tad Lloense NumDet (Requlred) 8usiness Phone I ) Mahifeci/Enqirteer 1 Addres.s • cih► Siste ZiP Rhone Canteat Business PRorte ~ 1 1 Lertder Address CitY Stete 1 Z1D Phone 1 1 ooeOttYIlYOfk ~ ~ ~ a » w ~ ~D ~ i 1 ^ ~ ~ • cof1111k ~ "'~~wNPor R•4~+.~ ~jry.~~~pL ~OM►~l~~i ~nl t~ne+alBffOrt Pfm I~rt~ ` , ~ , ~ a ~ , ~ , ~ 1 ^ l~ ~ ♦ ~ C~ C L L AOMW PWas! N~ , - ~ ~ t+ot J 810dc R~at Nwnder Augeani Fft"umbm y~ ~ ~ Lbmp Pfan OentusTm¢t Nwnbw d O~Ittn~ th~ib ~ N~0900W 04tA ' Frwfto ABw8e1" c ~ ~ RIW Wldih ~ • i i`ie..nss ~ J +1 r ~ ~ t r ~ 1 vq~~v a < < ~ > . F " t e v z ~ f O f,, 1 ' Y~S,j^ S~ ~ ` / " Y K y X ~ ~ I 1 , } ~ ,f r. z 1 i . . ~ > n ~ , i r 'i ` ~ . ~ • m Nk~41 WI/IMI np Tempidan ~ Uieue ~ _ . GOWp ~ TYpe . . ~ ~ . . DEPARTMENTAL REVIEW . Approved App~ov~ Hold Enrlronmental Health Appllcatlon p ~ ❑W 1101 College Room 200 - ~ . Planning/Zoning ❑ N 721 Jefferson, Enelneera ~ N 811 Jefferson UtlUfles ❑ N 811 Jetterson < < . Plan Revlew/Flre Preventlon ❑ N. 61,1 Jetferson , ~ _ i Other (SEPA/Crllkel Materlei/eta.) ❑ , ❑ ~ Feat TreeklSpeclal Inepectlon In/ormetlon Project Representetive Phone Address I'certity thet I have'examined this applicatlon and state that the information, contained in it, and submitted by me or my agent to compils seid application Is true and correct Signature - - Oate s.~. .r..a~ •~wur~ .swa a~W WWe~ Y ~+41..,.~ t►, ~ _ _ as.b e.~+~..Rrr'~ s - i3 , •L- ' r ~ f - ' . - i~.i.~.i~,a~~a e.Y[rM~" ,.Wr.~~.:~ t ~ ` I C~~.W~~~..~` h~L~ ' ~ , , d ~ y. , ~ ~ , , ~ ~ ~ i ~ ~ ~ , ~ 1 ~ ~ ~ ~ ~ ~ ~ - ► r ~ y~ ti • r~~ • t I i I ~ ~ ~ ~ ~ i p ~ I ~ 1 ~ I ( I I ~ I ~ 1 ~ ~ 1 I ~ I i ~ 0 ~ i i ~ 7 ii I ~ ~ 1 , ~ ~ ~ ' ` ~ • ~ ~ ^ _ . ~ ~ , ~ , ' ~ 1 r ~pFFRO~/F~ f +~TE~ ~ ~ , ~ ~ ~ ~ , ' ~ *.~~j~ ( I f ~ ~ ~ '~i ~,r I~ .r , ~ ~ ~ ( ' ' ~ i ' i~ ~~I ~ ~ ' ' ' ~ , ~ ' - ~ - . ; r _ ~ ( _ i ~ ~ ~ . . 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