0029 1/2 DEARBORN STREET - BUILDING INSPECTION Z '
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' name:
Dfa�Em, la��at�ju5e
PLANS MUST BE FILED AND APPROVED BY THE
INSPECTOR PRIOR TO A PERMIT BMG GRANTED
Building Permit Applkation For. Loealim of Building
(Circle whit:hOm APPli t) Roof,Reroof. Irwail Siding,Consaw Desk,Shad,pool
AddifiM Alteration,Repair/Replace.Foundation Only,Wrocking
Other.
PLEASE FILL OUT LEGIBLY& COMPLETELY TO AVOID DELAYS By PROCESSING
TO the 6[Bwwiqp:
The rmderaigo d hereby applies for a permit to build according to the following tpocawatimc
Owaerti Naaw }retA � Contractor.
saw ol�i ACi
h SVWJ-), (JYr— 'JA DS) ChylnnUetS
state Phone (ihY) !�V/3aa� phase
Architect: City of Saka.Lid , .
street C
eiq Li State aY," 9ya.,L _mP 11_ 13l 3 S7
State Phone ( ) Howwwwre Exempt Form�p s0
Straxt m (please circle) Family. Muhl Family Odw
ENlmand Cott of job S D e�eo
WW no
baiWiagooafirar b .
Atbaeaetaai__ya no . _
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Driptiaa d work I*be Nne:
Drawings Submitted:—X--Y=� n0 Mail Perook to. p� `
.-_ Anvers a�_
S�re or ePphcalioa,SIGNED UNDER THE PENALTY OF PERJURY
CONSTRUCTION TO BE OMPLETED WITHIN SIX M MONTHS OF PERMIT ISSUED DATE
Departateut use only: PerrnjE ZOWAS
Permit fee f —T—
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