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HomeMy WebLinkAboutPlumbing 07-0905 Date KK'd ~ ~'( \7nNING__\ I.EGA.L DJ!SC1UP'I'ION (GIIm-"'" LOT BLOCIt ADD1TION Pm I ~=~IACli:WYL - CJ'Ilooe) ~Ljl)l~ pC);}-- -1 (AMIaI)~r/7~1 L (JIlt; if./ == - :CANTa) 'f 'L mn ., tv (PbcGe) t1:5:?' '-IL/!) ~ 517 V; (Address) -Lq :J-LP 0 /L"1 L ~J hflJ 0/ h Pcl (Pt) ~7 cr (Ae'ins) (CiIr) (Zip Code) (CofIftlt'rPeaoD) ~lA C-/ !' (PIIoae) ~Xf- d;r 3 APPLICANTSIGNATtJ'llE DAm q/10 L APPLICANT PLEAR COMPLETE BELOW Type u DUll - .. ....0- .' w_a.. . w_ ~ ~) ww- n-w. 'I' - 1_ Slab _Silk W... . iOIIIer I'D fk 1II00LE. , IocIUSbiaJ, Coaunen:Ial &: Mulli-family. 1~ of job COIl widla 13'.50 ~ ~,.Ntw One A:.1\vo-Paai', 199.50 R.esidIrItiaI. A""'W. &: AltJl,.4Ibs 139.50 &IDwt~ Cost S BuIkUag Pemlit 1# PLUMBINOPBRMlTFEE s' 39, S c STATE SURCHAllGE S . I .50 . TO'I'AL PDIMtt FEE' $ L-f r) , en) ,", (Oftkz 1JIe 0tlIy) \ n&~::':- . 5"(,(,/