HomeMy WebLinkAboutX2020-2214 - Permit Application (2)X, Residential
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Address
Description of Work
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OWNER'SN"E— Lastl MUNI Firstl SI -AWN
Owner's Address
Owner's E-mail Address
051 Fift7ASUS ST
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APPLICANT'S NAME Last I U N T I First I SHAWN
Applicant's Address
Applicant's E-mail Address
IIa51 19&MSt4S 5T
FOhshawn rnoi(1. com
City IN 6W Poecr 6eAC
State Zipg2�QIQQ Telephone GI Iq q ys 0s()5
ARCHITECT/DESIGNER'S NAME Last
First Lic. No.'53-LI�J
Architect/Designer's Address
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21U5I DIIAWTZ PD
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City I WQaDHIAI,s I
StateG,7} 11 Zip 1 I¢4 i Telephone 8164123450
ENGINEER'S NAME Last �E��E�� FirstR�l(Q Lic.No.
Engineer's Address
Engineer's E-mail Address
12100 913 6 M fa sl
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City S(An otI t 6`{
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Sate I /rl l Zip q I52 '; Telephonerat D q60 9W:52
CONTRACTOR'S NAME/COMPANY
Contractor's Address
City
Lic. No. Class
Contractor's E-mail Address
Telephones
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PERMIT NO. ADO 3o ✓ Z;V
PLAN CHECK NO. (1gZ��2
PLAN CHECK FEES $