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HomeMy WebLinkAboutXR2022-2579 - Permit Applicationj— Comm'I F- _ LILY vi ,vvvvpulL i - uwnJ v iu,IvmlvtI NOTE: E: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL f Building F Grading (—Drainage I Elec f Mech F Plum Cu vd Cut Cu vd Fill pr,omgo�l _1PA-do0ves-s-, l(H®t". Malillnsag aiddcesz) Floor Suite No Da -scrip -don, of Work, Use # Stories m Units (if Res)[ — Valuation S New/Add SF1 Remodel SFGarage/flew/Add �� Material/Labor'J OWNER'S NIAME Last I ��� 1l� , v 0- 01 Owner's Address City State i API-"LIrjAN 8 INA€AE Last C�j ; ^.:I Applicant's Address I .. City i1 OPr3�,5 7- State ARC HI T EC T ME318NErR'S DAME Last Architect/Designer's Address City EFNIG0WEEpa 10 MAME Last Engineer's Address C ity CONT��AL' T OPI'S NAMEXOMi3ANY State First Owner's E-mail Address Zip T elephonel First i I `e-, le-11 Applicant's E-mail Address Zip Telephone L. eEC First Lic. No. Architect/Designers E-mail Address . l Zip I Telephone First— Lic. Nod Engineer's E-mail Address State I Zip i Telephone Lic. No.Classic-� Contractor's Address Contractor's E-mail Address City / +S` State Zip Telephone 7/ ENERGY P/C FEE $ FIRE P/C FEES PERMIT NO. XR'tOZZ 25 % GRADING P/C FEE $ PLANNING P/C FEE $ PLAN CHECK NO. ELEC/PLUM/iIMECH P/C FEE $ PLAN CHECK FEE $ 0