HomeMy WebLinkAboutF2021-0406 - Permit ApplicationPlease print 3 Copies
Associated Building Permit;;
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1. Project Address (Not mailing address)
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Tenant Nam
2. Description of Work
Extg Sq FtF_111' New/Added Sq Ft Total Sq Ft
New El Add R After F] Demo
i.iiuuK mppropriare Liox Tor Applicant/Notification
Floor
Suite No
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F-71
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Use
Valuation $ 1i 1100_i
41 Stories 1711
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3. Owner'sName Last F-
Owners Address
,nerq F-roO Addr6ss
EIT71.-I—A-10— V/k
City State Zip
_712 �61
4LArchit0c:VDGsigner'sName Las! l
Architect/Designees Address
city .tafe
El 5. Engineer's Name L15' Z I
Engineers Address Er,,g'neqrs
1747 Ltv
city State zfp TqT
I _(A J F9 _ -q Telephone
16. D F� Lk. No. [--,"I Ciass
Contractor's Name Lastr-ro F� P�rA,#RtF
Contractors Address Contractor's E-mail Address
City State
F7777777:77 _--,zip F Telephone F
OFFICE USE GAILY P E R r'll Y'IA' Vl'
TYPE OF CONSTRUr:TION 11
OCCUPANCY - G,-,(Okjp