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T~pe of Ruildmg <br />'~.to,~ of Budding .,. <br /> <br /> DEPT, OF BUILDING INSPECTION <br /> Mariaa Counw <br /> <br />W. K. GRABER, BLDG. ADMINISTRATOR <br />384..4401 Ext. r~i, C~mrthome <br /> <br />APPLICATION FOR BUILDING PERMIT <br /> <br />Pormff No <br /> <br />Erect Relocate <br />Alter <br /> Oemotlsh <br />Repair <br /> <br />Valuabon <br /> <br />Permit <br /> <br /> Building Thls permit co,,ers Exco,,otl0n <br />· ( - <br /> <br />Addition <br /> <br />Water Supply ('~'~ ( [ <br /> <br />Volu~o of (]nllru work when c~s S <br /> <br />guilder Address '"'- -_,.,~ Phone <br /> r <br /> <br />A~d~llect ............ Address ": Phone <br /> <br />Pho.o <br /> <br /> ?'one Change No <br />ONLY WORK DESCRIBED ABOVE INCLUDED IN PERMIT Vnrl~tl~.# Cosu No <br /> <br /> ~._ -I""~-',,-,_ I ~"~'"'~/'.~,,~,.~_ '" <br /> <br />OTHER I~RMiIS EEQUII~D BY THIS D~PAdI~T~I~: Heating Plumbing <br /> <br /> <br />