HomeMy WebLinkAbout10931 W. 44th AvenueCity of
Building Permit Application
(Complete pj highlighted areas)
Property Address: I k"" "
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Property Owner (please print). one
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Address: -
City, State, ZIP-. '1107
CIRCLE ONE (OWNER) (C CT ge (AUTHORIZED PEEP RESENTATIM) of (OWNEIR) (CONTRACTOR)
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f RIN_T NAME: SIGNATU
DATE:
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PUBLIC WORKS COMMENTS: OCCUPANCY:-
Reviewer
FIRE DEPARTMENT:: 0 approved w/ comments 0 disapproved 0 no review required i Bldg Valuation: