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2716-Lafayette-2/2/2017
'H5 U I LD IN L- City oV Wstairba parrot PHcat, 715 Mulban y St , V V C2llSs a 9 0A 50703 ®ate: 27-Z - 17 Site Address Z 7 & 2A FA Suite/Unit. No. Tenant/Building Marne �����-�� ���� Condominium No. The applicant is ® mer �Contractor 0 Architect/Engineer pP®parry Name - �F?9t�i1C�P Address City_�.IL State��Zip'Code b Phone Cion tac lair Name Address 2009 CENTER ST City � _ State Zlp ode . Phone Uc ense No. /1P�Gt64c�c IJ Name Address City State 4p Code Phone Registration No. 131 Now ®2 Addition �3. Alteration/Remodel 134 Mainten'ance/Repair/Replace Check one only Type of 01 Single-Family Residential 1345 Recreational,Amusement stllduPC' 02 Single-Family Connected to Singl®Family 046 Other Non-Housekeaping Shelter Check one only 003 Residential Garage ®65 Industrial-Buildings ®30 Two-Family Residential 070'Public Works and Utilities Building 1339 Three-Four Family Residential 080.Public Schools 032 Multiple-Family Residential ®81 Private Schools �M Offices,Banks.Professional 085 Church and Religious Bui1dings 1341 Stores,Restaurarta Warehouse 042 Hotels,motels 1388 Hospitals and institutional Buildings X43 Parking Garage 093 Other Non-Residential Building 1344 Service Stations and Repair Garage 1395 Fenced,Signs,Antennas 098 Other Non-Building Structures pleoze complete oftml . 715 Mulberry Street o Waterloo IA 50703 0(399).299-4319 0 FAX 299-4262 'p �a�,.i> -.,.ii"ci::, �:["% :t''.a.• ..t ..I v'- ';`.i4h.'- : �dGdWl�Qggqg���pp •Sf.r '•;k' ym' •,,,.' 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