Laserfiche WebLink
CI1, ' O; I:VI'MJ'T , PGRMLT NO. / 7 --.z <br />Il!".1'AI"fill:l;l' Oi' cO;T•st1t7IT1• U1:VI;LG1'T71:J:'Y ���! <br />BUILDING 1'Ii:Pil'1' APPLICATION VALUATION x Q1 797 <br />PERM ' FEE Z� <br />DATE �%_ /(!/l� <br />ADDRESS OF CONSTUCTION WOkl <br />LEGAL DESCRIPTION: LOT .21 BLOCK PLAT 4P6,,e rew/7� l�ywi,� <br />UNPLATTED DESCRIPTIOV: <br />REMODEL <br />BUILDING DESCRIPTION: 1*14 ✓ ADDITION dr REPAIR <br />OCCUPANCY OR USE HEIGHTS IN STORIES DII/c� <br />IS THIS A CHANCE OF BUI�LyDING OC'7UPANCY: <br />CONTPACTOR -1>0544 .A) <br />MAILING C <br />ADDRESS 7 623 - ZKa A4-"5 Sy(. S, e" <br />PI1077LT NITIMBER <br />CONTRACTOR S <br />SIGNATURE <br />YES <br />NO <br />OUNP.R <br />MAILING <br />ADDRESS <br />PHONE'NITlBER S'44fGs' <br />23 — e / — <br />r ' <br />NOTE: THE APPLICANT SHALL FILL®IN ALL mAr DLAIW Cd-lPLETELY INCLUDING THE PLOT PLAN <br />SKETCH ON REAR OF T11I5 SHEET, THE APPLICANT IS IUiSPONSIBLE TOR ALL INFO!'11ATION WHICH <br />IS FURNISHED ON ME A°PLICATION. ANY CHANCES IN 'TIIc3 IRFORM.'ATION, PLOT PIJ.:7 OR EUILDINC <br />PLANS SHALL BE SULMITCED TO TILE INSPECTIOV DIVISION FOR APPROVAL BEFORE PROCEEDING <br />WITH TIIE CONSTRUCTION WORK. M o•+� <br />APPROVAL: l(J <br />I. WINNING. �,/ DATE 'L -- — <br />2, ENGINEERING �?L� <br />TRAFFIC It'1 ' N '• / `1� _ <br />WATER SE ICIi <br />S1.1-Im ultVICL' <br />PUBLIC SERVICE SECTl N <br />3. INSPECTI N DEP-11tTMMT tL'paQ .1.S1=CL <br />v , c,e — <br />t <br />a. FIRE 1•IARSHAL <br />NOTE: ALL CONSTRUCTION WORT: SHALL COMPLY WITH AL'1'LICABIX CODES, NOTES ON DRIMINCS, AND <br />INSVIi0170S <br />