Laserfiche WebLink
0 <br />� _ `�'i <br />. � <br />1 <br />1i <br />. r� <br />, . • . 'i <br />.�: .. <br />' , i <br />. ; .� <br />• <br />. . ; <br />�'; <br />, lOILDINC PF.AMIT APPLICATIOR � ' �. '��{ <br />. IIpplicant To Complete This ^•orm / �� �'�:i <br />Z! more than one buildinq ie to be contrueted, submit a separate permit appli�j/�l <br />tion !or each building. .1 saparatr. permit will bc issued for each building. <br />� Ov�ier �,LUMac 7 T .z � -,� 8uildinq A�i�iress, � : <br />•ddresa 7iv7 R:'�i,--�. �i .r. ,.� Lot <br />Hlock <br />�tY � 'e -� phO���?�' � ' S'S"� +i Subdivision (Plat) <br />wq• . <br />lrchitect/Enqineer � <br />City Phone <br />Coatractor �y,�vyit �./oMF �QEHeDrL <br />Jlddzess //4u.f _��,✓/r <br />�tY � � - Phone 325/ 5"7�3 <br />,. <br />State License Namher �Z,J-o/- /7jL U <br />�piration DatE <br />SRETCH PLOT PLAN 9b'LO[�f' • <br />Date �eceived <br />9 <br />lfetes i Bounds (pnplatted) <br />Sec._�_ �,rp��_ R4e � �" <br />�1--_ <br />Building Use Z _ ' <br />-� <br />Describe Work ta He Done 2o',✓.Z7� .'����. <br />��/� ti/ 2 l�� T/� S' �/� ��c�^-r <br />Qse of Building <br />QNew 1�(pddition ❑ Repair/Remouel <br />. <br />Valaation of Constzuction 5 <br />PLOT PLAN REQUI?tEF'.ENTS <br />Iadicate lot size, nane of streets, <br />indicate location and width af <br />.; alleys, locate nr000sed and all <br />existing buildings, shota distances <br />�, .i' • to property lines, show distances <br />' belveen buildings. <br />' Lot size X <br />� _ Lot area Sq. Ft. <br />' Si2e of Dldg. Sq. Ft. <br />Number of Stories <br />Hasement <br />I{:iITS B'c:,0[4 <br />, A I,.._ <br />Plan Caec:: 4ur.,Ser %!j �— /�j � <br />Valua:ion G( � <<� c�� <br />Petnit Fee . � � . C% <=� <br />Plan Check Fee � [� - �' �� <br />Sbtal Fee Due l�r� , Q-� <br />Date Issued �Z y � 7 ) ^ <br />APPROVED FOR BUILDINq p 3MI f <br />i <br />Dnte�1.E%-i.a � By _�•, i __.__� <br />Siqned By <br />rcr i � Z S/- c�7v3 <br />ner Phone <br />E-FOR CITY ❑SE Oui.v <br />Ace 2one <br />Fire Zone <br />Occuoancy Group <br />Type of Construction v ^� , <br />Occupant Load <br />'�^ � I - <br />Sprinkler� KaqLLire� . , , �" `;or- <br />• ��E�'•�-�• , . .' i?���i�...i__ <br />B� `--'i�' •.� :°.: `�"i'i"sa <br />. A'i" �4.,._ ', ;: ;�ES. <br />