Laserfiche WebLink
BUILDING PERMIT <br />APPLICATION <br />Applicant To Complete <br />This Form j <br />If more than cne building is to be contructed, submit a separate permit applica- <br />tion for each building. A separate permit <br />will be issued for each building. <br />Owner Air J Nr, J_c.r?r1e Dt'•rnCf <br />Building dress Ad%h"0 F <br />. t fi �O c/• <br />Address le,-74 -i�°`' J�/. t <br />Lot7 Block 7 <br />City 'All Phone 335- Sj ('Y <br />Subdivision (Plat) 1-3- e.ur4 j291 <br />- <br />Architect/Engineer [/G. .7 Y••- <br />2 <br />City Phone <br />Metes i Bounds (Unplatted) <br />Contractor �« /� �rr Gsc- <br />Sec. Twp. Rge <br />Address 50 U <br />'. <br />City EP2t r Ty Phone .36-3 <br />Building Use <br />IN <br />State License Number .7?,-3_6/ _/Oiy, <br />Describe Work to Be Done �onS�/'r•acf �••(�' <br />• i <br />Expiration Data —/ - J S <br />/�� u,• f e S r r .r c %/j d ,� / <br />SKETCH PLOT PLAN BELOW' <br />7 r <br />Use of Building 'CPJrI/Pgc_f <br />ONew ❑ Addition 0 Repair/Remodel <br />•Valuation <br />of Construction �� �� °��' • . `-" - <br />PLOT PLAN REQUIRE?IENTS <br />Indicate lot size, name of streets, <br />findicate <br />location and width of <br />I <br />alleys, locate proposed and all , <br />{ <br />J. <br />existing buildings, show distances <br />1 <br />JJJLLL <br />to property lines, show distances <br />3D (�7•a'{ L� <br />between buildings. <br />i <br />• c�3� 3L_ - <br />Lot size 0_x .70 /�✓,•...1r- <br />• <br />�$8 c <br />Lot area Sq. Ft. <br />yS� <br />Size of B ldg. 3 p0 Sp. Ft. <br />Number of Stories <br />/ <br />'�•:'- <br />�Sj-�owsc <br />SiynedBy <br />. <br />-- pr <br />// <br />For r/,. Ado pr/-.1/ar Rees .• %� �. <br />Owner Phone <br />��, (31ucj,.90, <br />DO NOT tiRIT= BELOW THIS LINE -?OR CITY USE ONLY <br />Date Received (/ %S <br />Uce Zone <br />Plan Chcck Number 7S — (p <br />Z <br />Fire Zone 7t � <br />Valuation ���� �/C�,G <br />Occupancy Group <br />Permit Fee 1� U C <br />Type of Construction <br />, <br />2 Plan Check Fee 6� `'Z) <br />Occupant Load <br />„rc/O•e�C� <br />Tntal Fee Due <br />Sprinklers Required <br />Date Issued io <br />