Laserfiche WebLink
_ / "' '� � : <br />� . BUILUING PEAIdIT APPLICATION ' . ' <br />� . Applicant To Cumplete This ^orm � � �� � � <br />� � � �i .!- <br />If more than onc buildinq is to be ��ontructed, submit a separate permit applica- <br />tion for each buildinq. A separate nr_rmit Nill be issued tor each buildir.g. <br />O�mer , �; � � _ Building Address - _ •� <br />, Addzess /.,-�� Lot � %� Block <br />City i��- �� Phone Subdivision (Plat) ��i.���•. i /�:, : <br />. —T <br />Architect!£nginecr <br />City PhOnr_ <br />Contractor c r.� --, . - <br />Address �� " - <br />City f'� • Phone >�i/� <br />State License Number ' ' - .: / � � ]Q <br />Expiration Date . � �. <br />SRETCII PLO'P PLAH I3ELOW <br />' -- — 1 - <br />OI . <br />� � <br />1��f�/f��� C.% DO ":O: - ��i :'flIo <br />Date ^.oceived �2�?C,.. _ <br />p�ar. c:,�_.. _,.....,_ 7[o�z(� - <br />4'a:uatto: _�I�e1L��• F�f� - <br />Pemit Fee �JV <br />� 3c7• <br />Flan Checl: Fcc �C�.�, i� <br />O"L) <br />Total Fee Due � J`J • <br />Dace Issu�d _ C / 7�: _ <br />0 <br />Metes S Bounds (Unplatted) <br />Sec. 1Wp, Rge <br />Building Use � <br />Describe Work to Be Done �,^ ��% ' <br />. . , , ,y 1 l. . � <br />tlse of Building ` -� � - �� <br />[��w ❑ Addition [1Repa.ir/Aemodel <br />Valua'ion of Construction y � : �'�"C� <br />PIAT PLACI REQUZREMENTS <br />Indicate lot size, name of streets, <br />ind:cate ��cation and width of <br />alleys, locate propoaed and all <br />existing buildings, show distances <br />to property lines, show distances <br />between buildinqs. <br />Lot size C.� x � :!v <br />Lot area �. y t;� Sq. Ft. <br />Size of B1 g. i�: c� Sq. Ft. <br />Number of Stories <br />Basement ..� �: <br />SignEd 3y � J,.i �� r'� �i�.. �rl <br />For <br />Owner Phone <br />U_e �one �-Z. J/,y��L T�1l,til. �tl!`j/i' <br />Fire �one � 3 � <br />Occupancy Gcou� _ <br />Type of Construction <br />Occupant Load <br />Sprinklers Required <br />