Laserfiche WebLink
BUILDING PERMIT APPLICATIOt1 � .�� <br /> Applica.^.t To Complete This .^orm <br /> If mor� than one buildin, is to be contructed, submit a separate permit applica- <br /> tlon for each 5uilding. A separate permit �aill be issued for each builQinq. <br /> Onrer _ _ � . „r,.; , __ Bullding address <br /> Addr�:�.s Lot Block <br /> City Phone Subdivision (Plat) <br /> Archit=_ct/Engineer _ � <br /> City N Phone Metes s Bounds (Unplatted) <br /> Contractor Sec. '[wp.__ Rge <br /> Address � <br /> City Phone Buildinq Use _ <br /> Statn License �a-�ber Describe Work to Be Done _ ' <br /> Expizatian Date ___._._ <br /> SRETCII PLOT PLA;7 BELO'J <br /> Uae of ouilding <br /> ❑New ❑ Addition ❑ Repair/Remodel <br /> - Valuation of Constructi�m 5 � f(�� `� <br /> . � PLOT PLAN REpUIRE+fE:77'S : <br /> Indicate lot size, name of streets, <br /> indicate location and �oi@th of <br /> alleys, locate proposed �nd all <br /> existing buildinqs, sh�w diat�nces <br /> � � to property lines, show distan�es <br /> � � between buildings. <br /> Lot size x <br /> � � Lot area Sq. F't. I <br /> � Size of Bldq. Sq. Ft. � <br /> � . ' ��� Number of Stocies � <br /> a�����-� � f <br /> , <br /> Signc.d 9}� � <br /> For <br /> tr�ncr Phone <br /> — ' <br /> DO NOT IJZITC �JELOP! THIS 1.I;IE-FOR CITY USE 077LY , <br /> �.�� ^ ._n±•:;,:' Uce 7.one - — <br /> P1an C::cc'< .,... _ _- _----- Fire Zonc _ <br /> Valuation Occuoanc� Group __ <br /> Pemit Fee Type of Conctruction - <br /> Plan Checl: Fee Occupant Load , <br /> Tot�l Pee Due .__ _ . Sprinklers Required ___._ � <br /> D�i[c Is_u�x1 -- � - <br /> 1 <br />