1130 COLBY AVE 2016-01-01 MF Import

� BUILDING PERMIT APPLICATION j / / � �• •j Applicant To Complete This ?orm /��./7 r If more than one building is to be contructed, submit a separate pezmit applica- tion for each building. n separate permit will be issued for each building. Owner ('f�AQ(E�. A u�i-',-�d �f ./R, $uildinq Address /I�o �t �)' Address // 3c� CoL bv A ✓�-r�E Loc�.9 i o 3 z sio�k �. � / � i City F1�Lrz� Phone Subdivision (Plat) �]l�t Architect/Engineer - "� � � �-r i-� � � ��cl , Te r 11 El1 L ' ` City �Phone Metes 6 Bounds (Unplatted) Contractor �yF'/z Cc,niS l . �M� . _ Sec. RWp. Rge Address � S7 5 �tJtR �V �� _ � City �.YERL"1� phone ��.'> -�9 2'] Building Use {�aYN -- _ State License Number �,�3-ol- ��a71 Describe Work to Be Done /?c�� sxpiration oate 19 7� �Q 1`fi? I-�--T 7� /aS5 MEN I Kl Al_I�_ SRETCH PLOT PLAN IIELOW TN�;�� W�!'�'S . / - � tlse of Suilding F�Dfi?�� . � ❑New ❑ Addition �Repair/Remodel � ' Valuation of Construction $ l�� 1 � . PLOT PLAN REQUIREAtENTS ' Indicate lot size, n3me of streets, � indicate location and width of � alleys, locate nropo=ed and all. � existing buildings, .show distances � �■ . . to property lines, show distances ' � between buildings. Lot size x • � Lot area Sq. Ft. , � Size of B1dg. Sq. Ft. :" � Number of StoFies 7'w o ! � •:� Basc^�en: G- Signed By �y� `(,/�- CohlS� I �I C � � � li toz I � Owner Phone ��5�� � DO NOT WRITG DELOC7 THIS LINE-FOR CITY USE 07LY ! � � � Date .^aceivc3 � �' U�e Zone - • I Plan ChecY. Dluater Fire 3onc __ �L� I Valuation 2 LK�� ` Occuoancy Group I Pemit £ee 2 C�• G9 Type of Construction 1 Plan Check Fee Occupant Load i ZG`�- �" S rinklers P.e uired � Total Fee Due ! P 4 Date Issaed � 7��1�'/Z �� CITY Di' ["ER[jT APPROVED f0i; L'U;Li�I„�., , �^".11T i ' ! . Date_ dY-- F