Laserfiche WebLink
� � ���s. <br /> �� <br /> �yy.e��� ;: <br /> ^YFS <br /> . . � L�e.t�� <br /> 1 R:... <br /> ' „?8�- 7G` ' - <br /> (1 <br /> • 13UILUII4G PERI•fIT APl'LICATIOW • <br /> • 11pPlicant To Com��lete Thi� 1 or.m ' �� 3 • <br /> >/�c�7� <br /> If more than one hui.ldi»g i�� to be consiruc{:ed, submiL a scp<irate per.mit <br /> apPli.cat-ion for each building. A separ.ate permii: w5.11 be issucd for each <br /> building. _ � <br /> Owner g-�� ; �✓�,�,r�:'�� Buildin9 Addres� � 7!� �G� <br /> inaaress/�� o'� 7 � � C_'+�-�'r'�—L� Lot .____�.. I31oc): I <br /> Ci.ty 7�-�--t.-'�" Phonc SuUdiyi:,ion (Plat) � I <br /> hrchitect/Engincer. <br /> Cit•y khw�c 2+fete� & J3ounds (Unplatt:�d) <br /> /� +a <br /> Conir�:ct-or � ��?-t �',� r t �A, ' 1_.,�:c i �E, . Sec. 'Rap. Rge. `_ <br /> naar��, �,-�. <� .: ' ��a � ,5—" ,. --- <br /> city -c-, �,!7'__Pho;�e � 3 ,'- �2 J L • — <br /> State Licence 14umber � � ' '_�'-–G�!''�% _ <br /> �xPir.ation llate <br /> 13uildiny Use <br /> esr.r.ibe P7or.1: t•o ]3e I)one <br /> .�ir-'t-� .e�LQQJ � �-� � <br /> COIP.T.,� Y7.OT PLN7 Oid P,�V�IiSE SID� � <br /> � � <br /> ��tfJi_,. �,�r ....r.. _a ��•?-f._- <br /> humber of Stori.es � <br /> 13asement <br /> . .. Neta AdditS.on Repai.r.[ ,emocic]: <br /> � <br /> ValuaL-ion of Consiruction $aS0,7 ` <br /> • . . . . Signed IIy _ <br /> � • . ror .�.��'�, �r_ . _„_..._ , . <br /> ' o��mcr � G rl,one ` ___-- <br /> • Do 1Co'L- i9i.i.i:c 13c]o�v 'Pl�is Li.nc •ror. City Use Only <br /> llai:c Reccived ' " ' ' • Use Sone ' • <br /> lTlan Chec1: Wumber ' � _ 1�ir;� 7,onc ___ <br /> Valvation ' • Occupancy •Group <br /> l.'ermit T'ec � � Typc of Con�tr.uction : ' • <br /> rlan Chccl: I'ec Occ»pani: Load <br /> 'PoCnl lPce llue Sprinl:lers )teqi�ired _____ <br /> U[itc L;stted <br />� <br />