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AFr^LICATION FOR RESIDENTIAL BUILDING & MECHANICAL PERMIT <br />)ATE_� � �� �t i S- (97 I <br />HOME OWNER <br />ADDRESS /� �{ �!- (b c 1-�:.L CITY�_�� -t %� ZIPj�� �: ;� <br />CONTRACTOR -�<< <'''�� � PHONE <br />ADDRESS CITY <br />ZIP <br />CONTRACTOR'S STATE LICENSE NO# S�.PTIC PERMIT <br />ADDRGSS OF JOB �o ��U' C�C�d�% CITY <br />/ WIDTH OF ROAD <br />TYPE OF WORK [" e roo's ;�_ �Zo� sc_ �RIVEWAY PERMIi�— <br />SUBDIVISION OR SHORT PLAT SEC % TWP o��- RGE .S� <br />ZONIN6 BLK LOT OR PARCEL <br />METES OP. <br />OTHER BUILDINGS ON THIS PROPERTY <br />S?ZE 16th# <br />ACCOUNT NON G�����5-/-G/a-Gccp <br />SETBACKS:�RONT OITIONAL LOT REQUIREMENTS: <br />for office SIDE IS 7HE A1'ERAGE '.iLOPE OF TI'E PROPERTY <br />use only �EAR IN EXCESS OF 25�'? YES NO <br />BUILDING DIh1ENSI0t�S: ADDITION REMODEL <br />" YES <br />MAIN fL00R MAIN FLOOR SQ. FT. STORIES BSM� � NO <br />SECOND FLOOR SECOND FLOOR SQ. FT. GARAGE <br />CARPORT SQ. FT. IN BASEMENT(iNCLUDE GARAGE IF LOCATED IN BASEM'cNT <br />QASIC PI.AN NON <br />THE ABOVE PROPOSED STRUCTURE IS TO BE USED FOR THE FOLLOWIhG PUR- <br />POSE <br />4AS CONSTRUCTION S7ARTED? �LEASE CHECK ONE YES �% NO <br />MECHA�ICAL PERMIT: OIL GAS ELECTRIC LPG <br />N0. TYPE OF EQUIPM�NT IFEE <br />Forced air systems <br />4TU_ KW . � <br />floor rnaces <br />BiU KW <br />Wall Heate,s <br />6TU K <br />Roof Units <br />�TU K <br />Fuei Storag� Tan s <br />Size in gallons <br />( lJnit Heat�rs <br />Air Condition Units <br />H.P. E'ach <br />Gas Fired A.C. Units <br />Tonnage Each <br />Misc. <br />Permit <br />SIGNED: CONTRACTOR <br />OWNER��_,, /�, � <br />FOR OFFICE USE ONLY: <br />VALUATION <br />PLAN CHECK FEE <br />BUILDING PERMIT FEE <br />MECHANICAL PEf�MIT�FEE <br />TOTAL UUE <br />BUILDING PERMIT N0. <br />N07E: PLAN CHECK FEE MUST BE PAID WHEN PLANS <br />ARE SUBMITTED <br />