Laserfiche WebLink
-- -- -_ _ _ _ - - - - -- � -- -- -- . -- - _ ____. _ ._�����, <br /> �� BUII.DING PERMIT APPLICATZON <br /> . Applicant To Completc This :orm 9'�}9/� <br /> If more tfian one building is to be contructed, submit a separate oermit applica- <br /> tion for ach building. A separate permit will be issued for each building. <br /> o n ` <br /> pwRer � (] r�n�i�� Building Address ���J ` ",(l�ii��i�1CL�.: <br /> Address S�.�J'�c?�! UY�'Lx)-1�� Lot . � �I�� Block ��n �_ c <br /> City , a�• Fhone Subdivision (Plet) 4mo`h�111�11��(\J� � <br /> Architect/Engineer. _ <br /> City Phone Metes s Bounds (Unplatted) <br /> Contractor E _ Sec. '�p• R4e <br /> . . <br /> Address 35�-�161 a•��_�oF9 . <br /> 6806 EEN WAY 1 <br /> City �,��NG���_ Buildinq Use <br /> State License NumbpENlppEiJNf; Describe Work to Be Done � <br /> —o�� -Ol- ii�{��' � <br /> Expiration �ate � -/ - 75 �i FQ . �I X �� � . ,(�'i�� r� rQ cY)� , <br /> SRETCFi PLOT PLAN BELOfP <br /> � Use of Building <br /> . r]New ❑ Addition I�lRepair/Remodel <br /> • �l po <br /> � � � � ' Valuation of Construction $��„_� <br /> � � . PIAT PI.AN REQUIREbtENTS � <br /> • Indicate lot size, name of streets, <br /> indicate location and width of <br /> al'_eys, locate proposed an3 all <br /> � existing buildings„sho�a distances <br /> � �� . . . to property lines, show distances <br /> ' between buildings. <br /> Lot size X <br /> - Lot area Sq. Ft. <br /> � Size of Bldg� Sq. Ft. �� <br /> Number of Stories <br /> - Basement <br /> � <br /> . Si9n By � ! <br /> F� ?(?i -�- v\��},�� ti j <br /> Owner P one I - <br /> DO NOT WRITG IIELOI4 THIS LINE-FOR CITY USE OC7LY I <br /> Datc S.�cei�:ed �T��'71^ U_e Zone <br /> Plan Check "Iunber 7`� '�j 7�j Fire Zonc 3 � � <br /> Valuation �l�(�(� � Occuoancy Group 1 I <br /> Pemit Fee �J�. �9� Type of Construction �j _ �� { <br /> . � <br /> Plan Checi: Fee � �i.�U Occupant Load � <br /> { <br /> Total Fee Due " Sprinklers Reauired <br /> CITY C`� -"-,-�� <br /> Datc Issued APPROVED f�C ,, ;;' .'._ ,:: : . _ ,�II <br /> D=tc 9 ( Z3 ���: �, c , __ <br />