Laserfiche WebLink
Dli IARTt1EM, W., CO:i:9lU:7'1:)' I11:YCL01'iilil:T <br />1:11ILU1GG VER1111' APPLICATION <br />DATE <br />1 <br />ADDRESS OP CONSTUCTION Id01;1: <br />LIiCAL DESCRIPTION: LOT <br />UNPLATTED DESCRIPTION: ��( <br />BLOC:I, <br />Pi:R1 IT 1l0, <br />VALUMON <br />PERI.IIT FJ-.L <br />1'7.hT <br />Rl;l•IODEL <br />BUILDING DESCRIPTION: NEW ADDITION dr REPAIR <br />OCCUPANCY OR USE �-Q • _ UL•'ICIITS 114 STORIES <br />y IS THIS A (31ANGE OF BUILDING OCCUPANCY: YES No �( <br />CONTRACTOR _ OWNER D-�1S <br />MAILING MAILIN ; <br />ADDRESS _ ADDRESSavi. <br />PHO;;E NU-1-MER _ PHONE <br />CONTRACTOR '° CEt,SIi hT:➢7P.F. _ <br />j� SIGNATURE <br />�1 <br />NOTE:• THE APPLICAi;1' SHALL FILL IN ALL Al70VE Fi1z4t:(S C0'.-M:TELY INCLUDING TllH PL0I PI A.N <br />SKE'TCII ON TEAR or 'P11IS sm?nT. THE APPLICA1dT IS lzrsr i�:SIDIx POR ALL INM,111ATION V'RICH <br />IS FURNISHED ON TIUi APTL'IC:1'PIO:�. ANY CHANCES IN T11.1i INT0 MATION, PLOT PI.01 OR BCILDING <br />PLANS SHALL l;E SU ,vlITTLD TO THE INSPECTION DIVISION WOR APPROVAL BEFORE PiIOCEEDI:•7G <br />I IT11 TILE CONSTRUCTION VORK. ' <br />APPROVAL: <br />l.. PLANNING. . <br />DATE <br />2. ENGINEERING <br />TRAFFIC DIVISIOtl <br />WATER SERVICE <br />Sl [1)iR S):lwj.cr <br />PUBLIC SIiRVICE SECT id ' <br />3. INSPECT. .q DL•'PARTM.N I Ly/7 <br />Z <br />4.. FIRE MARSHAL <br />NOTE.: ALL CONSTRUCTION 1,0111, SHALL CO:IPLY WITH AI9'LICADLE CODES, NOTES Otl DRAWINGS, A1,117 <br />11111lIXTIONS <br />