Laserfiche WebLink
. . . F',�r��•licant �o Ccr,���1cCe 'Phi� Eorm /q�1��/ <br /> , � • Zf mo�^c th�rt or.e beiiding is to be contr.uct-ed,' sebni.t a .^,epsraLe permit- .^_pl.ca� <br /> . . LS.c.r. �or� e'rch Lyil,lin7. A separc�.te permit s.:ll be is,ized for cach huildi.�i9. �--� <br /> '/ . /%y� <br /> ' � tr•r.er ._� C'�/�J fI�_/�IC� ` L+cildin, redrr_�g � 3j2p n3���_ . <br /> . i�drCss •--���� �oI-iP/1/��,^�l fT�/ Fr�t�2�t /S Slloc?: �]7'�-' ' <br /> City t_��I�T� Phone ;tiJ�-JS,�Iy Sulxli.vi::ion (Plak) ['�L��C-.-T LrIiLO � <br /> , . � ST — <br /> � �rchiicct/Enyineer C(^ �' ��-- . . <br /> ":� C�.ty Phoae Ttetes 5 T3ounds (Unp)_at-t�3) <br /> ' ! _�� <br /> ., CJ�st:.:t�:toz � � _ $ec. + i.y. Rrte � _' <br /> r. . , .13rrer.. . —.-- • ' <br /> '. City _, Piicne _ � ifui.].d�ag U�e Si•✓C�i G� ' ���: ' <br /> <; - — ---�__ <br /> � �;� � S��te,?.icensr_ L7c:�er , Describe Wor}: to IIc: Dene tJL'�J� �l��-�`: .. <br /> • • �� �i L.-+i�::.tion Dat� � � "'.� ? <br /> . - _r�.^___.—_ � �x�7 7� r 13�r�LT i�T��J .,ii� <br /> �'' . ' . - _I:E.^CSt n..;,, _�I.t_ B�T,o�r' . �- 3/2c Cn.�*BAi:O �c'Puf�C dG(.{_�}.^ � �lApi- <br /> . . � I . . " . �/ic�`ii!/iJ <br /> :.1 ' . . . .. Jse oP IIui.l3ir.9 ----� �___—.� <br /> �� � � �• • � :. . . . � �1`:etr [? P.d2.i.tion y�.Repair/F.c:cxie7. /� <br /> � ,. . � . . . ' .' � ` - �Z UEtk - zsc -�.e <br /> . _ ' . . . � � Qnl.ea;-.'on ef Construction $n,_&�Pn�nz °.2mc a``. <br /> p � . <br /> , ` . . � . , ' � " . , Pi:A3 PL'L7 S:EQUIP.I::�l.l,v'TS . <br /> T � ` ' - ' � ' S_ndicate lot si:e, nv.^.e oi strce�_• . <br /> �� ' ' � ' � . � � � •indzcate ).ocatien �ad :air,tt: o` <br /> i - <br /> ' ' _ _ : � . � � . ' all.eys, 'locatc ^rc:�o�c;i r.ci aJ i . , <br /> .�... �� . ...- . - . . . .. . ' . � .e>:isti.�ty bu:ici:gs. �i:c�:rL;iistan..,.•�. <br /> . �9 . . � � �Lo Pzo�^_rt}' lines, slio;�r dista::r.c:; � <br /> ' q ' - beb:recn building's. <br /> ' ; , . _. <br /> � � . . � Zot :;ize _ x� —___ _ <br /> .•.' � � . L�t al'r�d '-- Sq. i'i. <br /> • .. - . . . S].i C U: illc'q � ,--� Sa. e't:. <br /> ' . • 27umbcr of .=to+'i.es <br /> • . _ . • - IIasenenL --- --- <br /> ,�.. �, . .. � � —`--. � <br /> . �- • . Signed �ii �._.---_.�__._-----. . <br /> � - Por <br /> — Uwnci---�-�;-�.,-�,�:--- -- -- -_ <br /> • -- no ucr� tez_.�: a�;,n;a 'r'i?t=- r.,..;�r:-rtiz ci�r� ❑s� n;;;,'r <br /> -- - -----/ -- -- - ---- =------- . ..__ - - <br /> Lzte SeCeived _ 7/z-�/� � • ......._ -- <br /> �^ U��e� 7.ene <br /> � -- /- - ' . __..----�--------.. . . _ . <br /> ' PJan Chec}; :h�..bes ��" ' I'ire Zonc ' <br /> t':luatic» '__� " L� �`� � Ocr_upesncy G�rou� _ _Y.--`-- _ <br /> 1'er.iiti i'ce � 1�. _..+._ . .. <br /> `� S .____Y mn�e e,f. Ccr.,irucCian <br /> i'?c:� Cl�ecl; E'ec �� _ p�cupant Lead <br /> . . `.:_�Lal Fcc Due _� �J � �G ` 5;�•..n):li:�r:: i:c,�ui.�:cQ �_�__ . .. . <br /> • -- ---- _... _ . _.. ._._ . . <br /> ` _ <br /> ' D;t�• Ts:uc1 . ---� Z ?i ' �__ � `. . � . ' , .. <br />