Laserfiche WebLink
. . �. <br />• DUILDING PERMIT APPLICA'PION • • <br />• np�ilicant To Compl.ete 7`his 1?orm ' <br />2s moze than one building i,��o be con�Cructed, submit a separ.ate per.mi.t <br />applicaL•ion for each buildinc�. n se��arate per�uiL- wi.11 be is�ucd for. cach <br />buildir,g. <br />O4rner %'�a/�6�,�'�/,,� �L//1���� IIuildinq Address _s���� <br />liddress '��i?�GG��%�`��/.f71��'��D, �.. Lot ,�1� i31oc3: �,l� l%,:S <br />-City �/E's��T Phone ' 3 ' Subdivision (Plat) • <br />�rchi�ec{:/�ngineer <br />Cify Phone Metes &'IIounds (Unplatt�d) <br />=Contr::ctor ��/N+iZ�l1 /'�3N��GSec. Tcap. Rge. . <br />.Address �i�y/G c� �d""'� <br />.City �Gi�11�/��'X/d Phone �����y • <br />�7_. <br />State License 23umber ��� /J�2- �,Q�� <br />Er.pira'tion Dace � 6 �/ - �� <br />�DI•1'T�._• PLOT PLAid J2d REVGRSE SID� <br />Building IIse �•t� �iL ' <br />Descr.ibe j9or}: to Be Done <br />�C� <br />Number of Stories � <br />. Basement L� <br />' " Ne�• Addition Repair./Remodel <br />Valuation of Const�uction $ <br />�q7��.�,�� �T Sig� d <br />• ✓ � � . For <br />Owner <br />• Do r'ot �•7rite ]3elow This Linc -Por City Use Only <br />�ai:e Received ' ' ' ' ' ' • � � Use Sone ' <br />151an ChecY. Number ' • rirr. 2one <br />37aluation ' • Occupancy•Grovp <br />_'�: xnit ree • • Type of Co�isi:ruci:ion '� <br />��an Check I'ce ' � Qccupant Load <br />�oL�l Fee Due Sprinlclers Required <br />;�d�C IJJl1CC1 ' . • , . <br />