Laserfiche WebLink
HUILDING PERMIT APPLICATION ��! �� �, � � � '�--� ' "; <br />- Applicant To Complete This ?orm : <br />If more than one building is to he contructed, submit a separate permit applica- <br />tion for each building. A separate permit wi11 be issued for each buildiny. <br />p��r /�iiGr �./i�rn:ii,VSnn/ Building Address /.,'d.2U ///lf)�.1/OG/A <br />_ � <br />Address (� 31 !� �%/i �°.(JO iA Lot � � � �. lock .__�,�— <br />City ,C�/F,F'FTT Phone_ Subdivision (Plat) "..-1 � rt�-6���' ,�"�'--j"��, <br />iJ _ <br />Architect/Enqineer �� � �� — �%-1�`-j�l 9 +� <br />City _?hone Metes & Bounds (Unplatted) <br />Contractor ,CU612FTT /3[,Q.(�� Z�(/G-� Sec. 7Wp. Rge <br />Address iG�/�(� FUF�'l�Pr-F/�� WV <br />� <br />City �vF/�c`TT Phone �'i �--�i/� / Building Use � <br />State License Number Describe Fiork to Ae Done _ <br />Expiration Date <br />SKETCH FLOT PLAPI IIELOIQ . <br />T ry <br />0 <br />J <br />Dse of Building <br />[�Liew ❑ Addition �Repair/Remodel <br />Valuation of Construction $ _ <br />PLOT PLAN REQUIREFIENTS �� <br />zndicate lot size, name of streets, <br />indicate location an3 width oi <br />alleys, locate proposed and all <br />existing buildings,.shola distances <br />to property lines, show distances <br />between buildings. <br />Lot siz� X <br />Lot area Sq. Ft. <br />Size of Bldg. Sq. Ft. <br />Number of Stories <br />Basene.^.t <br />Signed 3y <br />For <br />— Owner Phone <br />DO NOT WRITG BELOS'7 THIS LINE-FOR CITY USE Ot7LY <br />Date S.ece'_ced ��� - � -�.s _ U�e Zone _ <br />Plan Check `lumbcr Fire Zone � <br />Valuatio� Occuaancy Groun 1 <br />Pemit c ee Type of Construction T7'. r-a _ <br />Plan Chec� Fee Occupant Load . <br />Total Fee Due SFrinklers Required <br />D�te Issued CI�I�Y C�i f-."-... . i�T <br />aPPr,o���� r:,�;: . ,. :. .. , �-�,r�.�ir <br />� i�«,�.�-�-..� <br />�:,:� z/_�,/��_-- �� <br />