Laserfiche WebLink
�. <br />� , • IIUILDING P�RhfIT APPLICATION � ��i i��� % �� ' , <br />• Anplicani: To CompJ etc 'fhi.s. Porm ' � r,. <br />._i�:� <br />If more tha,-, on� buiiui.ii�� is'co i�e cons':rucked, submit a separ.��te per.mi.ti' �� <br />application for. cach building. A �eparaL-e nc�:mit �•�i.11 he is:ucd for. cac�i <br />builc:ing. <br />1 ,,,� <br />�� Oamer ��%Z4d ,�/�!nu;; �i�urlLi�a'a�.c� Building nddxcss ,3 �.2 2%�c� <br />nddress .3�5' .'� a )-�,,f7 Let I31ocl: <br />City � ��,,.�1 Pl�onc .������'�� Subdivisiwi (Plat) � <br />Architect/Engineer <br />Ciiy Phone _ Metes & IIounds (UnplatCcd) <br />Contractor -; .`,� � Sec. T���P. R �. <br />` - g. <br />Addr�_>s <br />City Phonc <br />Statc : icense hTumber <br />Er.pirction Date <br />CO]•P�=�. PI,OT PLAI1 0�1 T?ETIE?�SE SID� <br />Do l�ot �•7ritc ]3elo <br />Date Reccived �" �,%` �' ' ' � <br />Iflar Checl: Number � <br />Valuation '�.,��C :,� "- • • <br />Permit Fee • %� �' � `^ <br />rlan Check rec <br />Total Fee lluc •j �`', - � <br />. <br />D��Lc Is�ued _"��:,: �. ; ?�, <br />Building Usc /� e�%�,;,;�,c� <br />Descrih� i9or}; to[ B�e Done c��c � <br />;�GLL��''�'� 6K G%aQLa>ce.SL� �- � <br />V-�`• .�Lr!vm /i L <br />\J�k2�"_ L �7 /Lsl �(d�� Git b�-2.tpo7c�wt� <br />Number oL Stories � <br />Basemenl L/.ca <br />" ]de�•� Additio�i Repa.ir./Remodel <br />Valuation of�Construction $ <br />��O �"�J.OD <br />% Signed IIy %�f,/. %%, o,.!( � �y�rrt.d-t/ �� <br />. For <br />Owner Phone <br />Thi , Li.nc -Por City Use <br />Use Sonc <br />rirc �one <br />Occupancy•Group <br />Typc of Con �i:ruct.ion <br />Occupant Load <br />Sprinlclers Requi•red <br />� <br />