Laserfiche WebLink
CI17 01' FVEW.."l <br />U1 1451;Ti ilii:T OF "ONITY DEVE141110T <br />BUILDING Plil= ,LICATION <br />DATE \ ,-y <br />t' 1 <br />ADDRFss & CONS'IUCTION WORK <br />LEGAL DESCRIPTION: LOT \- )\ BLOCK <br />UNPLATTED DESCRIPTION: <br />PERMIT NO. _ <br />VA 1JUATION <br />PFRI•IIT FEE / / 7 � . 6-0 <br />PLAT 1�\�MN�•�tlt\t,�_.c �S G�ogt•1 <br />i <br />REMODEL <br />BUILDING DESCRIPTION: 1B W eDDITION or REPAIR <br />OCCUPANCY OR USE HEIGHTS IN STORIES <br />IS THIS A CHANCE OF BUILDING OCCUPAICY: <br />r <br />CONTPJ%CTOR VOAV �XM <br />HAILING <br />ADDRESS \ -li ��oy �U�• <br />PHONE IMMER '-11,'T `N1Yu - <br />YES NO <br />01INER -ViE V VE1 E.,� • rVlxH <br />MAILING <br />ADDRESS <br />PHONE'NITHBER <br />CONTRACTOR'S LICENSE i U b3F.R <br />SIGNATURE 1 � 1- t%xWV' <br />NOTE; THE APPLIC,':'T 1IALL FILL IN ALL ABOVE DL4IF;S CO•IPLF.TL'IY INCLUDING Till-' PLOT P=%' <br />SKETCH ON ROAR OF nil3 SHEET. ' THE APPLICANT IS TWSPO'!SIBLE FOR ALL INrO2;1-11sTION (MICR <br />IS FURNISINiD ON TIU: AMICATION. ANY CIL•.,,GES IN Tli3 IA'F0M-ftTION, PLOT PIJ�I OR rUILDIiZG <br />PLANS SHALL BE SULMIT'.ED TO THE INSPECf.IOJ DIVISION FOR APPROVAL BEFORE PROCEEDIKG <br />WITH Till? CONSTRUCTION WOrK. <br />APPROVAL: <br />I. PJANNING. <br />FNGINEERIr <br />'1R1FFIU VIVIOlU:v <br />WATER SITWCE <br />SEHEII Sl ::VICE <br />PUBLIC SM110E SECTIO' <br />INSPECTIOy BE1ARTML•'NT <br />i. �S/ • sue- ./L•rr ./',[ �..- �G.�.-C- <br />rIRli MARSHAL <br />7-3.7� <br />:Z -8-> <br />NOTE ; ALL CONSTRUCTION {i0R1C SHALL CO'rIPIY I'ITII APPLICABLE CODES, NOTES Oi�l /pRAWINGS � AND <br />INS EE.""fIONS p7/�6/-2 cv/ay a To <br />G,A s' 7 1,40-1/ s €ter/c�2 <br />