2902 HEWITT AVE 2016-01-01 MF Import

• � � SUILDING PERMIT APPLICATION / U / �/ �i Applicant To Complete This Form . / _/5 If more thaa one building is to be constructed, submit a separate permit ap- . plication for each building. A separate permit will be issued for each build- ing. C//�y7�oN,/�� .f'u//cK � � y�� � Owner W i ��i-3�9� /, l �/'1 c' ��i� Duilding Address �i � gv � f��'��` Address �9�� '�c u� �� LotG-/� elk. �, YS Sec.Sul/J jWElI S J ^�� '41' City Fv�2C� _ Phone .?_S rf �y�S9 1Wp. Rge. ' Architect �GE T/�9r�S Subdivision (Plat) On� 3 c�F (�//�rS P� i1 City EcY,ry7civqS Phone Metes G IIounds (Unplatted) Contractor S�f'�� Address /O/O f��/ 9 S ,�/- � City �-,>r�4 e�/ Phone Building Use � � State Licence NumUer' � ' " Describe Work to Be Done ,✓Ic�f� � _ . Expiratiott Date I � ; Use of Building 1(cG�c�.(li.� i,J� I '_New .- Addition - Repair/Renodel_ � r � Valuation of Construction -$ I��-�'��' � � � PLOT PLAN � Indicate lot size, name of streets, : indicate location and width of alleys, locate proposed and all existing buildings, show distances to property lines, show i3istances between buildings. Lot size x ' Lot arca S.F. � � Size of Bldg. ��( G/ S.F. i Number of sCories � � IIasement �1z Use 2one � � � � Signed Dy iir'.� .i a-c lc,c.� � ! � For �fl l� 1 oa�v�t� �� � Owner DO NOT S�RITE DGLOSO TfIIS LINE-POR CITY USF. ONLY I Date Received �— � -�5� kire Zone • ' Zi _ Plan Check Number � 75��/ Type of ConstrUction Valuation l O• _� Occupancy Group Permit Fee � �� Occupant Load , Plan Check Fee � �� Sprink.lers Required Total Pce Duc � 3 � � � 6 � � � . � . � Pcrmit Number � � � . Datu issued � . � �', �(,�� Z� APPROVED fOR C3UILDING PCRMIT � Daln _