Laserfiche WebLink
e <br />�j� .� 7�� � . <br />`-�`�� � i.`� • DUILDING PTiRMIT 11FPLICATIOt� • �� � 7 • <br />• Applicant To Compl.etc This Por.m 3�5�,6 .i <br />If more than one bui.ldi.ng i,�to be con�truct•e<i, �ubmit• a separ..�L•e rer.mit <br />pppli�•ation for cach buildinc�. A �epeirate per.miL wi.11 Ue i�sucd for cacli <br />building. ` , <br />Owner � IIu•ildinc� Address ,�.��(r-?;.?.t-N•tn�� ' <br />Address (� % o� : Lot J /� — / ) ]31oc}: ��� j <br />c�t.�%//�«r,�,.�-,.�cf_.r�,o�,�6 ���/ ��� Subdiyision (Plat)�.�ue�Ct1,,C ,"�� �� <br />ArehitectfEngincer ' � � <br />City Phone Metes & Ilounds (Unplatted) , <br />Contraci•or Sec. `Pa�p. l:ge. <br />hcldr�_ss <br />City Phone � ' <br />State License Number • . <br />Er.piration Date <br />C01•T.T..�T':'t' PI,OT PI,AN ON RE6'E?iSE SId� <br />a <br />�•7ri <br />� <br />Building Use � o�.i o[a-�cf�, <br />. <br />Describe 1•7or1: to Be Done� <br />ii�-C.� ,l�� a✓o CLGc� c�eL07t-[2 o�v <br />Number oi Stories <br />Basement <br />' Neca � Addition Repai,r./Remode]. <br />Valuation oF Construction $ <br />lf�i�, �`� ' <br />Signed IIy �'�6��� JS�.u/ �� , <br />• For ��G. : <br />. � � J.�� <br />Owner • Phone lj`� <br />ot� This Line -Fc <br />Date Received �,���7 �- � � � <br />Islan Check Number ' • <br />Valuztion �r'��c� �U � ' <br />Pernit I'ee ��J • �� <br />Plan Check Fee � <br />Total Pee Due /U �� <br />Datc Tssued �/S ��6 ' <br />CiLy Use Or <br />Use Sone <br />rirc: 2one <br />Occupancy-Group _ <br />Type of Constr.ucCion <br />Occupant Load <br />Sprinlclers Required <br />� <br />