3402 NORTON AVE 2016-01-01 MF Import

; .. , BUILDINC PERMIT APPLICATION , / C/�� Applicant To Complete This Form � �/�/�_ If more than one building is to be constructed, submit a aeparate permit application for each building. A separate permit will be issued for each � bnildin � � � Owner� � Building Addreas � ��c�,� i `�4 „1�_ Addreea� (�c'� V \CI��CIrn Lot< � '� �Block �� ' � �� . --� � �_,� � � City��1?�,s=-y—Phone 1� - �Y�Subdiviaion (Platl � \�ph� `�`t'�" � �� " . � Architect/Engineer �� . - City � Phone --- Metes & Bounds (Unplatted) " � " Ran e ' Gontracto�l 1Q� c e.� �J�� A 0 5.!>�Sec. Twp._ B Addrees. L � 4 l . � � City�#TChu_ �'-' Phone � Building Use State License Number�l�,�i-�l'I�`+`2� Describe Work to be Done Expiration Date �. ' �'�1� � �`� ��'Q ° ( �Q ��° \ - � � SKETCH PLOT PLAA* BELOW ' � Uee of Building' � _ ' ' _Q New ❑ Addi[ion Repair/Remodel �O � Valua[ion of Construction $�'~�n. . PLOT PLAN REQUIREMENTS � Indicate lot size, name of streets, . indicate location and �vidth of allcys, y locate proposed and all existing � . buildinge, show distances to prop- erty lines, show distances between buildings. � � � Lot size �__ • Lot area Sq. Ft. . Size of Bldg. Sq. Ft. Number oC stories � � � Basement � s�gn�a sy: � � �� Date ' Fo r�_ C�w�'�� .,�._� � . Owncr Phone , �3-�h I DO NOT WRITE BL OW THIS LINE - FOR GITY USE UNLY _ /� i � Date Reccived � �J 7 S Use Zone Plan Check Number Fire Zone_ `�7 �p L'. ' Valuation �O �l�� OccupancyGroup %� U T c of Conatruction permit Fee ��P _ �- � Plan Check Fee Occupan[ Load To[al Fee Due � � aU. Sprinklers Required . Date Issucd �i � i 1 i ,Y . . . _ . _ _ . . . _.� . . ''�+e..oc:+..f - .- -. . �. , . ' - ' � . .