Laserfiche WebLink
_ _ _ _. _ . <br /> �, <br /> -- -- - _ . _ _ . , �� 0 <br /> SUILDING PERMIT APPLICATION <br /> / (� � i <br /> � Applicant To Complete This ?orm ����./J <br /> �� <br /> ' _f more than one building is to be contructed, submit a separate permit applica- � <br /> ' tion for each building. A separate permit :�ill be issued for each buildiny., <br /> �er '� �� � � ��� �`a _ Building Address Y� � h�C,A� <br /> Address ��1� � �(`�4����•n'� Lot �(� °1- �oZ S2ack � . <br /> City � l,�C� L.�. phone c��:. - < ��� Subdivision (Plat) � `� � - �`�'�Q. <br /> Architect/Engineer � _ <br /> City Phone Metes fi Bounds (Unplatted) <br /> 1 /�� <br /> Contractor � �"lRQ-Q�Q J�X 1 t n��C,l �� C'Sec. 'iwp. Rge <br /> �l -� <br /> Address���, '( k 2 ''il ' �' � <br /> � <br /> Cit`y �'_ phone -� � � Buildinq Use LQ�C�-�c�'`C � <br /> State License Number ,�3 � �� �- ��'y�s� Describe Work to Be Done ' <br /> ° � <br /> � '�C -�� � <br /> Expiration Date Lr <br /> . , , � _ <br /> SAETCf] PLOT PLF1N BELO[4 . <br /> Use of Building ��y[�i�i� ) <br /> . � ❑New ❑ Addition �air/Remodel <br /> • �� p p •. <br /> . . ' Valuation of Construction $ �-� Cf^1� . <br /> . , , pI,pT pLAN REQUIREFIENTS � <br /> • Indicate lot size, name of streets, <br /> ' indi.cate location and width of <br /> � - � alleys, locate proposed and all <br /> � existing buildings, .show distances <br /> � �� . to property lines, show distances <br /> - " between buildings. <br /> Lot size X <br /> . � Lot area Sq. Ft. � <br /> � Size of Bldg. Sa. Ft. � <br /> � Number of Sto ies � <br /> • Basem <br /> f <br /> . ,�Sig ne� �, <br /> � ' i <br /> �O1 � <br /> Owner Y ne <br /> ( <br /> DO NOT WZITE 6ELOI9 THIS LINE-FOR CITY USE OiILY I <br /> �- Z � <br /> Date '.�ceivr_d ��_� U�e one , <br /> . i <br /> Plan C`eck Vembcr Fire 2one . <br /> Valuation Occuoancy Group I <br /> �1 � � Type of Construction <br /> Pernit Fee o��'f" � , <br /> Plan Check Fee Occupant Load � <br /> � <br /> Total Fce Due Sorinklcrs Required <br /> Datc Isau��d C�I I �( �F f �.�i�.' _ i T � <br /> P,FFRQ',�ED f Gf; ,. _ . �. �'��^•'.11T , <br /> o:,�,_u�i�h� . �— -- <br />