Laserfiche WebLink
_ . _ . _ . ___ _ .._ ___ . �u <br /> ` BUILDING PERMIT APPLICATION / ��(� S� <br /> Applicant To Complete This :'orm /, /��/�� <br /> // <br /> If more than one building is to be contructer., submit a separatc: permit applica- <br /> ' tion for e h building. e1 separate permit will bc issued for each building. <br /> �e1 ��-�. �,�,C��tJ Buildinq address �(' (l'1 ��%�Y���! �� ��� <br /> Address �n � � �'��N(,.e-�. N`n-"`^{' Lot � Block ��_ . <br /> City � �C� �� Phone 3S S -�Oy7 Sub/division (Plat) C�'���il'`-1���/ <br /> Architect/Engineer LT '�``S ���� � <br /> City Phone Metes 6 Bouuds (Unplatted) _ <br /> Contractor I +, .�� '`J Sec. 7Wp• Rge _ <br /> Address �. . 3 � ' G l S <br /> � <br /> City S� , W"'P}ione �-3 8uilding Use /� <br /> State License Number ��i'J �� 62 � ��'Z y/ Describe Work to Be Done �.C"[=�� ' <br /> Expiration Date ' "������ <br /> SRETCH PLOT PLAN BELOW <br /> Use of Building <br /> � ❑New ❑ Addition ❑ Repair/Remodel <br /> Valuation of Construction S �nL�C� _ <br /> � � . PIAT PLAN REQUIREftENTS � <br /> . Indicate lot size, name of streets, <br /> � indicate 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 Hldg. Sq. Ft. <br /> I <br /> ' Numbcr of StoFies � <br /> . ➢a ser.,e nt � - <br /> . i <br /> Signed B,y" � u - � ��'�"'�°� � <br /> / � <br /> Yor b� � � <br /> Owner Phone � • d� �� • <br /> I <br /> DO NOT �PRITG BELOI9 TNIS LINE-FOR CITY USE ONI.Y I <br /> Date ^.^_c^:•�:ed ��_ CJ` , C Ci• e .^.one � <br /> . I <br /> Plan Checf ?h:^ber Fire 2onc .. <br /> Valuation ����� U b� Occuoancy Group � <br /> Pernit Fee _��� � Type of Construction � <br /> Occupant Load � <br /> Plan Check Fec ` <br /> Total Cee �v� Sprinklers Required <br /> --f-F—'—_� L - <br /> DaC^ Iscu�,d ?� <br /> ����7� , <br />