Laserfiche WebLink
•''- ! • " EOILDZNG PEAMT_T APPLICATIOt: � � { <br />-' • •• i • � � � �pplicant To Complete This Form . %,�,.J.�"i�� <br />.. . ; . ,. • . � ��� ry/�1�s <br />, •• It nore than one buildinq is to be eontructed, submit a separate permit appli�a •• <br />., tion far each buildinq. �l separate permit will be issued for each huildinq. <br />Le Sr�C�, r-� <br />. �� O�ma• �� � � r���� Brildinq Address ,� c,/n� MO il 1Poe �%�`. <br />' ; �ddrese a%` �{[)G .t.t �a/2nP ,� Loc slock � <br />i ' . • . <br />. , Mty F IiPt>-'; � Phone.��53'`/�/.(,3 Subdivision (Plat) • <br />' 3tehitect/Enqineez � ' • <br />_• ti. "� City • Phone Netes Z Boun�s (Unplatted) � <br />„ . �� - <br />. ;,• Contractor ��1�,� Seo. SVp._^ Rqe � <br />� . . . , <br />� . � .• � Mdress . " <br />_ � <br />t City Phone Bailding Use •�•;_�:.., <br />....ii . .. . . . . �� <br />• �'ri � State,License Ncrs6er Describe Work to Be Done `�` <br />� • �• � �� Lzpiration Dat� /�� - he-�-4 ��cw .,��-.o , <br />:1: '" . : SRETCH PLOT PLA.*1 BELOiQ' • - . <br />' '1 .' . . <br />.. ;.� . . • . ' . . . . � Dse of Building <br />♦• .. .. ' ,' . � , , : � � j7NeFr ❑ 1lddition �Repair/Reu�o:iel <br />- . . i' <br />, ` ;. . • � .� : , . • paivation of Cbr.struction $ a0oo;,� � � <br />•. . <br />,�,,,, .. _ _ . - , PIAT PLAN YEQUIRE�L�TS . • <br />� . . . � . . <br />' � � • • • • � ' Eadieate lot size, nane of streets, � <br />: � . _ � _ <br />. . .'f _ •.. _ , �indicate location and width o� ' <br />i.• , alleys, locate ar000sed ar.d all <br />., • 1-'J � ' '� ' ' • existing huildi :gs, shoso distances <br />_ � !� ..:*+ ' -• r ;� : ' ~°% ' . . to propertp lines, show distances <br />�: ; t • � � ' - betaeen buildings. <br />� . - -• - <br />a <br />0 <br />Date �eceived ` <br />. .' • Lot size x <br />' . Lot area Sq. Ft. <br />� Size of Bldy. sa. Ft. <br />• 2iumber of Staries <br />. • Hasement <br />Signed By _ �Gr(u '� t� <br />For <br />, � Oaner Phone <br />-� <br />. — - � — <br />' Plaa Check _iur.Ser ' <br />Valnation � �l'j . C7Z� G'� <br />. ., • G�-c� <br />Prsait' Fee �� �% __ <br />Plan Check Fec '��� _ <br />• � G�� <br />• Sbtal Fee Due Z �' <br />Date Issued • / �� / 7 , / <br />� .. ' � , . <br />CITY USa <br />U=e Zone <br />Fire 2one <br />Occuoancy Grou� <br />Typc of Constrnctio:i � <br />Occupant Load . <br />Sprinklers Reqaired <br />. . : . <br />,•;:� <br />. <br />5 <br />