Laserfiche WebLink
-- i BUILDING PERMIT APPLICATION �_ P•- y-. <br />Applicant To Complete This :orm <br />If more than one building is to be contructed, submit a separate permit applica- <br />tion for each building. A separate permit will be issued for each building. <br />Owner \, LX_O. �_1�lOQ��tJC1xO� Building Address On 0 n <br />Address .l� (� (l�L' .0 i tYe (Z) Lot Block <br />city PhoneQ'—) Plat) <br />' = Architect/ gineer _��• <br />City Phone \ Metes E Bounds (Unplatted) _ <br />Contractor �QX4 1_)ll OrQO�p� Sec. Twp. Rge <br />;..a Address <br />7 city _ Phone ��,� I Building Use 1. <br />State License Number p �j-d�-//=%�\� Describe Work to Be/Done <br />• . • �I Expiration Date �_ cam(- ��'� I �_)w cn� l� �l^r\ 1 _ •. <br />SKETCH PLOT PLAN BELON" <br />..J•.. •• .. .• - __ - <br />Use o£ building <br />a EINew ❑ Addition ll1 Repair/Re:.•j_el <br />Valuation of Construction $ r n <br />PLGT PL1N REQUIR EN , <br />Indicate lot size, nane of streets, <br />( •indi.catc location and wieth of _ <br />alleys, locate proposed and all <br />existing buildings, shcv distances <br />i?(. *,''- r •t 'i to property lines, show distances <br />! - between buildings. <br />Lot size x — <br />'i-i- Lot area Sq. Ft- <br />r- S - Size of Bldg. Sp. Ft. <br />�i I7umbor of Stories <br />i Basement <br />e. <br />For 1 <br />- � � �! S. \ � r <br />Owner Phone - <br />DO NOT WRITE BELOW T11I5 LINT:-r CR CITY USE ONLY <br />Date Scccived ULe Zone <br />Ilan maec­ "ur.,ber <br />7 <br />Valuation IJ� C10 <br />Permit Fee <br />Plan Check Fee <br />Total Yen Due <br />Date Issued <br />Fire Zone <br />Occupancy Group <br />Type of Construction <br />Occupant Load <br />Sprinklers Required <br />