2936 ROCKEFELLER AVE 2018-01-02 MF Import

BUILDING PERMIT APPLICATION - Applicant To Complete This Form �j •t - If more than one building is to be contructed, submit a separate permit plica- tion for each buildi/ng.. A separate permit will be issued for each building. � Owner building Address Address%3®V OcE(t F£I/f✓. ,if c'f Lot ��5 �'7 Block�'�{l�-O� City ti it t / Phone -� S Y%/5 r/ Subdi4ision (Plat) 77 /"1A 74 Architect/Engineer _ • . `.'( city Phone Metes s Bounds (Unplatted) Contractor 11 41 C- . Sec. Twp. Rge , Address 7 L YI % A F r--4-//t 2 fur , i city Phone 2S y 717y Building Use i. r State, License Number Describe Work to Be Done .."'.1 - . L►piration Date %'(f jl'A/9 ,fe�ISfN/W 5- ' - SKFTCH PLOT PLAN BELOW' JO ''•' S �/ L c•v Cyt 4�/G-• Lr, 2 X-tA, Use of Building a' _ Mew ❑ Addition /Repair/Remo::el j• _ i Valuation of Construction $ / ` i dam'• �+y �. - .. ..� PLAT PLAN REQUIREMENTS . Indicate lot size, name of streets, -indicate location and width of _ _ alleys, locate pr000sed and all •'"t ~°- existing buildings, show distances '! to pzopezt7 lines, show distances t - between buildings. Lot size x .+ . Lot area Sq. Ft. r, = Size of Bldg. Sq. Ft. •i Number of Stories .i Basement r.. Signed By � c� �Lf. �— • _ For / /f 1i . c L 7��-C. •tom+. 9� .' Owner Phone Z! - ., •i DO NOT WRITE BELOW THIS Date Roceived 11j Plan Check _Iumber,� �'— Valuation lO• Pewit Fee Plan Check Fee - Total Fee Due W 1 U� Date Issued USE ONLY Me Zone Fire Zone Occupancy Group Type of Construction Orcupant Load Sprinklers Required