Laserfiche WebLink
�`� � <br /> IIUILDING PIiRMIT RPPliICATION �� <br /> ' ' Applicant To Compl.cte This Porm � /�`�/�� <br /> If more than one huilding is to be constructed , suU:nit a separate per.mit <br /> applicati.on for each Uuilding. A separatc permit �aill be issued for each <br /> building. <br /> Ocaner �'�^( A//r �D Building Address `i7l � - ?'"z�l,=✓<"`_. <br /> Address (/�'d3 ,�jtS /✓f�Q�ne> l�au �o Lot IIlock <br /> City ��,�/� Phone z�22 Subdivision (Plat) _ <br /> nr.chitect-/�ngineer �/,�re ',� J.��, � _ <br /> City ��e'�� Phone h�G -.�'/-3� Metes & Bounds (UnplaLted) _ <br /> Contract�r �e,,�r�r �,o Sec. �� Ttop. '�' � Rgc. 5 <br /> Addre�s ��� .�y <br /> City s�u��o , Phon���27- <br /> cl/ �v/- Pc-.f- <br /> Si.ate I�icense NumUer ZZ� _ �}� r:�-r�.� __ _ <br /> Er.piration Date �=,y=7C^ _ <br /> 13uilding Use �,��G 2.�-�C:�.� <br /> DescriUc 17orY, to Be Donc <br /> �� -r�n➢�.ril�'L� <br /> Number of Stories _1 <br /> }3asemenc � <br /> Neta I�ddition Repais/Remodcl <br /> Valuati.on of_ Constructi.on $ <br /> � / vo <br /> � DdU � <br /> Signed ]3y ��,> ,� <br /> 1'or <br /> i� v.�w � - <br /> Owner 1'noneZ�,3 � �o?Z. <br /> Do NoL SariCe 13clow Thi.s r i_r.e�-ror Cii:y Use Only _ <br /> Date Recei.ved / �%/7� • Use Sone �•�x�vC�G �.z�v� �w _._ <br /> r <br /> lTlan Check Numbe�/(c-/ZZ Fir� 'Lone 3 ___ <br /> Valuation `T �1j�� Occupi171C�' Gl'OUt� _ <br /> Permit Pee �� - dL� Typc oi Construction _ � <br /> P1an Check I'ee f 3. �� Occupant Load _ <br /> Total Pee Due Spr.i.n];lcrs Required <br /> Datc Issued <br /> . � <br />