Laserfiche WebLink
BUILDI'.v'G PERMI'P APPLICAiION C/ � / �� •'� <br />Applicar.t To Complete -his .^orm f/p/j 6 �. <br />D <br />If more than on� bvilding is to be contrvc:ed, submit a separate permit applica- <br />tion for each building. A separate per,nit •.+ill be issved `or each building. <br />�et ,-� ,. „ ; ; � �� ;,-- � Buildinq Address � �� �/ ' • � � -� <br />Address <br />� - �.�., . . Lot � Block � - <br />City � �"- Phone__ Subdivision (Plat) � �� � <br />Architect/F..ngineer <br />City Phone Metes 6 Bounds (Unplatted) <br />Contzactor /���%�� � Sec. '1Wp. Rge <br />. r, <br />Addzess � � ' <br />City � �,/. Phone _ ; � � � Buildinq Use � <br />� <br />StTte License t7unber.i:�::� 8r -�� - Desc�ibe Work te Be Jone �:ay?� ;'iu+' <br />Expiration Date __ - � T!^' !�• ^�� l� - " "� w � �� � " --. <br />SRETCIi PLOT PLA:I BEiO:i <br />NOT <br />THIS L <br />,,,� ,--...� �' �74= _ <br />?:.n .^_..�c't :icr`_.,• �7 -- <br />Valuation C C �C-� C` �' ``—C, <br />�o v <br />Pemit Fee L�-�-�� <br />Plan Checl: Fee <br />� L�, �� E' <br />Total Fee Due _ <br />�/, / <br />Dctc ?s�u�:d �' <br />-',,.: :, .i - . � <br />Use of I3uilding <br />❑ New ❑ Addition F,epair/Remodel <br />Valuation of Constzuction S��`� � <br />PIAT PLAN REQUIRGlE:7T5 . <br />Indicate lot size, nane of streets, <br />indicate location and width of <br />alleys, locate proposed and all <br />existing buildinqs, show distances <br />to property lines, show distances <br />between buildings. <br />Lot size x <br />Lot area Sq. Ft. <br />Size of Bldg. _ Sq. Ft. <br />Number of Stories <br />$.15C.:C^t � <br />Signcd By <br />� � � �� <br />For <br />Owncr Phone _ <br />CITY USF. <br />J_e Zone <br />Fire Zonc <br />Occuoancy Group _ <br />Type of Construction <br />Gccupant Loacl _ <br />Spri.nklers Required <br />0 <br />I <br />