Laserfiche WebLink
� <br />/ �' �3? <br />Applicar[ '1'o ccrplctc ':nis .c:m <br />If more th�n or.c buildinq is�to bc contructed, s���-�it a sepazate permit �ppli��y/S/ <br />tf�n for earh bui!ding. A separate prrmit will tc is•aucd :o: each buil�3inq. <br />x Owner �P�c-i�� .�",�'/ce'�t�Cq�� Buildiag Address ,5�1�.1 .%1�C7„«�,1t% <br />� G' <br />Address �1��.� l��'-��,c<cCfJ Lot / � Block �% <br />`. <br />City �� ��Q/,(-YZi Phonc Subdivision (Plat) ��?��,%'i(i �9�i'-.t �/ f<i <br />� <br />Architect/Engincer _ <br />City Phone <br />� � <br />Contractor C�.-�=���� ��t-�'-! :��c_� <br />Address //S �` i- �r'�-1-�/=�/. �i � <br />City /�l ftr.�c-+ //,�honc G-3 %-�i /.S I <br />State Licencc Number v?.�� -/� i-�(� <br />Expiration Date �O - 7�' <br />SRETCII PLOT PI.i�:: FiL:.:`'� <br />/� � �( ,%'/ <br />I`� Il� <br />�) �� \. <br />/ •�� <br />� 1 <br />DO 140: Y::2ITL <br />"_� _ _. _ � �i��s <br />?:an ..:__ .�..rr - <br />�, , .�Q — -'-- <br />Valuation �� <br />/ so <br />Pcrnit Pcc �p � <br />Plan Chccl: Fcc <br />Mete� 6 Bounds (Unplatted) <br />Sec. _ �+p. 3gc <br />Duilding Usc �%-1'�x� • <br />Descrihe liork to Be Done - i�-ti`r t C, <br />�-%z�te� �C_��<<>n��_� <br />Use of Building <br />❑ New � Addition [�kepair/Rer..ode1 <br />`7o a <br />Valuation of Construction 5 � � — <br />PLOT PLAt7 REQUIRGbiE::TS <br />Indicate lot si:.e, name ef strcets, <br />indicatc location anZ w:�th of <br />alleys, locate proposed �nd a'_1 <br />existing buildinqs, she•d di:;tances <br />to property linrs, shcw distancr_s <br />betwecn buildings. <br />Lot size x <br />Lot area Sq. Ft. <br />Size of Bldg. Sa. Ft. <br />Nur..6er of Stories <br />Paseccr.: <br />� p <br />X$ign_c °Y �-r-e�,� s�-��-P � � <br />!/ <br />For <br />P.ner Pnone ��S 1- / r� <br />— a: <br />USE O::LY <br />U;e �c�e <br />Fire :ar,c <br />Occuoancy Group _ <br />Typc c: Constructicn <br />Occupa�t Load _ <br />� <br />ToGal Fee Dce Sprinklers Requirnd <br />—' <br />D�,cc Issucd _ //y�//%b_.�'�_ GITY ni `�\'LRETT <br />-,^,-�_�, � , . r�.�!� ���;�����r,���, � <br />� �^' <br />i/� '�_ _ _ <br />i <br />