Laserfiche WebLink
� r <br />HtlILOING PERMIT APPLICFITION / 7`'"��i <br />, Applic�nt To Ccnplete This ?orm �,•��v <br />� submit a se arate ermit a lica-y ' <br />I_ more than one building is to be contructed, p p pp <br />tion for each building. �l separate permit will be issued for each building. <br />< OWtter �(" . L, � Ss w C�.�� � Si Building Address S'70� Sot t 4r{ /i �r c <br />Address �� �S ' 1"{-� �' SC�/ Lot 1 Q _ Block � <br />City ��ti�eAs PhoneZq 3-24 �Z Sub3ivis�.on (Plat) 1�h��(�n \'29� <br />Axshitec�fEnqii.arr �)c?,�i F <br />City Phone Metes s Boun3s (Unplatted) <br />Contractor �n,� Sec. <br />Address <br />City <br />Phone <br />State License Number 2 33-Li/ -7�/ 7 <br />' E�cpiration Date � Y <br />� � � SRETCH PLOT PLAN BE7.014 � • <br />' io ` <br />. <br />♦ � S*"iti 3� ,�` <br />- � � NAt��7q ��i��h_ 1b <br />4/ <br />d °, `q �6+y�rfWco4 <br />�� <br />..,,`, o �� ` � � o. <br />� _ � 5A� <br />\S QOPps6D <br />� Q <br />N i-o . <br />n EV�� <br />� � �' <br />o j � i " <br />� 'n-k o� I, ,s <br />� 11;� <br />l <br />F <br />< <br />LIN <br />2Wp. Rge <br />Building Use � CS � D� iV CC= <br />Describe liork to Be Done <br />. . � <br />Ose of Building <br />f�New ❑ Addition ❑ Repair/Acmodel <br />T <br />,_ Valuation of Construction $ <br />I �� <br />N ' � I <br />` �D t r <br />�Y <br />��� � �� <br />. � S`v+ <br />\� �.�,//�aY <br />�y��e' ,s�,�•+ . <br />PI.OT PI.AN REQUIREh1ENT.''. <br />Indicate lot si:.c, name of streets, <br />indicate location and w:cth of <br />alleys, locate proposen ar,3 all <br />existing buildinas, show distances <br />to propertf lines, show distances <br />between buildings. <br />Lot size 1�_x 1 4u <br />Lot area 140C�O �»t-. Sq. Ft. <br />Size o: Bldg. Sq. rt. <br />llumber of Stories <br />B.�sement <br />Signcci 3'� <br />Ir^or � G�N �-L % t�'" <br />Ownet Pnone - c.�`�� c <br />. v'/ <br />,� <br />�0 :7C7' '� ��i0ci =!iIS LI:lE-eC2 CITY i:SE OtiLY <br />Da:e _ece:ved 1�- ,��-� � U_e �or.e �' S� �t8i.nn �i � �--c `> <br />Pl�n C'ac_.. :�:�sn.,__ ��{--1�%�O r^:re Zone '`� � . <br />Valua_io� �� 4�0 Occu�ancl Group � � <br />Pemit Fee (.�ZG= 'lype of Construction - <br />Plan Checl: Fee ]!pe <br />Total Fee Due T �e� _ <br />J3tc Issucd �- -� �-�� <br />``�� ����1���1c tiCl l�'Z-`�'�¢ <br />occupant Load %� <br />Sprinklers Required � <br />