4819 33RD AVE W 2016-01-01 MF Import

. � HOZLDING PERMIT APPLTCATION / C�� ` `j -- :. - ppp'sicant To Complete This ?orm �/ /� ., ' Zf more than one buildinq is to be cantructed, submit a separate permit applica- � ., tion for each 4uildin separate permi.t w'.11 be issued for each building. ,�/ � / � ��9 "� � ''' Cvner l�''1C/��E'1 �•• I C'a�Ce Buildinq Address ' Edaress � - 33 U� �' Lot �� Hloc'.: � . . .. City �e`e ?h��ne 3� 3 JS7 3 Subdivision (Plat) S b�� C��' S ' ` - Iltchitect/Enqineer • — •'+ '"� City Phone _ Hete� 6 Bounds (Unplatted) : _ =j . . :� Contractor Sec. TwP• Rge - '. . , liddress _ . • _ ' � � �tY Phone Building Use _ -�:, � State License Number Des ribe Work to Be Done i oe C ''. ri . �. �'� Ezpiration Dat� � e' S e` S`� �"� ;� � � \ � SRETCH PLOT PLAN BELOf4� ' � �. . i • . : ' -.-..� - - . Qse of Building �.1 _ ._--� _ . • �, --- • 9� . t�r� -�--=- ��- �� New ❑Additioa �Repair./Remo:iel . l. � � i ' .; • . .,: . . ., _ ... .� 00 . • . ; � � '; ' •l'\ Valuation of Construction $ d � , e w.. - . : . .� • i ; . 'i - • � � . ... ` �; .:. ' . .: : . , _" . '° ; • < .�y„fie DO :IU: StiZ?TL T3�L0I'I THIi 1 � Datc Seceived � / % ! �lan C:ieck `:ur..ber _ . t7 �i�i� . uG Valua:ion Pemit� Fee 5 - �-� ._ Plan Check Fee � • v c� Sbtal Fee Due `� "- � . Date Issued ��,� �'yr, ' PIAT PLAN REQUZRE."SENTS . Indicate lot size, nane of streets, indicate loca'cion and width of alleys, locace or000sed ar.d all existing buildings, sho:o distances to property lines, show distances between buildi�.qs. Lot size x I,ot area Sq. Ft. Size of Bldg. Sa. Ft. Number of Stories Basement Signed By / ' A� ��'� For O�mer Phone ITY U:.e Zone Fire Zone Occunancy Group _ Type of Constructian Occupant Load Sprinklcrs RPquired 9 0