Laserfiche WebLink
� .._ � <br />� <br />� <br />� <br />�f <br /> f <br />� <br />� - • . • : : <br /> • $!UYLDING PI:RMIT APPLIC7ITION � <br /> • . . , . <br /> • �1p�iliCant To Comp].eL-c '!'his 1 orm ' _ , <br /> . '�E�. <br /> . If mo:e than one building i.' to be construct,cd , submit a sePar.�ta per.mi.L• <br /> � appli:�L•ion for cach Uuilding. A separate permit �•�9.11 be is�ucd for. cach • <br /> builc:ir,g. • `! <br /> Orrner .;Tq��r> ., a�,,,��r2i �; � iuildincj Address r'.,li i��h= �r�� St.. i. <br /> iAddress -, �-1 /bT/a ' A ���= �. � . 7.,01: _,5^7 _ I31oc1: S��J f�JO_ , <br /> City 1- ,i�>r� ;^-T Phone 35S-s£s6� Subdiyisiwi (Plat) ,'�r`<,.�>,c�;�r � <br /> , <br /> Architect/�ngineer MT l//�uJ i 2 � i <br /> Ci{p —� Phone �— Metes &' Bowids (Unpl<�t�cd) <br /> Contr�ctor Sao ,��> (anr�'�t . Sec. •lt�p. Rge. <br /> Rddr==s i'? ��-/ � [. �?cJ P � . ' <br /> City �C!,:'i• �7 � , Phone �=�" 3 I • <br /> State Licease t�umber ��3�0?- �5`ab i- <br /> . . . <br /> �:pir.ztion Date :�-�-: �-� ;, � <br /> � . ' . - <br /> � . <br /> . ' • ' Building U�c L�'=-� i '7r'-rl� �%- . <br /> . .: Describe t•:or}: to Be Done j� ;.i��- <br /> C01�'s.:=_• PLOT PLAtt 03� RiV��tSE SIDli -L^� � /� r- �.- �C -��� l�c'C- <br /> � � R 1�( < < -� _ _. � _ - <br /> �-„= � ,, � iv� -�,> <br /> Number of Stories Z <br /> • . ' • Basement ^F��/ L <br /> • � . • • � •' Net•r Addition Repair./�r,ioae�' <br /> . • ' • . • 1laluation of Construction $ =;cz� '� <br /> � <br /> _ . - . .. . • Siqned IIy � �vi,G.+��-�..�% <br /> � � .. . For 'T��t-'�, 6��La c?n , .J <br /> . , <br /> � • Owner • Phoiie.��a73 / <br /> �..,-, • • . . . <br /> � . Do t:ot T•:ritc IIelo.a Tl:is Linc -P'or City Use Only <br /> Datc Reccivcd " " " • - Use Sone � � <br /> ITlan Checl: Number ' • . Firte 2one z <br /> .'Valu_�ion � ' • Occupancy •Group I <br /> Fesr.�it Fee • , . Type of Consi:ruci:ion V �� <br /> . Plan Check I'ee ' • Oc�upant Load <br /> Total I'ec lluc Sprin:cic.rs Requircd <br /> Datc Issued �. • , . <br /> . � � ' •. •.• . M •. . • �, � • • .� . . .D` � �. <br /> . . . � , <br />