Laserfiche WebLink
BUILDING <br />PERMIT APPLICATION''«�T� <br />_' •• i <br />i <br />(Applicant <br />To Complete This _orm`i'••j <br />' <br />f Imore than one building is to <br />be contructed, submit a separate <br />p permit applica- <br />; <br />tion for each building. A separate <br />permit will. be issued for each building. <br />Owner i <br />Building Address ��er - c. <br />. <br />Address <br />Lot Wo k <br />City C i:. /I Phone Subdivision (Plat) <br />_ <br />Architect/Engineer <br />_ • `._'� <br />City Phone <br />Metes i Bounds (Unplatted) <br />Contractor <br />:7,-.vc5 Sec. Tup, Rqe <br />i <br />Address <br />I. <br />city �,/ , ... Phone <br />Building Use :•� <br />State License Number <br />_ <br />Describe Work t9 Be Donecu'v_s <br />• <br />FI <br />Lzpiration DatE <br />� F �/ G F ,,N <br />,�1 • <br />SKETCH PLOT PLAN BELOW <br />,ti•r <br />` <br />Use of "-::!]ding <br />Mew ❑ Addition Repair Remodel <br />Valuation of Construction S__ <br />.. r; <br />P'10Z PLAN REQUIREMENTS <br />Indicate lot size, name of streets, <br />' t. indicate location and width of <br />• <br />�;' <br />alleys, locate proposed ane. all <br />existing buildings, show distances <br />1'� <br />-"' ^•�! ,-i <br />to property lines, show distances <br />e <br />between buildings <br />Lot size x <br />•l.' <br />Lot area <br />Sq. Ft. <br />♦. = <br />•• '. Size of Dleg. <br />Sq. Ft. <br />Humber of Stories <br />•j <br />basement <br />Signed By <br />i /f <br />owner Phone <br />S, 3 -4 <br />DO NOT P'aiTL BELOW THIS LINE -FOR CITY USE ONLY <br />—• •— Date `received / 4/71 Oce Zone <br />Plan. Check Number —' _ lire Zone <br />Valuation 9 - - (y— %�` Occupancy Group <br />Pewit Fee �. Type of Construction <br />Plan Check Fee Occupant Load <br />Total Fee Due Sprinklers Required <br />Date Issued �J <br />+ ry - <br />