Laserfiche WebLink
':r; Y OF 1:VI:1,.F T Pr:RP1IT NO. / /b <br />I PARITIENT OF COMMINITY DiX-3.01'ttCNT — <br />B1I17,UING 1'I:IUIIT Al 'LICA'IJO-4 VALUATION 4f Sim _. <br />PERMIT FEE 7. <br />I %` ,' <br />DATE /A L/_ rc) <br />ADDRESS Or CONS1'UCTION WORK <br />LiiCAL llIiSCRIP7ICN: LOT riLOCI: <br />UNPIATTED DESCRIPTION: ---- <br />REMODEL <br />BUILDING DESCRIPTION: NEW ADDITION or REPAIR <br />$ of UNITS 6 <br />OCCUPANGY OR USE f'Z _ IIHIGHTS IN STORIES <br />IS TIIIS A CHANGE OF BUILDING OCCUPANCY: YES _. NO 7C <br />CONTRACTOR OWNER c) _ <br />! 1fAI1,I1:G hlAILIhC <br />ADDRESS _��I( C� ADDRESS <br />t <br />PIIO;m L'UMCR . 3 cr _ PHONE MR-BER _ <br />CONTRACTOR'S LICENSE NUMBER. 2 c <br />SIGNATUREG <br />N01'G: THE APPLICANT S)ALL FILL Ili /LI ,'ne'n: BI1dL*.CS CO:,".'IT•.TELY INCLUDING TIM PLO.' PLP.N <br />SKETCH UN REAR OF THIS .1,11EET. TIE APYLI C'AW 1.3 RES:ONS15LE rOr ALL INFOMI&TION VIIIC11 <br />' IS FURNISHED 08 Tllli AI'I'I.iCATIGa, ANY CIIAt;CES IN Tlif li;F01'.}IAiZOti, PLOT 1'1,10I OR Bl'ILllI1:C <br />PIMS SlIALL BL SULIIITT' D TO TILL INSPECTION DIVISION FOR APPROVAL BEFORE PROCCEDIbG <br />WITII TILE CONS'JW .TIOI I ORK, <br />o /C <br />APPROVAL: <br />1. PLANNI!iG. DATE <br />2, ENGINEER= <br />TRArFIC DIVISION <br />WATER SERVICr <br />SLl7ER Sl:Rvlc;; _ <br />PUBLIC SERVICE SECTION <br />3. INSPECTION DEPARTH;NT <br />4.. FIRE NAMIAL <br />—3 ?—may <br />NOTE: ALI. CONSTRUCTION W IM SIIALL COMPLY WITH APPLICABLE CODIiS, NOTES ON DRAIIINCS, AND <br />INSITCTIMS <br />