Laserfiche WebLink
AVlicant To Cnmpletc-This form <br />Tf more than one building is to be contructed, mibmit a separate permit applica- <br />tion for each building. A separate permit will to issued for cacti building. <br />Dwyer y .�l ,>pI%(/ Building Address- <br />Eddress_ Air. ratty ? A , 1 ISlocr. <br />City jlZva,.e r �jl Phone j� 1 , Subdivision (Pl-IL) _ n• I�, ; ., �n.hF <br />' Architect/Lngincer 4.Pnks sa <br />City i it _ T �Phoor_• /_ _ Metes L Duands (Unplatted) <br />Coatrector ) _r•, �,.,�Y _ Sec. Tvp, Rqe <br />lddress Irz/, g ry:L �,• . <br />1; -city ,r T__ Phone -'S'� C 1 ;''� Building use /�!{,a• !} � f <br />i State License t7traber '/'l=�/(1./ Describe Work to De Done (:,t,�/2 rc •'', <br />1 L7q•iration Datl <br />.L <br />_ ._ ••� SP.FTCl1 T`_Ii_p1,A*711ELCSJ' ,•�_ _ - <br />j <br />D_Ct of Jluildivg _ f•/•tln t 6 ° <br />i Wew, ❑ Addition ❑ ncpai.r/nemo_Ccl <br />l'alaati: a of Construction <br />�, `:,;: - PI^'P I'L11.11 EE¢CIS:�iE::TS • <br />Tncicrttc lot !A%v, name of streets, <br />1 'in6icutc l.ocction and width of <br />alleys,'locc-ta proposed and all <br />1 existing buildings, S)1e:0 div.tances <br />:s to r)iv:tort, linen, show distances <br />a between buildings. <br />r_�i+�.._ <br />T.ut area 1, /C Sq. Ft. <br />�• .:. t3ize nC Dldy. —�,�7F Sq. Ft. <br />. ._ • � 11Rv UdOilt _ --_• <br />`• Sit�ttd P.� � �CY�s <br />For <br />Owner Phouo -G- <br />_ DO ;1e0._W7%1'i!' SZ1,01•1 TNTS 1,1-M-1-OR CTY 11S,- ONLY _ <br />` Date Sccciveci —0 ' t %-7 Use Zone <br />Plan l`:icr.k `1ur..!'•-•r % 33 Fire_ ?nne <br />\'a'vation Occurs: nrp Croa,) _ <br />PrroiF Fce _ _7l0• mD_y�____ 7Tp- of Connttuct inn <br />Plrn Cbeck Pee 00 ^ -- - (1•rr.,: „I Lo;uI <br />Total Fee Due <br />Date l::suctl <br />CITXnOF t P/ERETT__ <br />APPROVED FOR BUILDING PERM)T <br />