Laserfiche WebLink
CIfPf 01-1rwir1 ri, M01fT NO. <br />DEI'M0111*NT OF C0:M;!11'' DEVELOPMENT-173 <br />B1 JLDING PER1111PLICATION VALUATION <br />PR1011T PEE <br />DATE <br />ADDRESS OF CONSTUCTION WORK <br />LEGAL DESCRIPTION: LOT �_ BLOCK _ PI AT///71 <br />UNPLATTED DESCRIPTION: <br />RUMODE L <br />BUILDING DESMIPTI:ON: NEW x ADDITION or REPAIR <br />OCCUPANCY OR USE ft�/iM�<✓ REIGiITS IN STORIES L <br />IS THIS A CHANGE OFBUILDING <br />/OCCDUPANCY:�gYES NO <br />'ON'fRACTOR/ ��L/'G'LC`Y [_!if/// l� OWNER---- <br />ADDREFAILISG 272�, NAILING ADDRESS 3 e' � <� .'i ADDRESS <br />C�'I_ i3✓ F <br />--.----- <br />PHONE NUMBER rHONE N2AIM <br />CONTVACTOR'S LIICENSSE NUILiHiR ,2�,2 3 '/G' /%sZ <br />Ff <br />SIGNATURL•. <br />NOTE: THE APPLICANT S11ALL PILL III ALL ABOVI: B11N0, COiME1'ELY INCLUBI;TG TINT PLOT PLAN <br />SKIdTCH ON RKAr OF 'PHIS SMELT. THE APPLICANT IS RESPONSIBLE FOR ALL INfMHATION WHICH <br />IS FURNI OE'D ON THE A IPLICATION. ANY CHANCES IN I'll'. INF01.i•LATI0", PLO I'IJi:I OR rUILDING <br />PLANS SLAL.L BE SUL:'11T"ED TO THE,1NSPECTION UIVISIO;i FOR APPROVAL T RI' PROCEEDING <br />WITH TIM CONST'RUCT1021 WORK. <br />APPROVAL: i( G <br />mm 5/ -,' 7 3 <br />ENGINEERTNC � <br />TRAMP D1V3V <br />WATER S1:EVICE <br />SWER SERVICE <br />PUBLIC SERVICE <br />4. rIRL' 11ARSHAL <br />NO'I'K: ALL C'CNJ;TRUCT'ION I101K SHALL CO:iPLY WITH A1'I'LTCARLE CODES, NOTES ON D1tAUINCS, AND <br />ills ill:C'I'10::5 <br />