Laserfiche WebLink
i otal Nee: $ Date �.eceived: <br /> Enter d B��.�'� 1'ermit#: --�-� <br /> ^� ��. <br /> ��• Q��+' C�T'i' +D�' �RQNO - BLT�,DING� PE�IT APPLICATION <br /> O � <br /> All information must be submitte� in full before plan review will be sfarted. <br /> � � (pleaa�e pritzr ull infornuttian} <br /> �> ��� ___ _----_�_—�------___---_�---__��..__----------�__-------�---------------� --------------------------�-- <br /> t�,��' TI�E APPT,TCAN�' IS: (circle one) OWNER OR RACTdR <br /> �r` _ <br /> JO� S�TE AD�RESS: C� .�IrC�If��,� z � zm. ;G��� I _ <br /> N��• �F OWN�R: .�-�.�`x,� PHO;�]�: (home) ��' `-C� �"��.� <br /> � ,,,(�' ork) <br /> I�IAII.,IN'�ADD�SS: ��-�-1�' �.��� ��,�'Y; � r ��- �ZIP:,�:a��� I <br /> �- � ' - � ( /� <br /> COiv"�`R�,CT0�2: ' �; ---� ��Q�: JI' � ;.���j`T`� <br /> COv'I`ACT PE�tSO�i: M���E/�'AG��2: <br /> ���.Il`TG A1�DRESS: _..—_—.,..C�',�Y:���2 ��'':��� <br /> STA�E �.IC�NSE: # � J <br /> ARCT�IT�C'TIENG���fi: ,_,_,T ___ __p�lfQ�tE; <br /> ;�TAILI.tir��►.DA1tESS: _...�__�._ �...� CI'fY: ZIP: <br /> �1�1�E• ------, _�R�GYSTR�'I`I�N�#.- _� <br /> 'z"YPE Q�' '4V0�: New Add.i�ion Accessory Structure_,____ <br /> Move �Remodel/Altezation I�and �t�ration _ <br /> �ROPOSED tiV�� (describe in detail�: ' <br /> � � <br /> STOI�IES: S�. �ET U�']EACH�4QR: _ <br /> NO. OF BEDRiJOMS: G�AR4GE S'T�'A.T.LS: ATT. D�T.__ _ - <br /> EST�IAT�D CQ�YSTRUCTIUN VALT�ATTON (excluding landj: $ <br /> I hereby apply for a building permit and Y acl�a+x��.edge that the information above is cox�xplete and <br /> accurate; thac t�ie work�vill be in conformance with the ordinanc�s and codes of th� Ciry azzd witb. <br /> the State Building Cade; that T understand this is nat a permit and �ork is not to start without a <br /> permit; and that ihe work will be i.n accordance with th� approved plan. <br /> A�'�'LICA.:\TT'S SIGi�'ATCTkE: �.�,E��DATE: � /� �� <br /> 1�'OTE! Parade o hTomes events reqr�ire separate permit approval by Palice Departme�rt and <br /> City �'ouncrl 60 days prior ta the event. Non pernzitted events will not be allawed. <br />.............................................. .......�-------�--�---..._.........._.._.....-� --�------�-------�---.....-�---....---�-------��--------...------�-�---�--�� --��-�---�-------....................... <br />