HomeMy WebLinkAboutApplicationAPPLFCATION FOR BUILDING PERMIT
Please Print Date of Application: ~ ~' ~ ~ ~ 9
Work Location: ~~/ ^' ~ r~ ~~~ ~`" ~~~
Lot Block Subdivision ~~ ~~' ~2 S C l '1 /~1vt - ~/~~(
Project Name: ~/tf (iC G>! ~ ~ie l ~ / p / ~` t~ L~O~~/~'(
Owner/Tenant: ~~ (/ f ~L L~ /l ! ~~ Phone: ~P Q~ C ~S~
Owner Address: ~ ~ ~ ~~ ~ ~ ~~
Contractor:
Contractor's Address: ,~ ~ d S ~~ 1 B
Electrician: I E ~C l~ ~~~ e ~~ l r/~ /
HVAC: /V
Type of Construction:
New
Community Development Project
Remodel/Renovation.
Repair/Addition
..Sign
Swimming Pool
Demolition
~~.
Phone: ~~a ~~Sl~
7
Plumber:
Use:
Residential
Duplex
Apartment, No. Of Units
_~Commercial
ROOFING
Other
Description of Work: .~GCa~ ~ Te ~~'r' ~ ~e~J .~l /c~~4 T10 N_ ~i
Valuationof Job:. $ O ~~ Q
t r°
Foundation Type: ~X is ~<'v Ext. WaII Type: ~ ~js ~~ ~ .Total Area: 3 ~~~
Roof Type:.. i v Int. Wall Type: (,C C Heated Area: ,[,S ®,T Uc7
Number of Bedrooms:. Number of Bathrooms: Window Type: Wood/Aluminum
Carport~,~~ _ Garage: Double Single /Attached Detached
Received:
Reviewed:
Issued:
Signature of Applicant
Revised 4/95