Laserfiche WebLink
<br />bUIlllH:) ~. L-c <br /> <br />.-'-.-.----. <br /> <br />@ <br /> <br />Ol')-'~U <br /> <br /> <br />uny UI Ltlpny"lIlIlS rtllllllL ,...,plllitIlIUn <br />BuIIdinll 0epBIlrll8Ill <br /> <br />.1)aI8 RlIC8fted <br /> <br />Qwner's Name 0wnlB" I'hcIII8I1u111ber - ~ S 7 <br /> <br />.,.,...._ ;,' ~ ~ ..' __-- t I <br />___-L .~~ - J __-E I <br />___- I~~~~~~~ t~~p.~ 'laNk (/. 'n~~ ",,1 <br />...........?:~~6? ' _I~~~= 0 =.="" ~,,~ 't'. Or+..) 9 "!EAt 10m. L ..l <br /> <br />su8DMSlON fi~",Q..Mb G~, ~ID# 0_ - ,)..(p. ;z.., ~ a>to - 00100- - . · .I.. <br />~ (OBT__FIlOIIPROPERTYTAX~ OoaA r6 y <br />17"'1 NEWCONSlR B ADOIAlT 0 SIGN 0 MOVED DEMOUSHb. ,_)/1 <br />t:I INSTAll REPAIR - ,LlJ\/T-) I' <br />PROPOSED USE 0 SFR 0 COMM 0 ' <br />1YPE OF CONSTR1JCI1ON Q / BLOCK 0 FRAME 0 ] <br />~ r-i - MlEc \LA- <br /> <br />"I '50 J SQ FOOTAGE [?,oDO J <br /> <br />f$ ~ ~1 / 006 1 VAlUAT1ONOFTOTAlCONSTRUCTlON <br /> <br />"""""'" [':I 0, DO? , J - """"'" GZf -- 0 WR'" <br /> <br />WORK PROf'OSED <br /> <br /> <br />BlRLDlNG SIZE <br /> <br /> <br />BUIWING <br /> <br />o <br />o <br />o <br />o <br />~ <br /> <br /> <br />VAlUAT10N OF MECHAN1CAlINSTAlLAT1ON <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />SPECIALlY 0 <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />rz(NO <br /> <br /> BUILDER <br /> SIGNATURE <br /> AcIdIWS <br />-> EI.EClRICfAN <br />SIGNATURE <br /> pLUMBER <br /> SIGNATURE <br /> A~ <br /> MECHANICAL <br /> SIGNATURE <br /> ~r <br /> RESlDEN11AL <br /> COIIIIERCIAL <br /> SIGN pERMIT <br /> <br />1 <br /> <br /> <br />A\IaCh {2) PIDl PBls: {2) selS of ~ Pla1S; (1) set of EnerIlY FDlIII& <br />MinimLlll1lln (10) workinG days sII8r suIlmllal-, R~ ensile. (;onsIrUCtian PlanS. SaniIIWY FacIIiIieS & 1 dunpster <br />A\IaCh (3) 118I& of Building PIInr. (1) set of EnerIlY FormS, <br />MinimLlll "'" (10) workinG days lIft8r suIlmillal daIB. R~ onslIe. (;onsIrUCtian PlanS. ~ FlICiIili8S & 1 durnJllIIer <br />All c:omrnerciBI r&qUiIWIl8I1IS must meet c:ompll8nCll, <br />A\IaCh {2) selS of ~ PlanS, <br />--PROPERTY SURVEY reqt*"<I for BII NEW c:onsll\lCliOfl, <br /> <br />] <br /> <br />COMPANY' l <br />_...,d) <br /> <br />t'JJrH ~~~~ '5~AlIL~" , <br /> <br />pt Lic8f1S8# [ Ci? C. oS, I q Z. ~ (L[}.J"^' ~~c.}1"' ... <br />~..I_~~}tf</W <br /> <br />Llc8nIl8# ~C ~ v... S"lI, .... } <br />r UU\'C\\ ':> W' \ \\o.m':> ~ ~ <br />I.(,JL!L.J Fa: CUAflElfT N <br />Lic8f1S8# LC~L\L\.a5toOJ J <br />[ ~~~A rfisYL ~ <br /> <br />Lic8f1S8 # { ] <br /> <br />~ <br /> <br />I Y I N J FEECURAENT <br />1.ieenM# [ <br /> <br />L!1!LJ <br /> <br />D1rec:ttonl1: <br />Fdl out application compllll8ly, <br />Owner & eonractor sign baCk of appficallOn. nolarizJld <br />J("--$2IIOO.. ~of~~ Is~ (AIC upgr1Ides..--$!llIlIOl <br />_ Agent (for !he CQf1IraCtOrJ or Power of Nb>m8'I (forb owner) ....-.leI be someone.wIIl ..-mod - fmm owner auIhariz:ing same <br />OVER 1ME COUNTER PERJIITTING (Front of AppIic8IioI'l Only) <br />RerOOI8 s-e-s SefViCll Upgl1IdeS AJC Fences (PJoI/SUMlYIFOOI) <br /> <br />Orlv~ over Counter If on pdc roadwllYS-.needs ROW <br />