15-15922 - Laserfiche WebLink

Browse Search

a�t�•rao-ao2o Ci��y o1'�� nyrnl�� rc:r„u��r.,��lv!� . ' Buiiding Denartm�nE ' - ----------- -- ----- -- Pho o CanfiacL•�for P�rtnitting _-- --- ----��_. ��l r� -�-t-S-i-Ro�di i ed----- - - -- --- . t i!1-i M9 d� 11!11Tri a . ------- -=--r�-��f-�-�-i-il-i-r�-rr-i-r � �C�1J` �(/��L�/I � Owner P1TOn�Number `�l�-' �7�'- �� Owner's Name Owner`s Address 7 b�-r(t l--C f?2 p2.f �. � U �"3`i'- � ��Yfa��NumUer�+ � Cl-___ � l°ee S3mplo Titlelzalder Name Qwner PI�one NurriUer�� I=�e 5imple TiL•lehol�ler.Acldr�ss �' ' ' ' JOf3 ADDRCSS c�S-C�� "! . �-C�L I M �/`/G� . ` c.or rt 1�9. . suBa�vistaN . __ __ ,�. �'r�.�., a� �D�,�/.�.1� _ I?AIiC�L IDI� a�"�-z�L+�1 `-b�c�JD�v--�dOt.YJ—/�9. � . • (OLi7AlNCD PROM PftOPGRTYTAX NOTIC[j- _ __.�__ _ _ VItORK[�1�OPOSG]] : � NCW C�(�STR ADnlAL.T 0 S(GN � MOVC [�J DGMdL(S}-I , lNSTALL � . l�GC'AIR pI,OFOStI]US�' • 0 SC'R ' . •� GOMM Q OTi-i�R ' � � TYPG O[=CONSTRUCT[ON Q l3�OCt�C rl�AME ' ,� ST��L � OTI-l�R !I oescr�inr�oN or-wor��c - �P�t t d' CDG�f�' � � � � , Qul��ir��ze Io K•� �' � sa raa-rA�- �a�--�� _._f 1-i��rrr �,._^y._._1 � gU��'�� '�' f 7�� VALUATION Of-'1'OTAL GC7N5TRUCTION i � � EL�CTRlGAI. .� , �( AMP SERVICC � PRO�I�G55�NGPGY • � W.R.E.C. � ��j ��.uM�� ! ��st��I�r��RVrC� . �_�^� . fa��r�-�� 0 MCG!-IANiCAL ,�� • VqLUATEON Q1=MGC!-lANlCALIhlSTALI.ATION . �� _�� (� �n,s ' C} r�oor-��v� sneciA�.-rY �( or►-�cr� , , ;��r�q�'�'► l=1NlS!-IED Fi,oOR CLCVATIONS 1=LOOD ZONCAR�A [�YGB �NO ' 13U1LI?CR � �� CONtI�ANY (�CU�� . SIGNA'i'URE � (�GGIS7GI�Ed Y/ N FEE CURRGNT Y/N ' Acidross c�S(�/ � CcC� . C/f`l • ' . Lic�ns��1: �� CL�CTCiiCtAN � COMPANY S1�NATURG rtECisrct�cd 'Y/ N r-ee cuR�rNr Y I N .Adclress. � • Licenso�t � � � . P�.UMf3CR • CON(PANY SIGNATURG r�e�jsrE��a Y! N• r-�c cuaa�Nr Y/N , Acicirass Licenso# �� +� M�GI•1I�t�lCAL: ' • Ct)MPA�lY SIGNATURG • rtectsr�r�cD Y/ N rec cu��Er�T Y/N . Adctr�ss • • ,Lic�nse�t� � l OT[-iGCt . � . COMPANY � �• sIGNA'!'URC r��ISTet�eD ' Y 1 N r-GC cuRr��Nr Y i N A�(dress � , License�t � � RG5ID�NTlAL Altach(2)P1ot C�tans;(2}SOE6 0(I3LIfICIIl1 Plans;(9}se[of�n�rc�y Forms;f�-O-W 1'ermitfor new cnnsirucFion, Minimum fien{1 Q)worlting days afEec su mitta!dale. l�equircd onsif�,Construcfion Pians;Sformwaler Plans wl Sllt 1=ence installecl, ' Sanitary 1=acUlties&1 clumpstsr,Sifa rit Parmitfarsuf�d3vlstonsllarge projoci's CONINfCRCiAC Att�cli(3)completc s�ts o�IIuildinc�P[a s plus a L.ife Safety Pac�e;(1)set ofi Cnerc�y.'1=orms.�i-Q.-W P�rmIt for new eonslruotion. Minimum ten(10}woricing days afl�r su mitta!daie. Roc{uirad onsit�,Consfruction I'tans,S[armwater Pians wi Sift f-ence Insha!lecl, Sanitary Faciltfi�s&1 dumpsfier.Sifo . ork i'ormit�far afi new projecks.Al!commercia!requiraments must meeL complianco ' S(�N PERiiltiT Attach(2}sets of Engtneorad Plans.� , '`�'`*PROP�PTl'SU1�V�Y r�c�utr�cf�(or A NEW construc(Iort. • ' -i-i-i-t-i-t-i,-i-i-Ff-Ff-f-i-l-i-I-hi-S-i-FI-1-i-1-1-I-i-H-i-l-1-t-l-i-l-1-l-2-l-l-1-l-I-l-l-i-l-l-l-l-J-1-II-1-1-1-I-1-1-I-1-I-I-hI-i-Id-I-1-I-I-i-I-I-2-i-I-I-EI-i-t-i-I-f-I-I-I-FI-i-i-I-i-I-i-I-f-I-I-f-3-I-t-i-FI-1-l-I-l-1-1-I-i-l-l-l-I-l-I-l-I-1-1-1-1-l-l-1-l-hl-l-I-1-1-t-I-1 Oir�ctions: I=11I out apptic�[ion com(ai�tety. � • Own�r&Gonlrackor slgn Uacic ai applIcafiun,notarizeci ' � i�over�2500,a Notic�o�Gomm�nc�ment ts require . (A!G ulac�rades aver:I;5000) "* Agent(for the contraator)or nower of Atkorn�y{�for thQ wner�w�uld be somoon�wifll nofiarizad lefterfrom owner autl�oriztng same • •OVCC�Ti-IG COUNTCt-2.P�RMITTING (f-'ronl'o(App(icafi n Only) ' C�aroofs ' Sawers Sorvlc�.iJpgrad�s AIC �'onc�s(!'foi/SUrvey!l�aotage) . Driv�ways-Rinl over Counter ir an puUfic roadways.:ne ds FZOW - . ,, ' � � , • . � , , ,_ � z