HomeMy WebLinkAboutPermit Building 1980-01-28LI
Legal Descriptioh
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Construction L
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Phone +
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El ectri ca 'I
Addres s
Owner
Hechanica l
Pri ma
Structura l
Sq. rts. Accei]-
sq. Ftg. other
-
_l{ew-q66 Alter-1il--
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PLUIIB I NG
5Sto
Rei oc
(new
ated buifix. add
lding-
itional )
Res dence
Each single fixture
Sewer
Duplex (l bath) each
l.later serv.ice
Addi tional bath
EL ECTR I CAL
SQ. rr
Res i dence of
i n existing
Imu 'It lfam i cv 0mm or
New circuits alts
SERVI CES
Tempora ry Constructi on
Cha
or extensions
Apol i ance vent
ta 1 0na r evap
nt anw th
FI oor furnace
eRec s sed Iwa 1
fur nace/burner to
MECHANICAL
and vent
BTU' S
0f
s.0f
tVen sy emt a rtpa from
nha CA auexh st
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I n ac+I I a I L er,Ire aoc te
l,lood stove/heater
COI4T!./IND. FEEDERS
liAl'lE(please prinr)
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app
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ng
70
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Fire Zone
F]ood plain Stories
Zone
x
'oel Con s t
Value
i ts
lueLoad
Val ueOcc.y Group.
TOTAL VALUATI
rooms Ftl-:. t,lain
Ftg. Access
Ftg.0ther
an Ck. Comm/I
Per
an s
BI
Fence
opmenrge
VC
57
BUILDING PERIIIT
Charges anC
Surcha rges
PLUI4BING PERMIT
Charges and
Su rcha rges
ELECTRICAL PERI:IT
Charges and
Surcha rges
Tota'l Cornb. fermi t
Sidewa l k
Curb Cut
A/C Paving
HECHANICAL PERI.IIT
unarges and
Surc ha rges
IU IAL Z+ OC
Job Address
FFF
A
Dgno
COMBINATION APPLICATION/PERMIT (CAP )
I. APP1icant to furnish
A. Job Address
B. Legal DescriPttonI example- iui r"ot loo' Lane CountY
17 03 43z examole- Lot 1' Block 3' 2nd Addi
ffi-gfiela Estates
c. nu,.l-uil' of owner and constructlon
Map Reference '
tion to
I ender
II
C. ",r-IIIlI
iiiiSTIfi'"OFF^I^IiLL FILL OUT ALL FEES AND
[[ARGta oN THE ScHEDULES
0. As noted "t i;"";H;-tnt tuutt must be delivered to the
electrical t;;;til';t"iir sisnat'r" bv his electrical
supervisor' 'i;;";;;t;i coniractor i-s !-s! authorized
to sign the electrical laDel'III fli:l:::l';::rlii:,'iklli:l:l,l::, ;:ilt!t,5ll,:;.x'it.??a worksheet onlY
will prepare u tvpt"*iiit"n iopv ild-leturn it to the
applicant ut tnt"ti*t'i;;';ti;;i permit is issued for his
signature.Iv' 5i:;:#.i^?i3i'u,. due and.??v3!r:-1t the time or the
appl i cati on, und"ni iitti -i i 1- be,Processed unti l these
fees are palo' 'nii other fees and charges are due and
puyioj.-*'ntt the permit is issued'
V. FOR OFFICE USE ONLY
PERMIT VALIDATION
Permi t Cl erk
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI{CY :
s Board because:erdiuIhetBhtwl1tonS'l ratrromfegtetnxempaIctjaePrmpp
Addi t'ional Proj ect Information:
PLANS REVIEbIED BY
date
name
S1 gnature
1