Laserfiche WebLink
<br />~ <br />. <br />~ L~ <br />. <br />.,; <br />,~- , ~ <br />~~ <br />~,,,; o <br />, <br /> <br />,, <br />~' 1' ~ ."E':s <br />.''aE. .j4Y'.,' <br />~~ : <br />_ <br />gfi'SM.: <br />'.,:.d s9: Y.':. <br />`' <br />• <br />EJ(A9 <br />~ <br /> <br />• ~ • <br />Ao <br />•//,,,,; <br />,:::~~~., ~~~ ~ o~ L~~ forte <br />m ~ <br />:: Estab[isli~d 1892 <br />~, RECEIVED <br />INSPECTIONS <br />i~-i -9~ <br />Building Mechanical ~ *Electrical *Plumbiag <br />(* See back. of form) <br />Project Address : y~151 ~ ~~ ~1~{.( Lot : ~ o ~ ~ ~ r <br />Subdivision: ~. ~-)~U1~ <br />Owner's Name: 1u~1~Prnn~ ~ `~o~m~a S~'~U ryn~5 <br />Address • 3~ ~~~~~fi~ ~ ~ <br />Street ~ Ci y <br />Block: <br />Phone • y 10 • ~ ~ LQ <br />f~ `77S 2 ~ <br />Zip <br />Contractor: ~ Phone: <br />Address- <br />Street City ~ Zip <br />Engineer: <br />Designer: <br />Hui ldiag IIs e : ~ ~'aU~~- S'~~ O'tiQ <br />Sq. Footage: ~ ~ a F°n~- # Stories :~ ~ <br />~Valuatioa: Describe Work: Con y erf Srnall ~n4ine. <br />~{~ol ~` ~ LS i n PS.S to 'k3~.atu ty SU I O n <br />For City IIse Only <br />Occupancy Type ~ Flood Zone ~_ Class Work ~C R Sq. Ft. '- <br />Construction Type ~~ IIse Zoae (~Z-3 # Stories ~_ Parking requested <br />Commercial Buildings Places Oa1y-Fire Marshal Approval <br />Date: <br />Checked/Approved for Issuance By: Date: <br />Revisod 03/12/96 ea• <br />p•=•~PF <br />~'.1. ~. ~)~ ~+: ~ ~ ~ 7 • l.:l ~~i ~ffc'~ TC~(:1~ 1 ? !'. I i 1 i • (t ~ !~ '} i ~ -71~.~'.~' <br />Permit No. - Permit Fee S (attach to actual permit) <br />