Laserfiche WebLink
® • RECEI.YED <br /> RIJILDING PERMIT NOV 16 1988 <br /> <br />~ Jurisdiction of <br />l DE ENFORCEMENT <br /> y. <br />pplicant to complete numbered spaces on <br /> toe ADOR Ess <br />7d / s• ~ <br />~.vs~ s <br /> <br />LEGAL LOT NO. <br />~ ~~ ~~D/ <br />~~ BLK <br />~ /~ TRACT <br />~ <br />(^3[C ATTACNCD 3NEET) <br /> 2DWNER/_ ~ • • .~ 'v~~~IV !D/ D~/ is/ 1 S 2!J 7/ I / ~~/ D <br /> CONTRACTOR <br />3 MAIL ADDRESS PNONC REGISTRATION NO. <br /> ARCHITECT OR DESIGNER MAIL ADDRESS PHONE REGISTRATION NO. <br /> 4 <br />ENGINEER '. ... MAIL ADDRESS PNONC REGISTRATION NO. <br />5 <br />L CNOER MAIL ADORLSS BRANCH <br />6 <br />USE OF BUILDING ~ <br />8 Class of work: O NEW lJ ADDITION ~ ALTERATION G REPAIR ^ MOVE ~ REMOVE <br />9 Describe work: ~'<~~~ ~d X `~' L~J~~~T.- ~N ~ ~~ ~/ /'-~T <br />'rlv~~il/ <br />~/~ <br />C 5 yp fi w-.). e~ <br />D O <br />r~ <br />N <br />O <br /> <br />10 Valuation of work: S ~J/C~eR~ O~ <br />TT C/ PLAN CHECK FEE PERMIT FEE <br />SPECIAL CONDITIONS: Type of Occupancy <br /> Const. Group Division <br /> Size of Bldg. No. of Max. <br /> (Total) Sq. Ft. Stories Occ. Loatl <br /> Fire Use Fire Sprinklers <br />APPLICATION ACCEPTED eT PLANS CHECKED av. APPROVED FOR ISSUaNCE ev Zone Zone Required ryes ^No <br /> NO. Ot <br />Dwelling Units OFFSTREET PARKING SPACES: <br />Covered Uncovered <br />NOT 1 C E Special Approvals Required Received Not Required <br />SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB- zoNING <br />ING, HEATING, VENTILATING OR AIR CONDITIONING. <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- HEALTH DEPT. <br />STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN s FIRE DEPT. <br />MONTHS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR <br />ABANDONED FOR A PERIOD OF 6 MONTHS AT ANY TIME AFTER SOIL REPORT <br />WORK IS COMMENCED. ~ OTHER (Speclry) <br />I HEREBY CERTIFY THAT ~I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE <br />PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION, <br />SIGNATURE OF CONTRACTOR OR AU TN ORI2ED AGENT (DATE) <br />SIGNATURE OF NCR IF OWNER BU IL DE RI IDATEI <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />PLAN CHECK VALIDATION •cK. M.o. CASH PERMIT VALIDATION CK. M.O. CASH <br />A•1 <br />