HomeMy WebLinkAbout1019 S BROADWAY ST_01-0632___________1019 S BROADWAY SY),
COMMERCIAL
ADDRESS 10 S
LEGAL DESCRIPTION
CONTRACTOR
DATE
1-0
WATER FRONT FT. FEES cwApmcABm
SEWER FRONT FT. FEES (wA"ucABLq
WATER TAP (wmTucABm
SEWER TAP o+AmucAaW
BUILDING PERMIT
TEMPORARY POWER POLE
PLUMBING PERMIT
MECHANICAL PERMIT
(W & S) WORK ORDER #--A.)P
DATE d: 1-O I
NEW ADDITION n e VM
PH# (� �� 0j
PH# Ala ��81
ADDRESS REQUEST (Cory REc/D FRoM ENGR.)
ZONING CLASSIFICATION ( )
FLOOD ZONE (PER ENGMERIKG) ( )
BLDG. PLANS SUBMITTED
UTILITY EXT. AGREEMT REC'D? Y OR N
PLANS REVIEWED
BLDG. PERMIT RELEASED FOR ISSUANCE
PERMIT# FEES PAID
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GROUND PLBG.
SLAB
FLOOD ZONE "AP: (YES). OR (NO)
If vas, elevation certificate prepared by surveyor mast be provided to City before cover-up inspection.
DATE ELEVATION CERTIFICATE RECEIVED:
ELEVATION SHOWN FOR TOP OF FORM IS:
IS ELEVATION SHOWN AT OR ABOVE THE REQUIRED BFE: (YES) OR (NO)
Vow UALI- o N
CiUP
INSPECTION
DRIVEWAY &
SIDEWALK
FAXED HL&P
ELECTRICAL
FINAL
FAXED HL&P
T-POLE
CALLED ENTEX
GAS TEST
SEWER TEST
,FINAL
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City of La Porte
P.O. Box 1115
La Porte, Tx 77572-1115
(281)471-5020 e;ct.'259,286 INSPECTION LINE: 471-9662
----------------------- i_r.MECFI7IPTTCA=PERMfiT**j-
Application Number . . . . . 01-00000632 Date 5/11/01
Property Address . . . . . . r0'179—S�BROA'DWAY—ST
HCAD Number . . . . . . . . . 024-035-018-0001
Alternate Search Method . . .
Application description . . . REMODEL, RETAIL STORE/CUSTOMER SERVICE
Subdivision Name . . . . . . LA PORTE
Property Use . . . . . . . .
Property Zoning . . . . . . . COMM - GENERAL
Owner Contractor
------------------------ ------------------------
BAYOU PROPERTIES CO ODYSSEY ROOFING COMPANY
6002 OSBORN ST 4906 APPLESPRINGS
HOUSTON TX 770331016 PEARLAND TX 77584
(281) 412-7287
Other struct info . . . . . FLOOD ZONE X
----------------------------------------------------------------------------
Permit . . . . MECHANICAL PERMIT
Additional desc STALL AC/HEAT-(fONECT W/EXIST-1
Sub Contractor BARNEY'S AIR CONDITIONING CO.
Permit Fee . . . . 34.00
Issue Date . . . . 5/11/01 Valuation . . . . 7100
Expiration Date . . 11/07/01
Qty Unit Charge Per
Extension
BASE FEE 20.00
7.00 2.0000 THOU MECH - $1001 & UP 14.00
----------------------------------------------------------------------------
Special Notes and Comments
1 AS PER DRAWINGS AND CITY OF LA PORTE
BUILDING CODE
2 PLEASE CALL FOR INSPECTIONS
Fee summary
Permit Fee Total
Grand Total
Charged
34.00
34.00
-)oti0 ?"J�() S
---------------------------------------
Signature of contractor or
Paid
Approved by Building Official or
34.00
34.00
Credited
.00
.00
Due
.00
.00
----------------------------------
zed agent Date
_ _d 1
t orized agent Date
i
City of La Porte
Fsrabl:'sned 1892
Building Mechanical *Electrical *Plumbing
(* see back of form)
?roject Address: l(1 I� SnA Gd�roul4 z Lot:
Subdivision:
Owner's Name:
Address: 6
Street
Zontractor• bz"C
Address:
Street
Engineer; _
Designer:
ty
ty
Block:
Phone: /3 �q I-O%Zl
-t-1o33 .
Phone:
7750 Z
Building Use:Sq. Footage:
nT_
Valuation:- lIy D+ C/�J Describe Work:
Far City Use Onl��
Occupancy Type Flood Zone Class Work
Construction Type Use Zone '# Stories P �:
Commercial Buildings Plans Only -Fire Marshal Approval
Checked/Approved for Issuance By:
Special Conditions
Zip
IV Stories:
requested
Date: --
Date:
Permit No. - 23� Permit Fee D (attach to actual permit)
A.r ud �3/13J96 er
.981
COMPLETE THIS PORTION FOR ELECTRICAL, PERMITS:
NOTE: MINIMUUM CHARD" ON PERMITS) IS $10.00
Description Charges
No. Fees
PERMIT ISSUE FEE
5.00
Outlets, Fixtures, Lights t
Switches (1st 4 - Flat Fee)
2.00
$
Above Items (All others)
0
40
Washing Machine
ea.
$
Dryer / Range
1.
ea.
$
Cook Top '/ oven / Fan
2 .00
2.
100
ea.
$
Oven (Commercial)
.00
ea.
$
A/C, Plug -In Units
2.0
ea.
Water Heater
2.00
ea.
$
h
Dishwasher / Garbage Disposal
.50
0
ea.
ea.
$
$
All Services / Temp. Pole /
Temp. Cut-±m
All Meter Units
30.00
ea.
$
ReinsPection Fee
S.00
ea.
$
10.00
ea.
$
XC Ray Machine
00
10.0.ea.$
Motion Picture Machine
3.00
0
ea .
a
$
Incandescent Signs, per Circuit
.
Gas or Vacuum Tube Signs
.00
ea.
$
(Per Transformer)
4.00
Electric Welder
ea.
$
2.00
ea.
•MOTORS:
Up to but not incl. 1/2 HP
1.00
ea.
$
1/2 HP and less than 2 HP
2
3.00
ea.
$
HP and less than 10 HP
.00
ea.
$
10 EP and less than 25 HP
5.00
ea.
$
25 HP and less than 100 HP
10.00
ea.
$
100 HP and Tess than 150 HP
12.00
ea.
$
150 HP and over, per Hp
. 10
ea.
$
Permanently connected electric appliances and
equipment of
any nature not otherwise specified shall be charged
Up to RW,
as follows:
Inclusive
All
.50
ea.
$
over 1 RW to 10 RW
40
RW
$
All over 10 RW to 5o Fof
30
RW
All over 50 RW.to 100 RW
20
20
RW
$
$
All over 100 RW $10.00 PLUS
.
RW
$
Total fee
$
COMPLETE THIS SECTION
FOR PLUMBING
PERMITS
Description
Charaes
No.
Fees
ISSUING FEE
$10.00
PPERMIT
lbq. Fixtures / Drains / Traps
�
1
$ 10.00
Sewer (New, Repair or Replacement)
ea.
$
cesspool
5.50
5.00
ea.
S
Septic Tank / Seepage Pit or
5.00
ea.
$
Drainfield
-
Water Heater and/or Vent
10.00
ea.
$
Gas Piping System (1-4 Outlets)
2.50
ea.
$
Gas Outlets, over 4 (Ea. Outlet
.00
1
$
Installation, Alteration or Recair
.00
ea.
$
of Water Piping and/or Water
`
Treating Equipment
Repair/alteration - Drainage or Vent
5.00
5.00
ea.
$
Ea, vacuum Breaker/Backflow Protection
ea.
$
Device Installed Subsequent to the
Installation of the Pining or
Equipment Seried
Each One (1-5)
Each One (Over 5)
2.50
ea.
$
1.50
ea.
$
Ta tal fee:
$
Barney's Air ConClt►Onlng 5+o�J IZoo�+op SIC
2315 Wren Lane
vl +�. IS k.! Clcc�v.c -N. Z,000CFm
Pasadena, Texas 77502
1019 SOuA 4E iG, ,,f�Gd PoN y
5-4-2ooi
�J_
City of La Porte
P.O. Box 1115
La -Porte, Tx 77571
(281)471-5020 ext-259,286
INSPECTION LINE: 471-9662
* * * BL ='TNG—PERMIT * * *
----------------------------------------------------------------------------
Application Number .
. . . . 0_1-00000632 Date
5/11/01
Property Address . .
. . . 19-5'BROADWAY—STD..
HCAD Number
024-035-01'8-O9n
Application description
. . . REMODEL, RETAIL STORE/CUSTOMER
SERVICE
Subdivision Name . .
. . . . LA PORTE
Property Use . . . .
. . . .
Property Zoning . . .
. . . . COMM - GENERAL
Application valuation
. . . . 6949
Owner
Contractor
------------------------
BAYOU PROPERTIES CO
------------------------
ODYSSEY ROOFING COMPANY
6002 OSBORN ST
4906 APPLESPRINGS
HOUSTON
TX 770331016 PEARLAND TX
77584
(281) 412-7287'
--------------------------
Structure Information -------------------------
Construction Type . .
. . . METAL FRAME (TYPE IV)
Occupancy Type . . .
. . . BUSINESS
Other struct info . .
. . . FLOOD ZONE X
----------------------------------------------------------------------------
Permit . . . . . .
BLDG PERMIT-COMMERCJAL REMODEL
Additional desc
REMODEL/INSTALL CAREET'
Permit Fee . . . .
45.00 Plan Check Fee
.00
Issue Date . . . .
5/11/01 Valuation . . . .
6949
Expiration Date . .
11/07/01
Qty Unit Charge
Per Extension
BASE FEE
15.00
6.00 5.0000
THOU BLDG - 1,001 - 50,000
30.00
----------------------------------------------------------------------------
Special Notes and Comments
1 AS PER DRAWINGS AND
CITY OF LA PORTE
BUILDING CODE
2 PLEASE CALL FOR INSPECTIONS
Fee summary Charged
Paid Credited Due
---------------------------
Permit Fee Total
------------------------------
45.00 45.00 .00
.00
Plan Check Total
.00 .00 .00
.00
Grand Total
45.00 45.00 .00
.00
----------------- -r --,----------------------------------------
-
(SIGNATURE OF CONTRA R OR AUTHORIZED AGENT DIATb
(APPROVED BY BUILDING OFFICIAL OR AUTHORIZED NT�_ DATE I
Cite of La Forte
Eirabhshed IQ,, , I
,,I � T 0 d
1
MAY 10 2001
Building Mechanical
*Electrical—
('/See
back of fors)
/
O I9 SOy4h
RRed evAy
Lot:
?roject Address: 1
Subdivision: 1►var �G/�"�
Block: _Ve?;,
Z)tT3djM4 -
Owner's Name; �cSmYT/�G�►�t!
Phone: �13'
�OYIa2/
Address: 6002 OJ /goen�
Street ICity.
Zip
Jontractor: Oclvsxe!� GOU
Address :
Street City
Engineer: �,j e+,
Designer:
Phone: �%^ 411;- z?q
Zip
Building Use: 4�nAt_ Sao Sq. Footage: n Stories:
Valuation: . Describe Work: snrlwil mew C4nAe4
For City Use Only
Occupancy Type j@Mto C Flood -Zone K_ Class Work Sq. Ft.
Construction Type'17L IIse Zone �'i.G. Stories Parking r'equested�A
Commercial Buildings Plans only -Fire Mars ha'/1 pproval kA Date: N/K._
Checked/Approved for Issuance By:
�dN1
Snecial C=ditions /lr-5 Pealf Q?jfi&k+.5 /lej0 G'1*y df ZA 409- &;kaiaG'
permit No. - Permit Fee S `/^�y (attach to actual permit;
a.e..e
COMPLETE THIS PORTION FOR ELECTRICAL PERMITS:
NOTE: MINRIUM CHARGE ON PERMIT(S1 IS
$10.00
Description
Charges No.
Fees
PERMIT ISSUE SEE
5.00
1
_
S
Outlets, Fixtures, Lights t
5.00
Switches (1st 4 - Slat Fee)
2.00
S
_ Above_.Items_ (All Oars)
40
^t asking Machine
ea.
$
Dryer / Range
1.00
ea.
S
Cook Top'/ pyea / ran
2.00
1.00
ea.
tOGOv.pj(Cecmercial)
5.00
ea.
$
A/C, Plug-Zn',Daits
ea.
S
Water Heater
2.00
ea.
$
_Dishwasher /��Garbage Disposal
'
2.50
1.00
ea.
S \
-All Services / Temp. Pole /
ea.
S v
Temp. Cut-Zn
All Meter Gaits
10.00
ea.
$
Re inspection roe
5.00
10):00
ea.
ea.
$
.. 1`.•a
j} 11
J�� 1. t.
+.�Si
x-Ra}( Machines ;ri
t
_1'
10.00
, Motioq'Picture Machine
1'Z..?t` tnWldebc'e
3.00
ea. n-rr-;'(
$•
t Si circuit
4.00
ea.
,,l
$
�.�'-•.`\ ,Gas or Vaquum Tube Sign
`(•PertTranslormer) �Js
i
'` ;
JC'�00
ed . c•'',• '.�
ssr`
Electric Welder
2.00
. • �.. "
� t i
•1
MOTORS:
`
Dp to but not incl. 1/2 HP
;, 1/�. HP
1.00
ea.
$
r, -and less than 2 HP
\ ',:�._ ; 2 SP'ah&less than 10
3.00
ea.
' -\�
Hp
10.HP and less than 25 HP`,
i2518D
4.00
5.00
era :)
e;;
-
and less than 100 HF'r i.�<< :J�
100 HP and less than 150 HP
12.00•ea.
"
S
150 HP and over, per Hp
. 10
ea.
S
Permanently connected electric appliances and
equipmeof
any nature not otherwise specified shall be charged as follows:
Op to KW,
Inclusive
50
a.
e0
S
All over 1 KW to 10 XW
40
a
S
All over 10 KW to 50 M;
KW
$
All over 50 RW to lOp RW
20
F'd
.All over 100 AL7 $10.00 PLUS
04
KW
Total fee
g
COMPLETE THIS SZ&ION FOR PLUMMING PERMITS
Description
Charges No.
Fees
PERMIT IssuIt4G4tEE `•
$10.00 :V'tS '`:
k r:
•'S��••$ -
Plbg. Fixtures / Drains / Traps
1
2.50
10.00
Sewer (New, Repair or:Replacement)
ea.
5.00 ea. 'vj
$
Cesspool •;' „_;
5
Seotic Tank / Seepage Pit or
5.00 ea.
S
• Drainfield"•
Heater and/or Vent
10.00
2.50
;Water
. •. •' ' q
Gas Piping
�. .. System ( 1-4 Outlets)''-' �.�•
ea.
5.00
S
Gas Outlets, over 4 (Ea..Outlet)
1.00^ea..
S
S
Installation(,J►1•tia-3tion p : [ie . �. •
} ; F P
`Water'
t �•ti:1'';
, ,:r .' ..'., ...t a'.��;t ...
:..:•of P .
-Pin4 and/or, Water
-. c .�
-; . _
Treating Equipment I:1•�.. •, ��: r...
'S.00h• .. o••i�,. _
:?"�°.. �.� , - ':3�'��)
Repair/Alteration -Drainage or Vent � -
ea.
5.00
$
Ea. vacuum Breaker/Backflo?jPtooection
ea.
Device Installed'Subsequen C E;Nthe
Installation of the Piping or
Equipment Served .
-1.
Each One (1-5) !' `� - �' �� 2�%`•`
�.2,50 ea.� 1
`
Each One (Over 5)
'
1.50
- 14
ea.
5
-,Total ice•
May-08-01 03:06P Voice 713 641-0921 Fax 713 641 0066
04/17/2001 13:29 '1N14113 i1! rYlwitU ru�+v
u
P.02
rwr ua
Changes to 1019 South Broadway '" Ouli*
Remove walls a1.2.4.5,6. No change to wall x3.
Add wall p7 (dotted line, across entire width of building)22 ft. from front of building with door A 8
in middle. Add electric outlets to new wall
Create doorway N9 and door #10. Relocate electric outlets as nixessary
Renovate bathroom kl 1 �, M
Remove sinks, pi pc, cabinet Al2 Xj
Paint. carpet. and fix baseboards and tailing C
Ceiling lights chucked for heeded repairs \
A few other very minor details_
1015•So. Broadway
12errtov� rnizwd !lour arxi wa11 from old office.
G�
Fes.
CITY COPY
�e r00
City of La Porte
P.Q. Box 1115 l
Lz. Porte, Tx 77572-1115
(281)471-5020 ext 259,286 INSPECTION LINE: 471-9662
****ELECTRICAL PERMIT****
----------------------------------
Application Number . . . . .
Property Address . . . . . .
HCAD Number . . . . . . . . .
Alternate Search Method . . .
Application description . . .
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . .
Owner
------------------------
----------------------------------------
01-00000632 Date 5/22/01
1019 S BROADWAY ST
024-035-018-0001
REMODEL, RETAIL STORE/CUSTOMER SERVICE
LA PORTE
COMM - GENERAL
Contractor
BAYOU PROPERTIES CO ODYSSEY ROOFING COMPANY
6002 OSBORN ST 4906 APPLESPRINGS
HOUSTON TX 770331016 PEARLAND TX 77584
(281) 412-7287
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc ADD RECEPTACLES
Sub Contractor MOSER ELECTRIC
Permit Fee . . . . 14.20
Issue Date . . . . 5/22/01 Valuation . . . . 0
Expiration Date . . 11/18/01
Qty Unit Charge Per
BASE FEE
1.00 2.0000 EA EL - OUTLETS,SWITCHES (1ST 4)
8.00 .4000 EA EL - OUTLETS, SWITCHES (OTHER)
1.00 4.0000 EA EL - 2 HP AND LESS THAN 10 HP
---------------------------------------------------------------
Special Notes and Comments
1 AS PER DRAWINGS AND CITY OF LA PORTE
BUILDING CODE
2 PLEASE CALL FOR INSPECTIONS
Fee summary
-----------------
Permit Fee Total
Grand Total
Charged Paid
----------
14.20 14.20
14.20 14.20
Signat)d-r—i of Contractor or Authorized
Approved by Building Official or Authoriz
Credited
.00
.00
Extension
5.00
2.00
3.20
4.00
Due
------ - --- ------
Date
ant Date
Cite of La Porte
F;tubl;.4ied 1,99_7
Building Mechanical *Electrical. *Plumbing:
(* See back of form)
Project Address: /QM Lot:
Subdivision -
Owner I s Name:/�✓ 0"/yCvI�//�.�
Address:
Street City.
:ontractor:_ 0 "(ft (0
Address:'_ 6 ')
Street
Engineer:
Designer:
Building Use: —
Valuation:
ty
Sq. Footage:
Describe Work:
For city Use only
Block:
Phone: �iA31-1i�a1
Zin
Phone:'%�-,
Occupancy Type Flood Zone Class Work
Construction Type Use'Zone # Stories
Commercial Buildings Plans Onlv-Fire Marshal Approval
Checked/Approved for Issuance By:
Special Conditions:
Zip
Stories:
Sq. Ft.
Parking requested
Date:
Date:
Pe_-'mit No. - i Permit Fee -� (attach to actual permit,
P.r. aP
��!. �. 1 � �S i I � � • L.1 :... .. I �: X.1< � � i i : i • 1 i \',i 1 _ � � . `C _ .
COMPLETE THIS PORTION FOR ELECTRICAL PERMITS:
NOTE: MINIMUM CHARGE ON pERMITf(S)- 7S
$10.00
Description
Charges No.
Fees
PERMIT ISSUE FEE
5.00
_
Outlets, Fixtures, Lights G
1
$
5.00
Switches (lst 4 - Flat Fee)
Above Items Others)
2.00
2.00
40
Washing Machine
.
ea.
Dryer / age
1.00
ea.
$
Cook Top / Oven / ran
2.00
1.00
ea.
$
Oven (Commercial)
5.00
ea.
A/C, Plug-Ia Units
2.00
ea.
$
Water Heater
2.50
ea.
$
Dishwasher / Garbage Disposal
1.00
ea.
ea.
$
$
All Services / Temp. Pole /
Temp. Cut -la
10.00
ea.
$
All.Meter Units
5.00
ea.
$
Rainspection Fee
10.00
ea.
%-Ray Machine
10.00
ea.
$
Motion Picture Machine
3.00
ea.
Incandescent Signs, per Circuit
.00
ea.
$
$
Gas or'Vacuum Tube Signs
(Per Transformer)
Electric
4.00
Welder
2.00
ca.
$
MOTORS:
Up to but not incl. 1/2 HP
1.00
ea.
$
1/2 HP and less than 2 HP
3.00
ea.
$
2 HP and less than 10 HP
10 HP and less than
4.00,ea.
25 HP
25 HP and less than 100 HP
5.00
10.00
ea.
100 HP and less than 150 8P
12.00
ea.
ea.
$
$
150 HP and over, per HP
10
ea.
$
Permanently connected electric appliances
and
equipment of
any nature not otherwise specified shall
be charged as follows:
Up to RW, Inclusive
50
ca.
ca
$
All over 1 RW to 10 EW
40
All over 10 KW to 50 W
30
RW
$
All over 56 KW to 100 EW
20
E'd
$
All over 100.KW $10.00 PLUS
.
. 04
gW
$
$
Total
COMPLETE THIS SECTION
FOR PLUMBING PERMITS
Description
Char es
No.
Fees
PERMIT ISSUING FEE
$10.00
Plbg. Fixtures / Drains / Traps
2.50
1
$ 10.00
Sewer (New, Repair or Replacement)
ea.
5.00
$
Cesspool
ea.
$'
Septic Tank / Seepage Pit or
5.00 ea.
$
Grainfield
water Heater and/or Vent
10.00 ea.
$
Gas Piping System (1-4 Outlets)
2.50 ea.
5.00
$
Gas Outlets, over 4 (Ea. outlet)
100
$
Installation,
Installation, Alteration or Repair
$
of Water Piping and/or Water
Treating Equipment
5.00
RaPair/Alteration - Drainage or Vent
ea.
5.00
$
: Ea. Vacsum Breaker/Backflow Protection
ea.
$
Device Installed Subsequent to the
Installation of the Piping or
Equipment Served
Each one (1-5)
Each One (Over 5)
2.50 ea.
$
1.50 ea.
$
Total fee: $
t
City of La Porte
Lei I Lid M
OF
JOBADDRESS DATE a` 01
/()i 9 S /�Rvti/�wti7
THIS JOB HAS NOT BEEN COMPLETED
The following additions or corrections shall be made
before the job will be accepted
It is unlawful for any Carpenter, Contractor, Builder, or
other persons, to cover or cause to be covered, any part of
the work with flooring, lath, earth or other material, until
the proper inspector has had ample time to approve the
installation.
After additions or corrections have been made,
call 281-471-9662.
For additional information call 281-471-5020, Ext. 259
i; PRESS HARD - USE BALL POINT PEN
tJit'..:r..::t.-ar.:1."L':.'�::...:-.s_u' �:..=y;;�_._.....•.,..z.n2•�.Get.n1�:`�t",.::v.:i:.�ccl2'�':+'�.:.'.�::}y.��.
City of La Porte
P.O. Box 1115
La-PCTT*e, Tx 77572-1115
(281)471-5020 ext 259,286 INSPECTION LINE
****ZONING PERMIT****
-----------------------------------
471-9662
-------------------------------------
Application Number . . . . . 01-00001420 Date 9/24/0
Property Address . . . . . . 1019 S BROADWAY ST
HCAD Number . . . . . . . . . 024-035-018-0001
Application description . . . ZONING PERMIT
Subdivision Name . . . . . . LA PORTE
Property Use . . . . . . . .
Property Zoning . . . . . . . COMM - GENERAL
Property owner . . . . . BAYOU PROPERTIES CO
Owner address . . . . . . . . 6002 OSBORN ST
HOUSTON TX 770331016
( )
Other.struct info . . . . . SIC CODE (ZONING PERMITS) X
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Permit . . . . . . ZONING PERMIT
Additional desc . . PAINTED PONY'N'QUILTS SIC#5949
Permit Fee . . . .00
Issue Date 9/24/01 Valuation . . . . 0
Expiration Date . . 3/24/02
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Special Notes and Comments
PAINTED PONY 'N QUILT
RETAIL SALES (SEWING,NEEDLEWORK,ETC)
SHERRIE THOMAS (CHARLES
SIC#5949
Fee summary Charged Paid Credited Due
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Permit Fee Total .00 .00 .00 .00
Grand Total .00 .00 .00 .00
Y
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THIS PERMIT BECOMES INVALID WITH ANY CHANGE OF USE,
OCCUPANCY, TENANCY OR OWNERSHIP OF THIS BUILDING OR LEASE
SPACE. /J
OWNER OR AGE why tiY _DATE
ZONING ADMINISTRATOR DATE �-