1994, 10-12 Permit App: 94010103 ReroofSITE ADDRESS
12 ��o.e. C/T g a
APPLIOATIJN INFORMATION
Legal description
one:;
aterdistnct:;:;
OWNER
Inspector district ;f..
LIoYP 2. KAnso-y.
ddress
f/ttO R00-1kt
APPLICANT Aare
Address
ONTACT
Parcel number
Property size
Rightofwaywidth
City lal p(� eo 19. 4
9, Phone .. ft?",/ i(p
C/g150 to
PERMIT USE
I U
Building New_ Mange of use
Add _ Remodel
Phone
dite-t.e.4140. 41P
Building height
Stories
ontractor
icense
Address
VaL-fCo.
Dimensions
Main floor
Second floor
Total square footage
Unfinished basement
Finished basement
Architect/Engineer
Garage
Decks, etc.
Value
Manufactured Home
Sign
Width:
Length:
Square footage
Height
Year:
Make:
Contractor
Contractor
License
License
Address
Address
City, state, zip
City, state, zip
Relocation
Fire Safety
Previous address
Fire Sprinkler _ Tent
Paint booth Fire Alarm Fireworks display
VALUE
Contractor
Contractor
License
License
Address
Address
City, state, zip
City, state, zip
Fuel Storage Tanks
(Circle one) Above -ground Underground
Contents
Swimming Pool
Size / gallons
Size / gallons
Private
Public/semi-private
Contractor
Contractor
License
License
Address
Address
ity, state, zip
City, state, zip