1985, 08-21 Permit App: 00007022 Garage Remodel(THIS IS NOTA PERMIT)
BUILDING PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
COMPLETE IN INK
(Please return this original and your building plans to the Department of Building and Safety)
SHADED AREAS ARE FOR DEPARTMENTAL USE
Owner's Name LAST FIRST
Project Address (Street Name & Number)
Applicant
IProject Number
-70r2/7
State
Phone
Business Phone
Contractor /Agent Address
State
Zip Phone
Contact License Number (Required) Business Phone
Architect/Engineer
City
Contact
Lender
City
Address
State
Phone
Business Phone
Add ess
State
Zip Phone
8