1994, 09-15 Permit App: 94009015 ReroofAPPLICATION INFORMATION
SITE ADDRESS c , _ Parcel number
Legal description
Zone
Inspector district!, : :. : :::: ,i: : ,
Property size: - ::;,:: -: :
Right of waywidth.;;:;;::::::
Water drstnct
OWNER A AA
Phone
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Address
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City, st
13c )L,-1_<7 lt<C--- A Zip
APPUCANT Phone
. • 1/4_....._ V.]. \-e-_-, 7S-- 0 7e),)
Address ..A j , 0,...f 21.70.7 irva...t yt.A.._ City, state Zip 67,54:x s
CONTACT
hone
1141/it (A 1/4 ii -e ,32-- -. 7e
PERMIT USE •
Buildin New Change of use
06t Add RemodeT_
Building height
Stories
C °rdracthr—--- (...k vk
Dimensions
Total square footage
License—..
Main floor
Unfinished basement
Address
k‘_,•_,—*-
Second floor
Finished basement
ArchstecVEngineer
Garage
Decks, etc.
Value
Manufa tured 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
Swimming Pool
Contents
Size / gallons
Size / gallons
Private
Public/semi-private
Contractor
Contractor
License
License
Address
Address
City, state, zip
City, state, zip