1986, 05-16 Permit: 00011048 ResidenceAPPLICATION
DATE
PROJECT
SE .:
DATE:
SIGNATURE OF
OWNER OR AGENT
JOB ADDRESS
STRUCTURAL...
Building Code Fee
Energy Studios Surcharge
BUILDING
Valuations Curr
4 of Floors 01 1
i :IMARY STRUCTURE:
) rG:::>r- ; DWELLING
Sq -Ft 1210 (kc: u
'JE:.C.ONDARY 4:3TRU TUR
Dc• :>c : DWEL L...I NGUB
Sq -Ft 1104 0 c c u
() ?sc" t GARAGE
ci -•• Ft 4114 0 c- c: u
49696
of B drocsm > 000
Group: R--3
anc-y Load
Group: R-••3
Iaanr..y Load
Group: M-1
panc:y Load
FEES:
.T171
PAID BY:
G
COUNTER APP:
PLANS EXAM:
DATE:
4 of Room<.., 000
Type: VN
ate 32.00
Ty.e: VN
Rate 6.00
Type: VN
Rata 8,00
INSPECTOR'S nnov
TOTA�.L.. FEE
TOTAL.. FEE $1
TOTAL FEE t $414 .
Permit Fee 414.50
*;3105,:
OWNER:
ADDRESS:
CITY: ST: ZIP:
APPLICANT:
CONTRACTOR:
ADDRESS:
CITY: ST: ZIP:
PH: LICENSE.:
1.R1l:'
ARCH/ENGINEER:
ADDRESS:
CITU: 5T: ZIP:
PARCEL.:
CENSUS TR:
INSPECTOR:
PLATY:
000
LOT & BLOCK
()U: u11
FINAL
PLATNAME:
:711i: LD EAS'i 2N1"
ZONE.:
ZONECJ
SFIz.
FSB
5-1
('111U
5 - 2
RSB
MOD
USE OF PERMIT:
JOB ADDRESS:
STRUCTURAL...
Building Code Fee
Energy Studios Surcharge
BUILDING
Valuations Curr
4 of Floors 01 1
i :IMARY STRUCTURE:
) rG:::>r- ; DWELLING
Sq -Ft 1210 (kc: u
'JE:.C.ONDARY 4:3TRU TUR
Dc• :>c : DWEL L...I NGUB
Sq -Ft 1104 0 c c u
() ?sc" t GARAGE
ci -•• Ft 4114 0 c- c: u
49696
of B drocsm > 000
Group: R--3
anc-y Load
Group: R-••3
Iaanr..y Load
Group: M-1
panc:y Load
FEES:
.T171
PAID BY:
G
COUNTER APP:
PLANS EXAM:
DATE:
4 of Room<.., 000
Type: VN
ate 32.00
Ty.e: VN
Rate 6.00
Type: VN
Rata 8,00
INSPECTOR'S nnov
TOTA�.L.. FEE
TOTAL.. FEE $1
TOTAL FEE t $414 .
Permit Fee 414.50
*;3105,:
1 INSP
ID
DATE
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