1994, 09-29 Permit App: 94009593 Reroofe.,14Att 0.1iN
APPLICA-1'10N INFORMATION 8_ ,
SITE ADDRESS Parcel number
z "J . QOP-AJs ys/V/. o7/ 9
Legal description
Zone:.
Inspector district
Property size
Right of way width:.
Water district.
OWNER Phone
Address City, state Zip
APPLICANT
1 m e (, Phone q 7--g. , 1 3
Ce ��� `
Address l D LXL (1)(7()City, state S U ZIP ,
c
CONTACT Phone
PERMIT USE
Building�001C. New_ Change of use_
Add Remodel_
Building height
Stories
Contractor n �,�j_ I �� Co
I �s
Dimensions
Total square footage
License / '� n
LSV L) / - O ,i J
Main floor
Unfinished basement
Address ((20,1 s • I. a s t
Second floor
Finished basement
Architect/Engineer
ie... gib
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
Swimming Pool
Contents
Size / gallons
Size / gallons
Private
Public/semi-private
Contractor
Contractor
License
License
Address
Address
City, state, zip
City, state, zip