Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
1986, 10-15 Permit App: 00013916 Duplex
(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 Project Number Owner's Name LAST FIRST MI Project Address (Street Name & Number) 2/ /a CAL01N s*. Applicant 1,0o If L /--n) Ti City eo. Zip 9 9a /6 vamearmEMMIMA Address �� 7/7 ,�D,`Nes State QUA-. I Zip 99aA6 Phone (S�> Q592 Business Phone Address Contractor/Agent CityState State Zip Phone Contact U1/Yee Se1p Architect/ Engineer License Number (Required) LUOL P J- e l /1-10 Business Phone (S/) 9a/ 5 92 Address City State Zip Phone Contat!t Business Phone Lender ifbfiesN m7-6. / ic/v, State City Address Zip Phone DeearIbeWorkRes. TX7—,0A) ©G tee.S. bup %ex 00/USUC ,! L/ Comm. Bubahisbn/Plat Name/Short Platt Number — ©U%le s a/77%(04) Assessor Parcel Number - 33©.3 /.,�,3S3 — 3.369 Lot S M1 Block Plat Number .266--i.,s Pertinent File Numbers // Zon.3 °�'*j"^/t , Comp. Plan Census Tract Number of Dwelling Unita 94.0 Number of Buildings Lot Size (Sq. Ft./Acre) /4// X 90' Depth ' ` + I 144 Frontage 1 nt - l d Ftottt Left Setback t Right Setback , Rear Setback RI W Width Additional Information ING INFORMATION Square Footage CI Number of Bedrooms Type ButI �iatg Technician .,1tN Date QGroup (©—IC✓a,c R 3 DEPARTMENTAL REVIEW I certify that I have examined this application and state that the information contained in it and submitted by me or my agent to compile said application I true and correct. Signature Date Approved Approval Hold Environmental Health Application 1 (/� //6 io/i6/Sta W. 1101 College Room 200[�%ryw/1f t r7 /? AS l Planning/Zoning N. 721 Jefferson Engineers /p�-/g N. 811 Jeffe'"sonn �' r —/ / i 1' _ _ 0 / /40 /� Gli,(Z.Q/ _ — - _ , �/�-1-2..,iL • b." `, Aj /ff Utilities N. 811 Jefferson I Plan Review/Fire Prevention N. 811 Jefferson Other (SEPA/Critical Material/etc.) Fast Track/Special Inspection Information Protect Representative Phone Address I certify that I have examined this application and state that the information contained in it and submitted by me or my agent to compile said application I true and correct. Signature Date ,Qasic /4/S D PL c x ALT -0,2 r- '48 "' 1 J • ' 3S' rt a�• ;r CCCFU-1 oursc rrl�SN %Lov(Z © 0 eciJC. -re.4 � Ai�D0-i 41-E P1dnil 6i` ' ,9 T . Z Ste. ASTm 0-3o3y-SO-`3� Ca PPE O E zory.1 BLK. / � raw,(.¢5 Aoo caz..04- Z� a a .Lo I -a3.3 j , r3[X. / re c)N6VS 4D 7. II CALvii s T. • # al. y /�•�.rr