1986, 08-28 Permit App: 00012874 Residenceu-.
(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.pians to the Department of Building and Safety)
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Contractor/ Agent
Address
City State
Zip Phone
Conta Li ense Number (Required) Business Phone
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Architect/ Engineer(/Address
City
State
Zip
Phone
Contact
Business Phone
Lender
Address
City State
Zip Phone
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lot Size (Sq. Ft, /Acre) Depth Frontage
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Square Footage
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