1986, 06-19 Permit App: 00011788 Bathroom, Family Rm(THIS IS NOT A 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)
Protect Number
Owner's NameLAST
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Architect/Engineer
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Business Phone
Lender
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. Subdivision/Flat Name/Short Plat Number.: