1985, 10-21 Permit App: 00008189 Demo Garage(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)
Il Project Number ._.___
Owner's Name LAST FIRSTMI
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Project Atltlr Street Name 8 NunfbOr) t Zip
Applicant
,P%i✓ 9 'T €42
Address
7=P2 3FyAL,;c
City
S/00k��C
State
WK
Zi
`77212-
Phone
(g 7) 72g SI, Z5(
Business Phone
(.5'a9) zv7 3-03c°
Contractor/Agent
Address
City -
State
Zip
Phone
( )
Contact
License Number (Required)
Business Phone
( )
Architect/Engineer
Address
City
State
Zip
Phone
1 1
Contact
Business Phone
1 ( )
Lender
Address
City
State
Zip
Phone
( )
Describe Work
zv X 2.4 Gf aisr,E C Ria7" Prlamts
Res.
Comm.
Subdivision/Plat Name/ Short Plat Number
Assessor Parcel Number
Lot
Block
Plat Number
Pertinent File Numbers
Zone
Comp. Plan
Census Tract
Number of Dwelling Units
Number of Buildings
Lot Size (Sq. Ft./Acre)
Depth
Frontage
Front Setback
Left Setback
Right Setback
Rear Setback
R/W Width
Additional Information
. 212?--
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BUILDING INFORMATION
Square Footage
Number of. Bedrooms
Buildingr/� Technician
JO 1 ,v f/1^
Dale
I0''72'Qi1 p-^
Group
Type