1986, 03-27 Permit: 00010146 AdditionSIGNATURE OF - APPLICATION
OWNER OR AGENT DATE
mnAnnnFsa
STRUCTURAL
Boilding Code Fee
BUILDINC
SE
ITERRY
17711 1-- C OIALl"Y
PAR EL—
CENSUS TR:
INS EC OR:
0 0 (.j 14500
006
FINAL
PLAT NAME:
lzol
USE OF PERMIT:
joB ADDRESS:
STRUCTURAL
Boilding Code Fee
BUILDINC
SE
111TE;
IT-A-
COUNTER All: ry
S I X A M:
Val oation. Corr 8064
# of Floors 01 # of Bedrooms 000 # of Rooms 800
PRIMARY STRUCTURE:
DescDWELLINC roop� R-3 Type: VN
Sg-F� 336 Occopancy Load Rate 24.80
SECONDARY STRUCTURES:
'
O�-^�7--~�
.. ~OFFICE COPY
TOTAL FEE
TOTAL FEE
Permit Fee
$1.50
$108.00
108.00
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