HomeMy WebLinkAbout030043-Application Application for Permit No,
Improvet ent Location Permit Date
Roll File
Thi~ permit is valid only if construction is started within 180 days of the date of issuance for residential construction; and for commercial proj ~
OWNER
STREET ~'A t {¢-~,-CITY STATE
LOT SUBD1V~ION ,S~ON
LOCATION
ZIP
ADDP~SS OF CONSTRUCTION
CONSTRUCTION
Type of Foundation
F. TYPE OF IMPROVEMENT
1. [] New Structure
2. [] Addition: Porch Room
3. [] Remodel [] Commercial Tenant Space
4. [] Foundation Only
5, ~ Demolition
Accessory Building
[] Garage Detached Attached
YES
YES NO_
H. Flood Zones
I. Sump Pump YES
J. Manufactured Trusses YES
K.
E ESTIMATED COST OF CONSTRUCTI~ON
(Excluding Land Value) __ ~ 14~ooo,
not beu~ or OCCUpied untU a
(Phone
haspection Fees: :
~ serVice~ Fee Received by