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HomeMy WebLinkAbout05030033-Application ' rOH,'/~//jp Permit #:~~ , IMPROVEMENT LOCATION PERMIT APPLICATION For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures RECORD: ~qaO0_ ~x ~)~_ BUILDER'S EMAIL ADDRESS PHONE STREET ADDRESS ~ CTTY SECT]ON (EXCLUDING LAND VALUE) N~E OF ~ ~VA~ ~OR; P~ C~HI~I~ / B~ / ~ ~ NU~BE~; TAC DA~(S); ~D/OR ~U~ W~ ~D/OR ~C P~ ~ (IF ~U~): TOWN HOME N~V STRUCTURE LJ ROOM ADD,T/ON(S) E3 TWO FAMILY # of units: [] PORCH ADDTrlON(S) (~ MULTi-FAMILY [] REMODEL # of Units [] ACCESSORY BUILDING E] RESIDENTIAl. (For Add tions, Remodels, Etc ) Permit: Which plumbing code~ will be a '~ ~ ,cai Godes. Construction ~C ¢~!VhJNf-'Fy S~ON TYPE: Pure-: ~ S~B lie within a s~al ~ d~ignafion a~a: y N [] POST & BEAM []] BASEMEN.T, WAU(OUT: y__N Base Inspections: ~ CJ (.~ # Char0ed Re- Site orCo ca Cert. of Occupancy: P.R.I.F.: TOTAL: Reviews AddiUon~ FeeF