HomeMy WebLinkAboutX2016-1865 - Permit ApplicationW r heet for Combo Building & Solar Permit Application
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Description of Work
Use F7 Const Type C
#Stories #Units (if Res)�j
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New/AddSF
Remodel SF Garage/New/Addl /l//rte
Valuation 5
Material/Labor
OWNER'S NAME
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Last ir- I First 1
Own)er's Address
Owner's E-mail Address
City
StateFETI Zip Telep one O
APPLICANT'S NAME
Last �U
Applicant's Address
Applicant's E-mail Address
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City I State Zip leph
ITECT/DESIGNER'S NAME Last First Lic. No.
Architect/Designe ss
Architect/Designer's E-mail Address
City
Zip Telephone��
INENC EER'S NAME
Last First Lic. No.�
Engineneer's\Addle
Engineer's E-mail Address
City
tate Zip Telephoned
TRACTOR'S NAME/COMPANY Lic. No. Class
Contractor's A dre s
Contractor's E-mail Address
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City
Zip Telephone�j
SETBACKS REAR
SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $