HomeMy WebLinkAboutX2021-1731 - Permit ApplicationPrint Form ,] Worksheet for Combo Building & Solar Permit Application
Comm'I r Residential NOTE: PIty of LAN CHECK ort EES DUE each - AT TIME OF uilding Division
SUBMI TALC 2 '
F -Building Grading [—Drainage I-Elec rMech r; Plum cuydcutr- CuydFillI—
Address (Not mailing address) F Flood F- Fire F- Liq r Landslide rN/A Floor Suite No
�as 1 AWAT� >a�X I -- I-, :.
Description of Work Use F Const Type
if�P1M 'FT
#Stories #Units (if Res)
-- ___ - --
Valuation $
New/Add SF�— Remodel SFE- Garage/New/Add F7777 Material/Labor
OWNER'S NAME Last I First
Owner's Address Owner's E-mail Address
- --
City State E77zipF Telephone
—
APPLICANT'S NAME Last
First I
TBACKS REAR
TBACKS LEFT
SETBACKS FRONT
SETBACKS RIGHT
ZONE DEVELOPMENT NO
PERMIT NO. ,l
PLAN CHECK NO. I�ZV
PLAN CHECK FEES $