HomeMy WebLinkAboutPV2021-169 - Permit ApplicationWorksheet for Combo Building & Solar Permit Application
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Description
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OWNER'S NAME Material/Labor
Last L�� First %°�
Owner's Address LJ1161V
Owner's E-mail Address
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APPLICANT'S NAME Last r>1
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ARCHITECT/DESIGNER'S NAME
Last
Architect/Designer's Address First
Lic. No.
Architect/Designer's E-mail Address
City
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Zip F
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ENGINEER'S NAME
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Engineer's Address - Lic. No.
Engineer's E -mal Address
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CONTRACTOR'S NAME/COMPANY
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SETBACKS REAR — SETBACKS FRONT
SETBACKS LEFT � PERMIT NO. P�v VV G I d
SETBACKS RIGHT
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PLAN CHECK NO. O P h
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