HomeMy WebLinkAboutPV2021-221 - Permit Application'vmao Building & Solar Permit Application
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NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL _22)
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Project Address 'Plum Cu Yd cut1
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Description of Work
Use Const Type
# Stories #Units (if Res)'
New/Add SF` Gzin, a��� l c "I
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Garage/New/Add �--_�� Valuation $ �/' �j
OWNER'S NAME Material/Labor . CO
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Owner's Address t l cty�l'.L e-- --- First
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City
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APPLICANT'S NAME ^ Zip
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Applicant's Address ��S First
� ail Address
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Applicant's E
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ARCHITECT/DESIGNER'S NAMEZip e�' 1 L)) Telephone
Last
Architect/Designer's Address First
Lic. No.
City
_ State �.
ENGINEER'S NAME
Last
Engineer's Address ✓ ✓
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City
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CONTRACTOR'S NAME/COMPANY
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Contractor's Address — rt„�Lic
. No. �
'`L`�'2�� Class
City (�
Stated
Architect/Designer's E-mail Address
Zip F�� Telephoned-�!
First
eer's E-mail Address
zip I`?2&n
iETBACKS REAR —
iETBACKS LEFT �
— SETBACKS FRONT
SE ZONE �� SETBACKS RIGHT
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DEVELOPMENT NO
Contractor's E-mail Address 9Ca
Zip! Telephone--�`
PERMIT NO.
PLAN CHECK NO.
PLAN CHECK FEES $ L j