HomeMy WebLinkAboutX2020-1769 - Permit ApplicationXUu
Print Form Worksheet for Combo Building & Solar Permit Application
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Project Address (N t ma�in�a ress , Flood
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Description of Work
Use Const Type
#Stories # Units (if Res)
17
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Valuation $ I
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OWNER'S NAME Last F!?O�
First
Owner's Address
Owner's E-mail Address
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APPLICANT'S NAME Last ciyruiSOpJ'.
First
Applicant's Address
Applicant's E-mail Address
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ARCHITECT/DESIGNER'S NAME Last 040650*-
First Lic. No.
Architect/Designees Address
Architect/Designer's E-mail Address
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ENGINEER'S NAME Last A34011C -z- First cJ 06-7 Lic. N - S/ .414
Engineer's Address
Engineer's E-mail Address
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CONTRACTOR'S NAME/COMPANY
Lic No. Class
Contractor's E-mail Address
Contractor's Address
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Zip Telephone[�
FRONT
PERMIT NO. X�� Z.p - ))^�7,^
SETBACKS REAR SETBACKS
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. 1 I [•Fl Lb
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $
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