HomeMy WebLinkAboutX2020-0937 - Permit Application (3)x2ozI-3Zs�
& Solar Permit Application �
Worksheet for Combo Building Building Division
Print Form City of p C9 i00.�'
Comm'I I— Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
Elec r Mech r Plum Cu Yd cut
Cu Yd Fill
Building r- Grading r-Drainage r� N/A Floor Suite No
Pro. ct Address (Not mailing address) I�
Flood (� Fire [ Liq r Landslide r-
wF_
Description of Work
New/Add SF
OWNER'S NAME
Owner's Address
r
City ....._.
APPLICANT'S NAME
Applicant's Address
Remodel SF
Last
Last
City I
ARCHITECT/DESIGNER'S NAME
Architect/ Designer's Address
City
ENGINEER'S NAME
Engineer's Address
City
Last
CONTRACTOR'S NAME/COMPANY
Contractor's Address
City
Last
U v Const Type I V is
# Storie 0
# Units (if Res)IT *
Valuation $ j
Garage/New/Add Material/Labor
F
i
r
First
Owner's E-mail Address
Telephone
State �__�__ Zip
First I
Applicant's E-mail-� Ad-
dress
I
State �._..__._._._.___ Zip � ..�---------___TelephoneF___
t Lic. No.
Firs
Architect/Designer's E-mail Address
State F_
Zip Telephoners
Lic. No.
First-�Y
Engineer's E-mail A--� ddress
t Zip �
Telephoner---
�
Sta e
State F
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
USE ZONE DEVELOPMENT NO
Lic. No. �� Classi
Contractor's E-mail Address
Zip � Telephoners—��
PERMIT NO.
PLAN CHECK N
PLAN CHECK FEES $