HomeMy WebLinkAboutX2021-1297 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Appiication @41
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OWNER'S NAME Last L i V
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APPLICANTS NAME Last 6t) (CA AL;) First I t I [I l q L/L/1
Applicant's Address
Applicant's E-mail Address
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ARCH ITECT/DESI NER'SNAME Last (�U(
First Cl Itiv1 Lic. No.
ArchitectlDesigner's Address
Architect/Designer's E-mail Address
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ENGINEER'S NAME Last 1 ' - \ �_i vy\
First Lic. No. L•
Engineer's Address
Engineer's E-mail Address
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CONTRACTOR'S NAME/COMPANY Lic. No. F7--Classi
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ontractor's Address
Contractor's E-mail Address ' \' D
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City State F
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SETBACKS REAR SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. ]2021
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES log, i