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HomeMy WebLinkAboutAPPLICATION COUNTY - 08-00298 - 957 S 12th W - High Plains Drilling - Tenant Finish4%`•PR`�e.w.-�aysaYRa9gsemayrtdm yxw.: :en.vnxA"a"m.tir.RTta .r.. n:..Atl�q a�S�^,WYa J�4To `x.'SS"sc' ..n.v .:n+s .rt4¢+-vAeory%,.%a •..: L �.ro Ylw. [,,.'+m w�sec�.gy"Rir.W:vy � -00 I �1F MADISON COUNTY BUILDING Permit No.:�/--a( - a 7- o DEPARTMENT Issue Date: THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK Rpeo') 3iz�' 3lo3�d HEREIN INDICATED OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. This permit is issued subject to the regulations contained in the International Building Code 6 Zoning Regulations of Madison Countyand it is herebyagreed that the work to be done asshown in the plans 4 specifications will be completed in accordance with the regulation pertaining andapplicable thereto: The issuance of the permit doesnot waive restrictive covenants Owner: � � � '� � , /„ Job Address: .��/� !� lei Builder:(' ,/ /, —!_-�I«L' Architect/Designer: Phone No.: -`S` Phone No.: Structure: 10 New I ❑ Remodel I ❑ Addition I ❑ Repair I ❑ Renewal 1 ❑ Fire Damage ❑ Residential ❑ Commercial ❑ Educational ❑ Government ❑ Religious ❑ Fence ❑ Patio ❑ Shop ❑ Garage ❑ Carport ❑ Deck ❑Shed ❑ Agricultural Bldg. ❑ Multi Family ❑ Sign Footina oncrete FoundationBaseIQ-ors o oncrete I io Masonrryy °Masonry grit° 0Full oncrete E3Wood nervy GOde Compliance C)Monolithic Footing ❑ICF ONo ❑other 13Roof & Floor ❑All Weather Wood 13Unfinished OFinished x e io I s oncrete Ito io alls Ceiling Open Roo Heating dGas— ❑Wood oncrete °Wood °Wood ui t Upp °Wood Sh. 130il try°) 13Masonry GMasonry ClAcoustic °Comp Sh. E3 Coal CIVeneer ClDrywall c3Drywall ❑Tile 13Fireplace °Metal OPlaster 13Plaster 13Singgle Ply OElectrical E3Stucco °Tile °Tile ElMefal ❑Other 13ICF Remarks: Value:$ Fee:$ 7� OCheck 0 Cash how , Applicant: �' f Date: Inspector: Date: Ei White- Owner Copy Canary - Building Dept. Copy Pink - Inspector Copy Goldenrod - Assessor Copy