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 �
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�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