HomeMy WebLinkAboutAPPLICATION - 92-00002 - Dr Max Crouch Medical Office - AdditionDate of APP14catr
APPLICATION FOR BUILDING PERMIT
BUILDINGRTHEN ,
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CONTRACTOR
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Name
Street 7lc1drese Street Address
t3alling Address
CitYr State my-'.
City staLe
e I..'tDU.
Zip ,`���Q� Telephone //SS-
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Za.p Telephone�J/.�
Architect Ti ineerin U"
Ida. Wc. 140 .
Mailing r igg
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cit 5 stag703-P Tel. No*
LEGAL DESCRIPTION (ATTACHE COPY IF NECESSARY
Lot No* 13
subdivigion.
Permitside of Slt:reeL
ss (Lo be aggignedby City)'
Project I n f1 i completed applicant)
li ions Fence Patio
Reeidence ""K.COMM. Educational Gov, t Re
Carport CarageYasin
structure: New Remodel ddition Repair Renewal
Total Floor Area
Number tori �'6a'.ala
o lied BaBement Sq. footage Bao : - U1.1f Jni-ohed Basemen
footage Unfinished Basemen
What will structure be use6 for
applicable)7
if use io mulLiplefamily (apartments)
Estimated coo{ 4
Will Owner occupy I -t?
Other e 5
(include name of busineas if
o � ai ion
Group Type Construction
how many units
Sell i7
Use Zone
Building Permit Feeu Plan Check Fees -
Permit Fees Digging Permit Fees
Sewer Hookun fees oUher Fees
Signature Apel is a
Sionature of Building InBpector�-,-,,
Isaued,�
Plumbing
y+ y