HomeMy WebLinkAboutPermit 34 - Pac Tel Northwest - Phone Repeater Station Pac Tel Northwest
BUILDING
PERMIT No,
N° 34
OWNER
-•-- EN C'
MAIN
ADDRESS
DEPTH
PHONE
63
D AT
BUILDER
BUILDING
ADDRESS
X /!
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� .rLd
-*' o "V
SIZE �
2f - a �{ q y
m ✓.x - Vaao.
FT, Bq. FT.
ARCHITECT
ADDRESS
BUIL
JOB
STREET / L j
^ N MBER
/ �
AREA
ADDRESS
T
/"!'
G7 !
USE ZONE
LEGAL�'�W -
r
a g1 - �► G 7 r /MT de (3 4AI /
LOT S ZE�
FT.
FT. Sq. FT.
:Z y (/
V iFi
LOT
BLOCK
YARDS
DISTANCE TO
MAIN
BUILDING
SET BACK
SIDE YARD
REAR YARD
NEAREST
BUILDING
ACCESSORY
BUILDING
SET BACK
BIDE YARD
REAR YARD
NEAREST
PROPERTY LINES
�'S�S
`
//��
/
SQ. FT.
BUILDING
CLASS OF WORK
U
REMARKS: DESCRIPTION OF ANY WORK NOT COVERED ABOVE
WARNING I NOtity buil Uepartment by 6 treet Address and Permit Number when ready for inspection. Work must not be
covered before inspection and OK for covering has been given by Inspector in writing on Perm Placard.
I hereby acknowledge that I have read this application and state that the above is correct and I further agree to comply with all
Town Ordinances, State Laws, and lawful orders of the Building Inspector governing building construction,
Written Authorization of the owner must be pre-
sented when work is done by occupant or lessor OWNER BY X
PERMIT FEES: (THIS SP CE FOR UIL �NG D ARTMENT USE ONLY)
JJ HOUSE & OTHER MISC. ---�'
HOUSES ARAGE S G ARAGE S BUILDINGS FEES S
� � RECEIVED PERMIT
NO. /
BOND TOTAL FEES S 16 --- BY BY DATE
NOTICE THIS PERMIT DOES NOT COVER PLUMBING, SEWER, OR WIRING INSTALLATION.
PERMIT PLACARD MUST BE POSTED ON THE WORK
MAIN
WIDTH
DEPTH
AREA
BUILDING
011
X /!
_ ) t
� .rLd
TYPE OF CONSTRUCTION
SIZE �
4 a
FT. ��
FT, Bq. FT.
BUIL
ACCESSORY
WIDTH
DEPTH
AREA
X
FT.
FT. Sq. FT.
eq, FT,
EXISTING BUILDING AREA----------- --
SQ. FT.
LOT COVERAGE
TOTAL AREA
OCCUPIED
LOT AREA
LOT AREA OCCUPIED py
•
SQ. FT. / �.. SQ. FT.
/�
/
EXTERIOR
FINISH
OCCUPANCY
TOME USED
7P1
HOW
BASEMENT
AS
HEATED
S12E SQ. FT.
ROOMS
TOTAL
BED
ROOMS
OATHS
LIVI O L.D
COMBO
DEN
KITCHEN
NOOK
K'D
NOOK
GARAGE ATT. Q
DET. O
VALUATION OF
ALLIMPROVEMENTS
HOUSES
-T
GARAGES
HOUSE - ATT. GARAGE;
OTHER S
FOUNDATION OK
FRAMING OK
FINAL INSPECTION
REMARKS: DESCRIPTION OF ANY WORK NOT COVERED ABOVE
WARNING I NOtity buil Uepartment by 6 treet Address and Permit Number when ready for inspection. Work must not be
covered before inspection and OK for covering has been given by Inspector in writing on Perm Placard.
I hereby acknowledge that I have read this application and state that the above is correct and I further agree to comply with all
Town Ordinances, State Laws, and lawful orders of the Building Inspector governing building construction,
Written Authorization of the owner must be pre-
sented when work is done by occupant or lessor OWNER BY X
PERMIT FEES: (THIS SP CE FOR UIL �NG D ARTMENT USE ONLY)
JJ HOUSE & OTHER MISC. ---�'
HOUSES ARAGE S G ARAGE S BUILDINGS FEES S
� � RECEIVED PERMIT
NO. /
BOND TOTAL FEES S 16 --- BY BY DATE
NOTICE THIS PERMIT DOES NOT COVER PLUMBING, SEWER, OR WIRING INSTALLATION.
PERMIT PLACARD MUST BE POSTED ON THE WORK