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PERMIT No.
N? 160
OWNER
MAIN
BUILDING
WIDTH DEPTH AREA
_
X
ADDRESS
SIZE
PHONE
PT. FT. � Sq. FT.
DATE
�3
j='7_ ' e4_
WIDTH DEPTH AREA
x
FT. FT. — S0, FT.
OF
BUILDING
t/S�
s
us
s
BUILDER
/�.�s
..:7 r ���•
LOT COVERAGE
ADDRESS
60. FT. ' S0. FT.
EXTERIOR
yly
OCCUPANCY
TO BE USLD
HOW
BASEMENT
G -
G
HEATED
ARCHITECT
ROOMS I
TOTAL
ADORKSS
BATHS
LIVING
L.D
COMBO
DLN
JOB
ADDRESS
STREET �,
..�
NUAI�E$
GG
J/1 C
77 "7 J
/
USE ZONE
LEGAL
fG/
GARAGE S
HOUSE • ATT, GARAGE S
OTHERS
LOT SIZE
FRAMING OK
LOT ARE .
LOT
BLOCK
YARDS
MAIN
SET BACK
SIDE YARD
REAR YARD
NEAREST
ACCESSORY
SET BACK
SIDE YARD
REAR YARD
NEAREST
DISTANCE TO
BUILDING
euILDINO
eu1LDING
BUILDING
PROPERTY LINES
r`I_ASS OF WnRK A/):-;71A/ _ C"!/'A"e
REMARKS; DESCRIPTION OF ANY WORK NOT COVERED ABOVE f,7/C /'/ �/ .la OK 4"
WARNING Notify Building Department by Street 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 Permit 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 City Ordinances, State Laws, and lawful orders of the Building Inspector governing building con-
struction.
Written Authorization of the owner must be pre- p _
sented when work is done by occupant or lessor OWNER &ate
PERMIT FEES. (T IS SPACE FOR BUILDING DEPARTMENT USE ONLY)
s� 6/I�s --
HOUSE Bt OTHER MISC.
G ARAGE S G ARAGE S BUILDINGS i FEES S
RECEIVE PERMIT
BOND NO.. TOTAL FEES S B Y BY TE
NOTICE: THIS PERMIT DOES NOT COVER PLUMBING. SEWER. OR WIRING INSTALLATION.
PERMIT PLACARD MUST BE POSTED ON THE WORK
MAIN
BUILDING
WIDTH DEPTH AREA
_
X
TYPE OF CONSTRUCTION
SIZE
PT. FT. � Sq. FT.
AGGGGGiiA
WIDTH DEPTH AREA
x
FT. FT. — S0, FT.
OF
BUILDING
t/S�
V /'
80. FT.
EXISTING BUILDING AREA ----------------
60. FT.
/�.�s
..:7 r ���•
LOT COVERAGE
TOTAL AREA OCCUPIED — LOT AREA — LOT AREA OCCUPIED
%
60. FT. ' S0. FT.
EXTERIOR
FINISH
OCCUPANCY
TO BE USLD
HOW
BASEMENT
AS
HEATED
SIZE 80. FT.
ROOMS I
TOTAL
BED
ROOMS
BATHS
LIVING
L.D
COMBO
DLN
KITCHEN
NOOK
K.0
NOOK
GARAGE ATT. ,❑
DET, [)
/
VALUATION OF
ALLIMPROVEMENTS
fG/
GARAGE S
HOUSE • ATT, GARAGE S
OTHERS
FOUNDATION OK
FRAMING OK
FINAL INSPECTION
REMARKS; DESCRIPTION OF ANY WORK NOT COVERED ABOVE f,7/C /'/ �/ .la OK 4"
WARNING Notify Building Department by Street 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 Permit 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 City Ordinances, State Laws, and lawful orders of the Building Inspector governing building con-
struction.
Written Authorization of the owner must be pre- p _
sented when work is done by occupant or lessor OWNER &ate
PERMIT FEES. (T IS SPACE FOR BUILDING DEPARTMENT USE ONLY)
s� 6/I�s --
HOUSE Bt OTHER MISC.
G ARAGE S G ARAGE S BUILDINGS i FEES S
RECEIVE PERMIT
BOND NO.. TOTAL FEES S B Y BY TE
NOTICE: THIS PERMIT DOES NOT COVER PLUMBING. SEWER. OR WIRING INSTALLATION.
PERMIT PLACARD MUST BE POSTED ON THE WORK