HomeMy WebLinkAboutBLD1987-00132 —,
, - RO D fCET
S tti SIDE OF '
I. LOCATION: pro Pip Mc nim< --.- , I
C' ROADT
N E ROAD AND r
S W FROM INTERSECTION OF
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other specific location or landmark: f,j_j '1
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SCCRIPTION: block s •• n
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pLEGAL
� ��✓"`' Section ownsn p flange
1a■ Number Y.Srgion
II,TYPE AND COST OF BUILDING-
BUILDING TYPE PUBLIC WORKS APPROVAL
TYPE OF IMPROVEMENT a
Single Family
Q New building
// ❑Multi-Family Road Acr S Permit No.
Addition number of units
Alteration D Hotel,Motel, Dormitory
0 Utility Permit No.
Repair,replacement number o/units
Wrecking
Mobile Horne Emergency Services No.
0 Moving(relocation) `9 Other—Specify StreetWide$ A:
0 Foundation only �/ B:
Additional Permits Required:
OWNERSHIP
Private(individual,corporation,
nonprofit institution,etc.) --e
❑Public(Federal,State or local goJL) UBC OCCUPANCY GROUP:
(Omit cents) Nonresidential— Describe in detail proposed tee of buildings,e.g.,food
COST machine shop,laundry building at hospital,elementary
S processing plant, school,parking garage for
• Toost of improvement wool secondary school,college,parochial
inthee installed but not included department store,rental office building,office building at industrial plant.
above cost
a. Electriol If use of existing building is being changed,enter proposed use.
_ ^/7 �
b. Plumbing.. 7�r 0
c. Heating,air conditioning ��``
d. Other(elevator,etc)
• TOTAL COST OF IMPROVEMENT S
ILL SELECTED CHARACTERISTICS OF BUILDING DIMENSIONS
•
TYPE OF SEWAGE DISPO •Number of Stories
PRINCIPAL TYPE OF FRAME 0 Public or Private M�S
Masonry(,,roll bearing) •Total square feet of Boot area,
etc.) all floors,base3d on exterior
VWood Frame /� Individ41= dimensions
—
$trucsural steel TYPE OF WATER SUPPLY •Total bred area,tsq.fti/�'/�
Reinforced concrete �0 public oy a company NUMBER OF OFFSTREET I ate`
p Other—specify 141 lndivid I (well, 'stem) PARKING SPACES
Jam` Enclosed
PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE Outdoors �,
Gas RESIDENTIAL BUILDINGSONjY I �,•
Q a it Number of bedrooms
/I Elearidty TYPE OF MECHANICAL {Fa&
I Number of
-1;7/
bathrooms Partial.., - ,
❑Other—SPecfY !
IV.IDENTIFICATION ZIP code Tel.No.
Mailing Address—Number,street,city and State 57r�
• Name
J
Owner (� ,`
z.
Ob II ! AIM� "''gyp CI.OL,Ic- ,. � r.�.,. --r '
Contractor • • . ‘..._
3
Architect
The owner of this building and the undersigned agree to conform to all applicable laws.
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damAddress `
S■g^a f apPl n•
6
IRE DISTRICT
SCHOOL DISTRICT WATER DISTRICT
PLANNING ARE o yAPPROVED '3Y APPROVED BY
APPRC�7✓� BY � '
CCUNTY HEALTH DEI.': SHOr_'EL I NE DEPT. PLANNING DEPT.
APPROVEDJEF
(PERM( FEE
ISSUE DATE CEIPT NUMBER
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BUILDING OFFSIA4 0 ///�/�J (j��]
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