HomeMy WebLinkAboutBLD1987-00269 - CANCELLED I. LOCATION: propraohic name
$W SIDE OF 11111111 WAD FELT
NE
S W FROM INTERSECTION OF ROAD AND
other syec the location or landmark: ����Z°
LEGAL SCRIPTION: — J Subdiv:ion 0
87(�^� L Tax Number Y.Section Section TownshipRange
II.TYPE AND COST F BUILDING -
TYPE OF IMPROVEMENT BUILDING TYPE
PUBLIC WORKS APPROVAL
o New building
0 Single Family
0 Addition 0 Multi-Family Road Access Permit No.
number of units
❑Alteration 0 Hotel,Motel, Dormitory Utility Permit No.
Repair,replacement number of units
D Wrecking 0 Mobile Home Emergency Services No.
0 Moving(relocation) other—Specify Street Width A:
E]Foundation only
. . ..(4.h.A_1._ _ . B:
cis Additional Permits Required:
OWNERSHIP ci� ��
Private(individual,corporation, II
nonprofit institution,etc.)
CI Public(Federal,State or local goh/L) UBC OCCUPANCY GROUP:
COST (Omi cents) Nonresidential— Describe in detail proposed use of buildings,e.g.,food
• Cost of improvement $
processing plant,machine shop,laundry building at hospital,elementary
To be installed but not included school,secondary school,college,parochial school,parking garage for
in the above cost department store,rental office building,office building at industrial plant.
a. Electrical \ C. If use of existing building is being changed,enter proposed use.
b. Plumbing -.•, \
c. Heating,air so iti 'n
d. Other(elevato etc)
• COST OF MPRO EMENT S
IIII.SELE ARACTERISTICS OF BUILDING-
DIMENSIONS
PRINCIPAL TYPE OF FRAME TYPE OF SEWAGE DISPOSAL •Hempen of Stories
,r!� "" 0 Masonry (wall bearing) -'Q Public or Private •Total square feet of floor wee, i
} all floors,based on exterior
�]Wood Frame s' Individual !septic tank,,atc.)
�] dimensions -
�Structural steel "4
�„ p TYPE OF WATER SU LY all
land area,sq.fL
[]Reinforced concrete public or pr' to company
✓ • NUMBER OF OFF-STREET
Other—Specify 0 Individ (well,astern) PARKING SPACES i
--�. __ Enclosed '
PRINCIPAL T�YC'E OF HEATING FUEL TYPE O FIREPLACE Outdoors
Electricity RESIDE IAL BUILDINGS ONLY
�I Ns I
er of bedrooms `
/
`. , f OCoal / /TYPE OF MECHANICAL {Full' Number of [.
( . - ❑Other—Specifybathrooms Partial
} ` /
IV.IDENTIFICATION -
C) Name Mailing Address—Number,street,city and State ZIP node Tel.No.
c4:4;) a • al. _IA rk_i- Ct/Y)0 01) (c_r- 5SS-2 [
2. .`' State License No.
Contrast•
f-
- 3. � .
Architect -
The owner of this building and the undersigned agree to conform to all applicable la pws. f
Aridness H- a, APPiscathorsdsaeShgruture of applhont `` • '-f / • , 0 l �k
PLANNING AREA FIRE DISTRICT SCHOOL DISTRICT WATER DISTRICT I-
APPROVED BY J APPROVED 3Y APPROVED BY
/ - o�c
JEFFHEALTH DE .-.H•RE `E D� PLANNING DEPT.
APPRO 25DN C.7UNTY ti�- , /lit • t ISSUE DATE RECEIPT KAISER
DRY: • _'..=_,,i
, 7---/3----V ics o 5 -_-- , ......
BUILDINGOFFICIAL - -------, " c;o
` Tt,e P,.. Poit To,%nst-nd -
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