HomeMy WebLinkAboutBLD1987-00428 r: L
I. LOCATION: geographic name S W SIDE OF 1r 411 ROAD FEET
NE '
S W FROM INTERSECTION OF ROAD^7 AND �j('7-A-r1 .-4 ROAD
other specific location or landmark: /`! �/ 4'"'
LEGAL DESCRIPTION: lam/ ! 6 I Li=r``� L 1 `�
Lot Block Subdivision
qlo t, ?Oo/J 2-1. N 2-c.J
Tax Number Y.Section Section Township Range
II.TYPE AND COST OF BUILDING-
TYPE F IMPROVEMENT BUILDING TYPE
buildingPUBLIC WORKS APPROVAL
❑Single Family
❑Addition ❑Multi-Family Road Access Permit No.
number of units
❑Alteration
0 Hotel,Motel, Dormitory Utility Permit No.
❑Repair,replacement number of units
❑Wrecking ❑ obile Home Emergency Services No.
0 Moving(relocation) Other-Specify Street Width A'
0 Foundation only // .
K:Q
. Additional Permits Required:
OWNERSHIP
0 Private(individual,corporation,
nonprofit institution,etc.)
^� ❑Public(Federal,State or local goseL) UBC OCCUPANCY GBOUP: I''l', 1
t \ COST (Omit cents! Nonresidential- Describe in detail proposed use of buildings,e.g.,food
h �✓t • Cost of improvement $ processing plant,machine shop,laundry building at hospital,elementary
be installedbut not included
school,secondary school,college,parochial school,parking garage for
innT the abovebove cost department store,rental office building,office building at industrial plant.
a. Electrical If use of existing building is ing changed,enter proposed use.
' I (
z 3 g-> = 3 V
-- J b. Plumbing
c. Heating,air conditioning -.,.:'.
d. Other(elevator,etc.). ,'
• TOTAL COST OF IMPROVEMENT $
III.SELECTED CHARACTERISTICS OF BUILDING
DIMENSIONS `#-
PRINCIPAL TYPE OF FRAME TYPE OF SEWAGE DISPOSAL •N4rnb of Stories /
,..2
❑Masonry (wall bearing) 0 Public or Private ••-Fowl square feet of floor area,
❑Wood Frame 0 Individual (septic tank,etc.) all floors,based on exterior
���� 0 Structural steel
" dimensions _
�. � TYPE OF WATER SUPPLY -
•Total land area,sq.ft. •
0 Reinforced concrete
0 Public or private company
Q'Other-Specify NUMBER OF OFF-STREET
p Individual (well,cistern) PARKING SPACES f
c Enclosed f
PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE •
Outdoors
r
,,,Z ,
Gas
❑oil RESIDENTIAL BUILDINGS ONLY
Number of bedrooms
❑F.teetricity
(Coal TYPE OF MECHANICAL
Number of {Full.
❑Other-Specfy -' bathrooms PartialE
IV. IDENTIFICATION _
Name Mailing Address-Number,street,city and State ZIP code Tel.No.
t. F ' fflar 4.0 . /" X iV `� i)/f-l-Owner
i.
2.
Contractor State License No.
i
• f
3
Architect
The owner of this building and the undersigned agree to conform to all applicable laws.
72
$igna of applfon
Address data i
., 4,/. 4.
'ai s fl-
PLANNING AREA FIRE DISTRICT SCHOOL DISTRICT WATER DISTRICT I
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APPROVED BY / APPROVED 3`. APPROVED BY
"'E-
.7EFFE7250tJ ��- D , SHOPEL 1 NE DEPT. PLANNING DEPT.
-
APPROVED BY: ''' PERMIT FEE ISSUE DATE RECEIPT NUMBER
Reitt"‘C-63 4---5 6,-) -(0 - ----? -..
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BU ILDING OFFICIAL ( � �---
Tic Pi.nlrfy - Port Tc..nsrnd
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APPROVED
.0eson Wooly °`!et, tx-411
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