HomeMy WebLinkAboutBLD1987-00445r t. I. fE` T
AOS v.,.,. SIDE Or •
ROAD
I. LOCATION: p op.•v^ ^•^" 123a.!s ''�Mrn ROAD
N E ROAD AND
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S W FROM INTERSECTION OF
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`N.. otherspKil.c location or bndmart:
" EGAL DESCR PTION: S. ' won
a 1
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a —I}— Block /A)
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Ta■ umber
Y.Section Section Township Flange
'', II.TYPE AND COST OF BUILDING-
TYPE Of IMPROVEMENT
BUILDING TYPE PUBLIC vAL
[]Single Family
New building
_. J/////� ❑Mun umbeily Road Access Permit No.
(\� Addition
0 am
number of units
Alteration �Hotel,Motel, Dormitory Utility Permit No.
[I Repair,replacement Utility
of units
Wrecking
Mobile Home Emergency Services No.
D Moving(relocation) ❑Other—Specify Street Width A:
Foundation only n22 B:
_ Additional Permits Required:
OWNERSHIP n ���,�
Private(individual,corporation, 1
nonprofit institution,etc.) __
0 Public(Federal,State or local IM✓L) UBC OCCUPANCY GROUP:
(Omit cents( a detail proposed use of buildings,e.g.,food
�„ COST ,laundry building at hospital,elementary
• Cost of improvement c str�nt s processing
• •college,parochial school,parking garage for
To the installed but not included department store,rental office building,office building at industrial plant.
l� Jl in above cast If use of existing building is being changed,enter proposed use.
a. Electrical
b. Plumbing `-l
Z-'--•' C. Heating,air conditioning
CL` d. Other(elevator,etc.) 0
• TOTAL COST OF IMPROVEMENT S
/GG�,
III.SELECTED CHARACTERISTICS OF BUILDING - it _NSIONS
TYPE OF SEWAGE DL &AL Gj •yumber of Stories
�j PRINCIPAL TYPE OF FRAME II
("1 0 Masonry(wall bearing) 0 Public or Private` •Total square feet of floorana,
` } ,1Individua�seplic tank,�ctc.) all
mfloors,
�s,,sbased on exterior —
►Hood Fame
17 Structural steel TYPE O AT LY •Total Iartd area,sq.ft
Reinforced concrete Public privet mp•nY NUMBER OF OFF-STREET
�Ottxr—S fY vidual (well, ern) PARKING SPACES
Enclosed
PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE Outdoor
DollRESIDENTIAL BUILDINGS ONLY
❑Oil Q ^ Number of bedrooms
Electridty rP�� ,f`1Tnvt� TYPE OF MECHANICAL FutL
Coal Number of
bathrooms Partial
❑Other—Specify
IV.IDENTIFICATION ZIP code TN.No.
Mailing Address—Number,street,city and State
Name
Owner
Contractor '
a_- �I
411
Arehitea
The owner of this building and the undersigned agree to conform to all applicable laws.
Sinatt raof ap41 t Applioeion date
.fit 5. A
C/ _ _ -51 -V -
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PLANNING AREA FIRE DISTRICT
SCHOOL DISTRICT WATER DISTRICT
APPROVED BY v tt,,,,—c.I
dkrk APPROVED 3`! APPROVED BY
`� PLANNING DE'T.
A?Th SI-1Or'_EL I NE DEPT. + R
t TH DE ISSUE DATE RECEIPT'F APPROVEDSrJN COUNTY PERMIT FEE
Y: / v , C71 7
30
,SO 0� �7 8-7 �_lJC�_,(j b
ILOING OFFICIAL [ �✓c 7�
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