1977-08-30BUILDING PERMIT APPLICATION
Include 2 sets of plans, 1 site plan w/elevations
To be used for
Site Address:
c)411.
DATE ail A/ /977
and 1 set of energy calculations.
fes.d; ,1 / 1011 /_17,7'k, Valuation
��ck r �A v C.
Sec. /Sub. t�
Lot Block
u/.. Pt.G
Owner /p /'d/fI/fl7
Address
Contractor
Address
Parcel Number
Telephone
zxceik tdK �orr. lAC. Telephone
Arch./Eng.
Address
Erect
Alter
Repair
Enlarge
Move
a.verlki(57 2 aj,fj
Demolish
Grade
OFFICE USE
Date of Approval & Initial
Assessment If -o i 7
Water/Sewer
Police 9- ( 77
Fire
l
Eng. -;:e6 ...) %
Planner
Council
Bldg. Off.
A.P.C.
;Y-/- 7
77
a-0 /ofl
l�
Telephone
Occupancy
Zoning
Fire Zone
OFFICE USE
Type of Const.
# of Stories One.
Front 770
yr j 124-4 1.,,07."-s;.
Depth S6 U
Permit
FEES
Surcharge
//
/000
Plan Chec
SAC b� 171
Water n."
Water Meter
TOTAL
J0-6 %'
1.1- & .ftp
ry 360 but.4„4,4
w..21
41?"4141