HomeMy WebLinkAboutF2020-0510 - Permit ApplicationPrint Form Worksheet fUioQ"l'1W6tiUilding & Solar Permit Applicatio% oF�f"°°a>m
F_ Comm'I F_ Residential it f wport each - Building Division
t A EC S DUE AT TIME OF SUBMITTAL
rBuilding F-Grading
-Drainage F_Elec j`Mech F_ Plum CuYdCut CuvdFill
Project Address (Not mailing address) F_ Flood F_ Fire F Liq j" Landslide F_N/A Floor Suite No
Descri tion of Work
Use Const Type F
# Stories? # Units (if Res)F_
Valuation $
Material/Labor
New/Add SF �—
Remodel SF �— Garage/New/Add
OWNER'S NAME
Last First
Owner's Address
Owner's E-mail Address
City
State �_ Zip F— Telephoner —
APPLICANT'S NAME
Last f- First 3 y
Yc
Applicant's Address
Applicant's E-mail Address
Telephone .���_ zj�
City Stater kip
ARCHITECT/DESIGNER'S NAME Last f 5�-- -- v First F Lic No. �— —
Architect/Designer's Address
Architect/Designer's E-mail Address
City F_
State F_ Zip Telephone��
ENGINEER'S NAME
Last 41 First Lic No
Engineer's Address
Engineer's E-mail Address
City _—
— State zip Telephone,
CONTRACTOR'S NAME/COMPANY
L/Ji r t ✓,,-�� Lic No. ClassiG%C°j
Contractor's Address
Contractors E-mail Address
City
State Zip ��.,,� Telephone
SETBAC' -AR
SETBACK �, J.,jFdMIT NO.
SETBAC 7
SETBACKS RIGHT PLAN CHECK NO.
USE ZON
DEVELOPMENT N PAN CHECK FEES $
IS .6 loan wIt*
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