HomeMy WebLinkAboutX2021-0408 - Permit ApplicationI Worksheet for Combo. Building $ Solar Permit Application
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OWNER'S NAME
Owner's Address
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Remodel SF—Garage/New/Add Valuation $
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Last 1`UL1VS -- - - First
APPLICANT'S NAME Last
Owner's E-mail Address
State ----
_.. �- ZIP
Applicant's Address
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ARCHITECT/DESIGNER'S NAME
First
Applicant's E-mail Address
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Zip - /L (� 6 / Telephone -T 1-4(2, a 2/
Last First
Architect/Designer's Address
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Lic. No F
Architect/Designer's E-mail Address
Zip 2
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ENGINEER'S NAME Last A t -
First _AN W A _
Engineers Address
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City '�V.� State �—
CONTRACTOR'S NAME/COMPANY
Contractor's Address
city State �-
Lic. No. iG-T 11
Engineer's E-mail Address
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" l I 1 Telephone
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Lic. NoT— ClassF
Contractor's E-mail Address
ZIP �- Telephoner
SETBACKS REAR _ ®10 SETBACKS FRONT J PERMIT NO. y 2_,02 I„Q40
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. 'C
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