HomeMy WebLinkAboutX2020-2256 - Permit Application (2)Worksheet for Combo Building & Solar Permit Application
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NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMI AL (�
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tOWNERS
Remodel SF � Garage/New/Add Material/Labor G D
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APPLICANTS NAME Last[ U` 4W First �� �—
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Applicant's Address Applicant's E-mail Address
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ARCHITECT/DESIGNER'S NAME Last i- First F
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Architect/Designees Address Architect/Designer's E-mail Address
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City — State Zip Telephoned
ENGINEER'S NAME Last Z��l First ALT Lic. No.1 j
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CONTRACTOR'S NAME/COMPANY No`. U L 73Llasts
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City State 77
SETBACKS REAR SETBACKS FRONT PERMIT NO. �UJ
SETBACKS LEFT SETBACKS RIGHTn^ PLAN CHECK NO.
USE ZONE DEVELOPMENT NO W �ZZZ PLAN CHECK FEES $