HomeMy WebLinkAboutX2021-0695 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
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r Comm] Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL �t�a��a C,F00.NP
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Description of Work
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Owner's Address Owner's E-mail Address
City i ► State C
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APPLICANT'S NAME Last ��� First I -u
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NAME Last_
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Architect/Designer's Address Architect/Designer's E-mail Address
City r State Zip �— Telephoned-�
ENGINEER'S NAME N �d �' } First -W ,At J Lic. No.
Last O,�,O
Engineer's Address Engineer's E-mail Address
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CONTRACTOR'S NAME/COMPANY Lic. No. ZZClass
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Contractor's Address Contractor's E-mail Address
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SETBACKS REAR SETBACKS FRONT PERMIT NO. 6v t? S
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. 6Zr,Q3 8 • 24
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $