HomeMy WebLinkAboutPV2022-0423 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application D44W�
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Description of Work
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Owner's Address
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APPLICANT'S NAME
Applicant's Address
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# Stories # Units (if Res)s—
Valuation $
Garage/New/Add F— Material/Labor F/2/ 000
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Owner's E-mail Address
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Applicant's E-mail Address
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ARCHITECT/DESIGNER'S NAME Last
First F� Lic. No. F�
Architect/Designer's Address ArchitecUDesigner's E-mail Address
City State F_ ZIP Telephoner--__
ENGINEER'S NAME Last I
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Engineer's Address Engineer's E-mail Address
City State Zip �— Telephone
CONTRACTOR'S NAME/COMPANY Lic. No. iaZ4((�t/ Class C-y6
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Contractor's Address Contractor's E-mail Address
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SETBACKS REAR SETBACKS FRONT PERMIT NO. v3
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NOG
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