HomeMy WebLinkAbout248 BEECH AVE; ; 79-1142; Permit- -
MODEL NO.
PLAN CKECK FEE S
BUILDING PERMIT APPLICATION
PERMIT FEE $
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5
9PPLICATION ACCEPTED BY
DATE
COMPENSATION INS. MAIL ADDRESS BRANCH
6-
USE OF BUILDING d
PLANS CHECKED BY
I 7- ,fx3Ahp NO. BDRMS NO. BATHS
3 Class of work: 0 NEW 0 ADDITION ALTERATION )(REf'AlR 0 MOVE REMOVE
F -v.ao F /.M 3 Describe work:
IO Change of use from
Change of use to
I1 Valuation of work: $
SPEC1 A L CON D I TI ONS :
SIGNATURE OF' OWNER (IF OWNER BUILDER) IDATEI
Type of
const.
Occupancy 1 Group
Size of Bldg
(Total) Sq. Ft
No. of
Stories
I Max.
Occ. Load
Fire Zone Use 1 Zone - OFFSTREET PARKING SPACES: No. of No. No. Covered (Sq. Ft. I Open Dwelling Units
%pecial Approvals I Required I [ Not Required Received
PLANNING DEPT.
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT I I I
ENG I N E ER I NG D EPT.
WATER DEPT.
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
TOTAL FEES $ +-