HomeMy WebLinkAbout10923 W. 44th AvenueI f lecoo W
icy
Date:
Plan #
Petmit#')
--A
Building Permit Application
(Complete PA highlighted areas)
Lq 4,41
Property Address:
Property Owner (please print):
Phone.
Mailing Address: (if different than property address)
Address:
City, State, Zip
Contractor:
Contractors City License M
C A ) 2
Phone:
2
Sub Contractors:
Electrical:
Plumbing:
Mechanical:
City License
City License #
City License #
(Fully
describe work to be performed - Attach additional sheet if necessary)
r-N
6V et
: -
, � I
Contract Value of all work:
(a"Tb s e)
uIM
Review Fee (due at time of submittal):
Squares BTUs
Gallons Amps
Sq Ft.
11'1� 1 11 � IFIVIII 11111111 jgpjjjq p, girllil�l '' I I'll
DEPARTMENT USE ONLY
i .
FIRE DEPARTMENr.: 13 approved wi comments D disapproved 13 no review required Bldg Valuation.