HomeMy WebLinkAbout10927 W. 44th AvenueCity of
Date:
Plan #
Permit 0 5 - L fki
Building Permit Application
(Complete ALI highlighted areas)
Property Address: . 7
Property Owner (please print): Phone 4
Mailing Address. (if different than property address)
Address: 2- S")
City, State, ZIP
Contractor:
Contractors City License �0:
Phone:
Sub Contractors:
Electrical: Plumbing:
Mechanical:
City License # City License #
City License #
(Fully describe work to be performed - Attach additional sheet If necessary)
6V et 6' ", r U&(x,,jR c
Contract Value of all work:
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Review Fee (due at time of submittal):
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Squares BTU's Gallons Amps
Sq Ft,
Bldg Valuation: