HomeMy WebLinkAbout0046458-Building (raze garage) !(o �--
CITY F HKO H N°- 46458
� O OS S .
PERMIT — APPLICATION AND RECORD t
G�/r� in�lr-
TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
- - - - - - - - - - - - -0o-g- - - - - - r -� � - - - - - . - - - - - - - - - - - - - - - - - - - - - - - - - - - - - .
ADDRESS c � PLAN NO.
OWNER � r � C �
DESIGNER
USE/NATURE OF WORK � I �-L� �I�a '�
` BUILDING CONTRACTOR r
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
_BT —WH _Disp —WSoft —CBasin
_Lav _Sh _DW _DF —San. Sewer
_WC —FDr —SP —Ur —Storm Sewer
—Sink —LTub —Eject —SS —Water
Other
l� o �
FEES: Valuatio $ � P it Fee Paid $ Park Dedication $
ISSUED BY Date Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATt�—� �'�' f�
AGENT/OWNER DATE
ADDRESS /��/ � �� C/�S/Y �C?YY �,���'�a 9 l
TELEPHONE M