HomeMy WebLinkAboutSherrie Rosnick Permit Ali APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Building Permit Application f
I -3C ✓ 'c e , ors c -367 �.
5=-15 8 Commercial Residential
PERMIT APPLICATION ICa ! ION POR:
ii
jI _E�a -esc -o- � anl�� � V,e -yC) yjA-)aLot No.
i
P 7 Name`
Se backs =mn. Back: RiglhlSide _eft Side.
7
l�
t} 4dCf onzf wc�c oe p2-.C'•re t�nc<r refs p rrr .-c ec aft that aopiy. /
'i _Ve 1 ;`a, _ `,as -k _ Gas D'ninE �!luiier5 ✓'N lndCwS�LOOrS
rs enc col Roo' �f
i
a Sc
II _ !�
=-itIiLies: —Sewer _Secrc Building Heighr.
-var-C Name: k �
_ �
f ?rCC,i N
c,ess ���1 ��\I 4(��� I Ccmpanv M E a
_ S.aTe lcddress. i;GB
Code _� fix: 1�� \ Cry. �et�-n s 7 z
r ocYt Slate==r
Code: 3Z,?,3 ' `ax: 32.1- 777- Lr',Z34f
t
it;. IR i22 oSi't{)iE Title l"}(11QFr on nEzi page ( ;f d•,fferent 1.c! ✓ 55N 4.t 1.plcc 'a ,�: =3M
t -7
I .om the Owner lis'ed above or _ounT- L c- Sc'. �✓� "'
i`value of consriction is ZSOO or more, a RECORDED Notice of Commencement is required.
✓r
3
it DESIGNER/ENGINEER_ \ ; Ao c-^le MORTGAGE COMPANY `Not App!Icao(e
Na. Name:
'.actress. Address:
c'r e- ! Cit'v' Stare:
D'nOr: iip. Phone-
� , FEE SiMPI E TITLE HOLDER: _ No-, Aa_ ilcabi BONDING COMPANY: _Noi Applicable i
N nne-
A. Name-
�l. vdress'. ACdres,
-ity-
#� IC. `->h0?c. Z;n ?hone.
ze—y :'.e] v"K or >,cla.iorr as _ .. -.. ence p"or to ss�a Rc : aoer-T.i.
'laK J or -ha-:s a 'J 1" `/,111 c'b Y'O . 2 re T: older o o udd the subject,A LLCLLre
w: h =r _.,� o. c awn Association es, ov ws o =nc ov -is that may ecr+�or nrOn bi <Urn
irr v, �N: nne ciw cia a-rs th t yA ec -}2y or
roi
5_ __ _ _ - al, - -nor-rie work
._ co� sc_-tu _ , ,or .h'> uestec _e ,: . n isov a_ _ tilb rescec'�. ce
+ . e ecJ JVe -a-5 r o":co _ gYCodes =,,d S: - ,< -01-n v n>nemens.
7ne foi owzng c_:le rg c.„ilca;�o:._ _re eze:: oz`re-` urderoing a :ul,_olca.,-lcv review' room adcitions,
__?sscni S---uCu.es: swi ii,-+.,_px!<. .- i wads.sans. screer. roorns and ac.esso 'ses to anotne� non- es,denr'al use
{ WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
rr¢prove•-ers ro your.rope,�Y' A Notice of Commencement must be recorded and posted on the jobsite
beTol - E s -spe On if you i .+ -o 3�lzain financirF, cc <u!t wit.. lender or an attomey before
: Co^-.-a o JcelSe olde- 5
STATE OF:E i ��I STATE OF EL 1 A ,,--..II
COUNTY OF \ I-d COUNTY OE �Inyl,
— e
I _
f(i
20
t
___ :N ac
ac
t
_dce c C, n V produced Ice �catier.
nissicn No (Seal/
ii
[Z_ S RCN- iCti GN'NG = MANGROVE
> COUNT=R REV!=vv REVteth' 3EV EW REVIEW REVIEW REVi£VJ
DATE
- � k
� � |
}
|! , . . . , - , - - /
| �
i ■ )
B
| ® | §
{!�, § 0
0}.0\0 k N
) k " ! •
k 0 2 {
§ /| 2| 0 ® }
\0 �E �| �§ k§ � 0 § off m ) / $ k
0 7 | 0 � 0 / |
�9r` k ;
* g § ! E |
\ § | & |
/ \.
2 k
w f ■
0 0i )
\ \ 0
) -
.
0 0 0 0 0 0
0 0 0 0 0 0
c o 0 0 0 0
en m vim o m
w
3 m a
c m 4 m
9 zo m _= rom
c
0
is
E
F \
c
0
'z