HomeMy Public PortalAbout5611TEMPLE CITY BLVD_Building (2) lewesu ME s"10
APPLICATION FOR BUILDING PERMIT 1
DIVISION OF BUILDING AND SAFETY ADDRESS ,61
Dtparbatot of County IYtlDQY1IItB1' ADDRESS
County of I= Aa11� LOCALITY
WM J FOX COUNTY ENGINEER NEAREST IF
CASSATT D GRIFFIN Sup T OF BUILDING CRQS5 ST
FOR APPLICANT TO F111 IN Dltrl:tcr NO GR9)+[ 4AP
—T SEWER BK M Po
BUILDING MAP .L .,ESTATE V® NO
ADORE" • NUMBEII 050,00 % Hwy
LOT NO T BLOCK UBE ZONE SPECIAL
CONDITIONS
TRACT 1 L
II 70 NO OF BLDGS
BRE OF LOT NOW ON LOT aUBTBACK YARD IIWY STREET NAME WIDTX
UB STN D / - FRONT /T
P L c V
OWNER L BIDS
P
MAIL / S L T V O TRACT DWELL t UNIT
ADDRESS O
5INDUSTRIAL
TOL i DWELL. 1 UNIT
C - 0 8 Punuc BLDG
ARCHITECT OR TEL 2 DUPLEX IUNI 7 ADDN ALT ETC
ENGINEER NO 3 APT -UNI
8 MISCEL
ADDRESS 4 COMMERCIAL
S FV r /}S T L INSPECTION RECORD
�IJ. v
CONTRACTOR NO
ADDRESS '• 6 Q • c
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH
Y ZE STORIES� FAME IW
USE OF STRUCTURE
I W
SIGNATURE OF
APPLICANT APPROVALS
ADDRESS O �I e. E Y�J ♦ �+I DATE INSPECTOR S BIONATURE
two FOUNDATION LOCA11 Lo i
P C SFORMS. MATER AIBTION
FRAME FIRE STOPS.
VALUATION S &= BRACING SOL" 1 Q
PM FURNACE LOCATION
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VONT DUCTS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH INT S
AND STATE LAWS REGULATING BUILDING CONSTRUG
TION LATH EXT.
SIGNATURE OF �yL HOUSE
MITiEB NUMBER COR-
PORSECT AND FCOTBD
ADDRESS- FINAL
WM.J PDX.COUNTY ENGINEER VALIDATION C. N DIRLAM.CHIEF BLDG INSPECTOR
�'D 6 3 1 3 AUG 4 1 200