HomeMy Public PortalAbout10742 GRAND AVE_Building__ 7GA839A D111S-1 11-84
APPLICATION FORBUILDING PERMIT ].
DIVISION OF.BUILDING AND SaTif'M BUILDING
D pmtne t f Comity End ADDRESS
Comm17 0! " Aaqe3M LOCALITY �� L •
WM.J. FOX. COUNTY ENGIN[ER NEAREST
CASSATT D. GRIFFIN..SUF'T'OF■UMMINO CROSS 8T.
FOR APPLICANT TO FILL IN
DI NO,NO. GSI TYPE a BK... M G
]BUILDING � n
ADDRESS fes/ MAP - .L.� STATE YES NO
NUMBER WWY
LOT NO. I 4�'- B6.0 K USE ZONE SPECIAL
CONDITIONS
TRACT .a 7i.
No.OF GS. _
SIZE OF LOT D NOW ONeLDLOT BUILDING YARD +IwY STREET NAME EXIST•
USE OF pJ 9 BACK - WIDTH
EXISTING BLDG. /G - FRONT /p O
' - t P. L �+V
OWNER SIDE
MAIL
ADDRESS -
TE DWELL 1 UNIT 3 INDUSTRIAL
CI NO. -
2 DUPLE UNIT 6 PUBLIC BLDG
ARCHITECT O TEL-
EN6INHER NO. 3 APT- UNIT DN., ALT., ETC.
ADORES$• 4 COMMERCIAL - LL++�� ' B ��MISCCEL
CONTRACTOR NO. INSPi.�rilON RECORD
ADDRESS -
DFSCHiP'I'ION OF'WORS
NEW ADD ALTE REPAIR DEMOLISH
SQ. FT. NO.OF NO. OF
SIZE STORIES FAMILIES -
USE OF-STRUCTURE
SIGNATE O
APPLICANT APPROVALS
ADDRESS DATE INSPECTOR'S S1914ATURE
FOUNDATION: LOCATION -
=i P. C.'S FORMS MATERIALS
FRAME: FIRE STOPS. _
VALUATION S ! BRA
J/l�y+/����, CING BOLTS
FEE f/ FURNACE: LOCATION.
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1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS VENT DUCTS
LICATION AND AGREE TO COMPLY y�
LY STATE1 WITH T THE A-BQVE 19 g
NCT
A DALL COUNTY ORDINANCES LATH INT•
AND STATE LAWS ULATING BUILGI G CONSTRUCT
TIOM- LATH ECT.
SIGNATI.IRE OF f HOUSE NUMBER CORY
PKRMITTQQ RECT AND POSTED
ADDR FINAL
WIL J. FOX. COUNTY- KNotHm. VALMATIONN
Dm-vTY Dm-UTI ..
4Y BY
CD DEPUTY