HomeMy WebLinkAboutHDC1995-004 APPLICATIONCITY OF LITTLE ROCK
DEPARTMENT OF NEIGHBORHOODS & PLANNING
BUILDING CODES DIVISION
723 WEST MARKHAM, 2ND FLOOR
LITTLE ROCK, AR 72201 APPLICATION FOR:
MISCELLANEOUS PERMIT
OFFICIAL USE ONLY "SUBDIVISION COVENANTS AND RESTRICTIONS NOTICE"
PERMIT NO.: The City gives permission for this project in accordance with
local ordinances. However, there may be subdivision covenants
DATE ISSUED: and restrictions that apply, and this permit does not void or
override those covenants and restrictions.
ISSUED BY:............ ................... ./Y�'�7-�
INSPECTIONS - Please Check (✓) INSPECTOR'S COMMENTS:
❑ WILL CALL
❑ READY
❑ SLAB
❑ FINAL
❑ ROUGH
❑ OTHER
.......... ! . �?(; t]�E�' !/mot �%1�..!� ' .......... ..................... �.
PROJECT ADDRESS: � � E� :3 5 63 PROJECT NO.:
(Same as Building Permit No.)
LEGAL DESCRIPTION: LOT_
OWNER: eS Gt'
ADDRESS:
CONTRACTOR:
ADDRESS: �5 oI7
ARCHITECT:
ADDRESS:
PROPOSED USE (OCCUPANCY):,
SQUARE FEET:
NO. OF BUILDINGS:
F64F
BLOCK SUBDIVISION:
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TELEPHONE
?7-:?- '� /(�/
LICENSE NO.: d �`� O -s
TELEPHONE: / — tIZ%
LICENSE NO.:
TELEPHONE:
3
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VALUATION: S po
NO. OF UNITS: NO. OF FLOORS:
PERMIT TYPE: ❑ BARRICADE ❑ FENCE & WALL ET<OOFING
❑ SIDING ❑ TANKS & PUMPS ❑ TEMPORARY CONSTRUCTION METER
I hereby certify that the data submitted on or with this application is true and correct. Also, I have read and understand
the Subdivision Covenants and Restrictions Notice as stated above. Any deviation from information contained hereon
unless approved by the Building Official will render this permit null and void.
of Contractor, Owner or Agent
r - - i:s—
r Date
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