HomeMy WebLinkAbout10-064 ApplicationNO )-ICE TU DENAK I POLN fS - UI 1 Y U�- LI TTLE KUCK
&'LONING & SUBDIVISION
❑ CIVIL ENGINEERING
Cl MAPPING & GRAPHICS (Address)
APPLICATION FOR A COMMERCIAL BUILDING PERMIT
DDRESS•
PROJECT A [�
APPLICATION DATE: �c ROUTE N0: v
APPLICANT OR CONTACT PERSON: �� � ne, 1'p—
❑ TRAFFIC ENGINEERING Cl MUNICIPAL WATER WORKS
Cl FIRE MARSHAL ❑ WASTEWATER UTILITY
9—<E W
❑ ADDITION
❑ REMODEL
PHONE NO.: of-7- C) FAX NO. 0` - -
USE OF BUILDING(S): 1J�SlrJCSS `m��� �c� '•��
NO. QF BUILDINGS: ` STORIES MAX. HEIGHT BASEMENT: Y
TOTAL SO. FT.'EXISTING
TOTAL SQ. FT. NEW
TYPE OF CONSTRUCTION: I. II III IV VD
FIRE ZONE: Y PARKING STRUCTURES: Y
SPRINKLERS: Y FLAMMABLE STORAGE: Y
STANDPIPE: Y ^� CANOPIES OR WALKWAYS: ?
RESPONSE NEEDED BY: '-7 (RETURN TO PLAN EXAMINER'S OFFICE)
c
SUBMITTED BY: s►�G�7 DATE: � � � (PLANS ARE AVAILABLE IN THIS OFFICE)
COMMENTS (PLEASE TYPE OR PRINT LEGIBLY):
SIGNED:
kI ACCEPTED FOR PERMIT
Cl ABOVE CONDITIONS MUST BE SATISFIED BEFORE PERMIT IS ISSUED