HomeMy WebLinkAboutHDC2016-013 Application For Miscellaneous Permit 05/25/2016CITY OF LITTLE ROCK
DEPARTMENT OF PLANNING & DEVELOPMENT
BUILDING CODES DIVISION
APPLICATION FOR:
MISCELLANEOUS PERMIT
723 WEST MARKHAM, 2ND FL
LITTLE ROCK, AR 72201
PRONE (501) 371-4832 OR (501) 371-4805
FAX: (501) 371-4546
"SUBDIVISION COVENANTS AND RESTRICTIONS NOTICE*
OFFICIAL USE ONLY The City gives permission for this project in accordance with local
ordinances. However, there may be subdivision covenants and
restrictions that apply, and this permit does not void or override
those covenants and restrictions.
PERMIT NO. 201
DATE ISSUED
ISSUED BY
'ROJECT ADDRESS: I `� `� `- St -
DWNER/TENANT:
ADDRESS: I D lUl �clC 'St
TELEPHONE:
Riltj�O NTRACTOR:
(lam 5 ROd-f� ---- - LICENSE NO.: - -- -
N �� C a TELEPHONE/FAX
ADDRESS:
DCCUPANCY:
JALUAT ION OF WORK: (LABOR AND MATERIAL) �out can � re�-
ROOFING SIDING
'ERMIT TYPE: _ - - FENCE & WALL _- -
40TICE: SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, GAS, PLUMBING AND MECHANICAL WORK.
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 herein unless
approved by the Building Official will render this permit null and void.
fiEV 1/75
- DATE
SIGNATURE OF CO TRACTO , OWNER OR AGENT