HomeMy WebLinkAbout311 N Loomis Ave - Applications/Shed - 05/21/2003L V !
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A Mailing Address City State Zip Code
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Phone
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Please Specify.- LN. DR. CR. WY PL. ST CT. RD. AVE. Zip Code
>( JOB SITE ADDRESS
Subdivision/PUD
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Filing Number Lot Block L t Area
Building Square Footag� Number of Stories Building Height
Number of Bedrooms/Bathrooms Finished Basement Square Footage
Value of Construction (including labor, material, profit) $ l�{/
Description of Work: _
BCD
Subcontractors:
Electrical Mechanical Plumbing
Roofing Concrete Framer
I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all
requirements contained herein and city ordinances and state laws regulating building construction.
r
-a Signature
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a Print Name /W /I A/k 13 QIC Z /f ef/z Phone
Distribution: Original — L & P Yellow — Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE