23A-079 (2) ASSESSORS COPY
o
BUILDING2 EL
PERMIT VALIDATION
DATE 19 PERMIT NO.
APPLICANT ADDRESS
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO I STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING '
AT (LOCATION) DISTRICT
(NO.) (STREET)
a BETWEEN AND
(CROSS STREET) (CROSS STREET)
D LOT
m SUBDIVISION LOT BLOCK SIZE
O BUILDING IS TO BE • FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION-
rt (TYPE)
0
a REMARKS:
$
AREA OR PERMIT
VOLUME ESTIMATED COST $ FEE
(CUBIC/SQUARE FEET)
OWNER
BUILDING DEPT.
ADDRESS BY