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{{!3 Building Permit Application 105Tomsuery-Dett Commit Dogme,1 Bay Rend,Qo SY 7)(618)761-8256 %G)0O A permit must be obtained before beginning construction, ‘No inspection will be made until applicant has received avalidbuildingpermit.All applicants"spaces on this pplication must be completed and must appear on the application form, Applicat:Eat 18 Bsasess for Home:BaysLis Mebe-/ere a j THe ie )2 Phone#(oe Le./Phone #Qe)W3-_&i y 7] Property Location:Lot Number:{House /\ Subividontane cfu) BISWoes Muy iain Seaber SOT=7T=LQS «| ©New Building:residence /commercial ‘Estimated Mi sus of onsrstor J 200,0-0 Q Addition:residence /commercial at be?p-Atesie:..-aden Cooomenetl If an Addition,what will use of new additic No change to exterior size:reildence /com'l TPS >,Other work (describe )é Permit File No,(S- Fee Paid $ Rec,Feo Paid $ Reviewed By: Check [Occupancyinformation|1"Floor 3"Floor ‘Other floorBelow=—sqft sq.ft,sq.ft.Square Feet Single family dwelling Two family dwelling "Townhouse ‘Multifnily dwveling #of units Office Mercantile ‘Manufacturing 1 oar detached garage Zeer detached garage 3 oar detached garage Tear attached gerage 2 oar attachedgarage |3 car attached garage commercial bro 6 cow Storage building -7 residential :.a Other : 0 poocoussn0 oooo ‘What is the proposed height of the structure feet ‘Will any second-hand or ungraded lumber be used?If so,for what? ‘Type of Heating System:electric /oil /gas /wood /forced hot air/baseboard /other: inches Nuniber of Eireplaces to be installed Nunuber of Woodstoves to be installed List below the person(s)responsible for supervision of work as regards to building codes: Name Address:Phone NumberBuildersePlumberN; Mason. Electrician Ni ‘Declaration:please sign below after you have carefully read the statement: ‘To the best of my knowledge the statements contained in this application,together with the plans and specificationssubmitted,are a true and complete staternent ofall proposed work to be done on the deseribed premises and that allprovisionsoftheBuildingCode,the Zoning Ordinance and all other laws pertaining to the penpovad workkglulktis wariplied ‘with,whether specified or no hat such work is authorized by the owner,Further adhiniermsanttist LoveditipancyorCertificateofCompliancebeingissued,as requested fxr)tnd Coder ts dsBul Survey byw oeased surveyor avert ye ering ntl SEY?7 2005 owner,owner's agent,architetpepntractel oyeBac,PLANNING,FM_____exec.oir,