HomeMy WebLinkAbout1984-0514ki I �MVE= City of Grai'Devinj
JUN 2ol%4
APPLICATION FOR BUILDING PERMIT
PERMIT 1\10. DATE
THE UNDERSIGI= HEREBY APPLIES FOR A BUILDING PEiu-= AS HEREINAFTER DESCRIBED.
CONTRACTOR
ADDRESS 154-
ADDRESS �,Ta �JF�iqp
CITY & STATE c ,r
CITY & STATE
PHONE NJO.
PHONE NO.
BUILDING OR STRUCTURE AT: STREET STREET -w
USE OF BUILDING 4tP
LEGAL DESCRIPTION OF PROPERTY: LOT BI= SUBDIVISION ` -
SQUARE FEET OF BUILDI' NG (INCLUDING GARAGE) VALUATION OF WORK
NEW ADDITION,
ALTERATION
DESCRIPTION OF WORK TO BE DONE:
I HEREBY CERTIFY THAT THE FOREGOING IS CORRECT TO THE BEST OF MY AND THAT
TFC SLI5 T �WK ;8 ILL BE CONE IN CC,-Z'oRMAj,,CE WITH E INFopIjATION 'T-HHEREIN SET FORTH AND
,
IN 001,41PLIAil,,79 T -r CITY 'OF GAPEVINE CODES REGULATING BUILDING CODES.
SI oz C-�
OR
Z= CONTR�CTOR�
SPECTICN DEPA=E:�,-,
TO BE M i= BY 74 -'
TYPE GF CONSTRUCTION
NO. 0.1M STORIES
BUILDING W1=11
L.H. SIDE Y.VD_
POST MINSION
APPR=—
REAR
OCCUPANCY GRCUP DIVISICN
USE ZONE
BUILDIl',7G DEPTH
R.H. SIDE YARD
LOT
SIZE
FROINT YARD
REAR YARD
WATER TAP_
6FATER PRO
RATA
SO-1ER TAP
S3,7ER PRO
RATA
BUILDING PERMIT
TOTAL 3 (�,, e- 0
PERI 2IT NO _;; BLDG. PERMIT DTO . r� f — � t' DATE 19
OWNER
ADDRESS (`� 2. E
CITY & STATE,yC+�i
CONTRACTOR ->
ADDRESS
CITY, ST & ZIP
PHONE NO. PHONE NO.
JOB ADDRESS: STREET STREET
DESCRIP`T'ION OF
SINGLE FAMILY RESIDENCE AMOUNT
ONEBATH ........................................................ $16.00
TWO BATH.........................................................$18.00
THREE BATH .......................................................$20.00
FOUR BATH ........................................................$22.00
QUANTITY
(1) MINIMUM FEE PER PERMIT...........................$2.00 Min.
(2) TEMPORARY POWER POLE.............................$2.00 Each
(3) SERVICES -RATED CAPACITY OF SEP.VICE EQUIPMENT
OR SWITCH PER AMPERE.. .....................$ .02 Each
(4) LIGHTING AND POWER CIRCUITS ......................$1.50 Min. !,
FIRST 4 CIRCUITS
NEXT 46 CIRCUITS .................................$ .25 Each
50 FOR .....• .....................................$13.00
ALL OVER 50CIRCUITS .............................$ .10 Each
I cc (5) CURRENT CONSUMING OUTLETS:
FIRST 25 OUTLETS.................................$1.25 Min.
NEXT 25 OUTLETS ..................................$ .05 Each
-7 4e0- 50 FOR ...........................................$ .02 Each
t(� - (6) GASOLINE PUMP, ELECTRICAL RANGE, DRYER, HOT Gr�TER
HEATER, ROOM AIR COND. OR SPACE HEATERS
FIRST 3 OUTLE'T'S..................................$1.50 Min.
ALL OVER 3 OUTLET.. •••••.$ .50 Each i
� A7PROvEDr �^ �
Date
Date Requested
-
Job Address
`
Builder '
BUILDING
Foundation �
�
Fire Box
~ ' `
Framing .
'
Wall Ties
Final
^
ELECT.
Rough
Temp. Pole
Temp. Ser.
Final
, .
`
`
CITY OFGRAPEVINE
INSPECTION REQUEST E IED_
Bldg. Permit #
Time Requested Time A.M.P.M.
74
Contractor
pLUM8|NGMECHANICALmisc.
Rouclh
Rough
Approach
'
Final
Pool
Sovvo,
Misc.
Sprinkler
Gas
Sign