HomeMy WebLinkAboutCOMA1999-0434Dec -02 -98 11!40A Building Inspection 8174103012 P.03
4wo- •4 w� ° - CITY OF GRAPEVINE
-I i/ ,,''BUILDING PERMIT APPLICATON
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PERMIT NUMBER q — 4 3 2I
DATE OF ISSUANCE
JOB ADDRESS "6-� r
L�
LEGAL DESCRIPTION LOT BLOCK
SUBDIVISION
PROPERTY OWNER
CONTRACTOR ( /J
ADDRESS
ADDRESS
Gso Wes f e�
N.. � — �
T t
CITY, ST, ZIP edr.. 1 )605
-
CITY, ST, ZIP Al V1
PHONE NUMBER ( )
PHONE NUMBER (q
FAX NUMBER t
USE OF BUILDING OR STRUCTURE
TOTAL SQ. FT UNDER ROOF CONSTRUCTION VALUE FIRE SPRINKLERED
CZ0 q r
3 J J 000,
o0
ICIRCLE ONE) YES NO
DESCRIPTION OF WORK TO BE DONE _
4! •
1 HEREBY CERTIFY THAT THE FOR IS CORRECT TO THE SESY 6F MY KNOWLEDGE AND ALL WORK WILL BE PERFORMED
ACCORDING TO THE DOCUMENTS APPROVED BY THE BUILDING DEPARTMENT AND IN COMPLIANCE WI TN THE CITY OF GRAPEVINE
ORDINAN REGULATING CONSTRUCTION. IT IS UNDERSTOOD THAT THE ISSUANCE OF THIS PERMIT DOES NOT GRANT P
AVTH ZE A Y VIO ON OF ANY CODE OR ORDINANCE OF THE CITY OF GRAPEVINE. 1 FURTHERMORE UNDERSTAND THAT
PLAN AND TI S ARE NOT�BWIEWEO FOR HANDICAPPED ACCESSIBILITY, AND THAT THE DESIGN PROFESSIONAL!
OWN IS R Bt 041106 C SUCH APPROVAL FROM THE APPROPRIATE S AND OR PROFESSIONAL/
TURE OF tWNER OR CONTRACTOR
PRINT NAME
TO BE COMPLETED BY BUILDING INSPECTION DEPARTMENT
CONSTRUCTION TYPE 1 ��, I OCCUPANCY GROUP I DIVISION
I ZONINGP
APPROVAL TO ISSUE, PLUMBING
ELECTRICAL Yl; MECHANICAL 1
SETBACK
FRONT .►-
LEFT
�`
RIGHT .—
REAR
BUILDING WIDTH
BUILDING DEPTH
PERMIT VALUATION
PLAN REVIEW APPRO DAT
ATER AVAILABILITY RATE
SITE PLAN APPROVAL DATE
SEWER AVAILABILITY RATE
FIRE DEPT DATEP
UILDING PERMIT FEE
PUBLIC WORKS DEPT - -�' DATEacar
PLANS REVIEW FEE
HEALTH DEPT DAT
LOT DRAINAGE INSPECTION FEE
APPROVED FOR PER DATE -
TOTAL FEES �S
LOT DRAINAGE SUBMITTED APPRVD
PO BOX 95104. GRAPEVINE. TEXAS TBI100 m1 �kA IA a.ec
TOTAL AMOUNT DUE Z'
" V AFUHMIBUILDING.PMT