HomeMy WebLinkAboutROOF2015-40550
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SIGNATURE
PRINT NAME:
THE FOLLOWING IS TO BE COMPLETED BY THE BUILDING INSPECTION DEPARTMENT
Approval to Issue I
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Building Permit Fee: a
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Plan Review Fee:
Lot Drainage Fee: r\ 1\1
Sewer Availability Rate: - -1
Water Availability Rate: p
Total Fees: ( L )
Total Amount Due:
Setbacks
Front:
[ Left:
Rear:
Permit Valuation: $
Fire Sprinkler: YES NO
Building Depth:
Building Width:
Plan Review Approval: Date:
Site Plan Approval: Date:
Fire Department: Date:
Public Works Department: Date:
Health Department: Date:
Approved for Permit: Date:
Lot Drainage Submitted: Approved:
Construction Type:
Occupancy Group:
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0-4,
0
N
Occupancy Load: