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FIRE SPRINKLERED?
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- PROJECT VALUE:
MECHANICAL
PLUMBING
NEEDED? (Check ones that apply) ELECTRIC
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DESCRIPTION OF WORK TO BE DONE:
USE OF BUILDING OR STRUCTURE:
NAME OF BUSINESS:
Square Footage of alteration/addition:
Total Square Footage under roof:
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PPROVAL FROM T
SIGNATURE
PRINT NAME:
NG IS TO BE COMPLETED BY THE BUILDING INSPECTION DEPARTMENT
Approval to Issue
Electrical
Plumbing
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Building Permit Fee:
Plan Review Fee:
Lot Drainage Fee:
Sewer Availability Rate:
Water Availability Rate:
Total Fees:
Total Amount Due: 6)\
Setbacks
Front:
Left:
Right:
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:
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Approved for Permit: Date:
Lot Drainage Submitted: Approved:
THE FOLLO'SN I
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Occupancy Group:
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Occupancy Load:
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