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CURRENT MAILING ADDRESS:
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DESCRIPTION OF WORK TO BE DON
USE OF BUILDING OR STRUCTURE:
NAME OF BUSINESS:
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SIGNATURE
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PRINT NAME:
NG IS TO BE COMPLETED BY THE BUILDING INSPECTION DEPARTMENT
Approval to Issue
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Building Permit Fee: ilt)-- 7 <
Plan Review Fee:
Lot Drainage Fee:
Sewer Availability Rate:
Water Availability Rate:
Total Fees:
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Total Amount Due:
Setbacks
Front:
Left:
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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:
Health Department: Date:
Approved for Permit: Date:
Lot Drainage Submitted: Approved:
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ORORMSNDSPERMITAPPLICATIONS 1/02-Rev.1 1/04,5/06,2/07,11/09A/11
P.O. BOX 95104, GRAPEVINE, TX 76099 (817) 410-3165