406 Lauring LaneAPPLIC
ADDRES
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6. ENGI
7. PLUS
,IT TO COMPLETE NU/M�BEREO SPACES ONLY
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CITY OF MONTIC LLO
PERMIT APPLICATION
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PERMIT APPLICATION 'F�/_ '
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9. CLASS OF WORK: 0 NEW Q ADDITION ALTERATION aR PAIR a MOVE aOTHER
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10. DESCRIBE WORK TO BE PONES X
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I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND FIND THE SAME TO BE TRUE AND CORRECT
AND AGREE TO COMPLY WITH THE BUILDING CODE AS ADOPTED AND IN EFFECT AT THE .TIME OF THIS APPLICATION.
SIG
DATE 'x °::" µ
DATE GNATOR ,+'v'""
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CITY E ONLY)
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��.C7jULILD IvrNfGf,PE R/M 17 1' ?��� ' �'"j PLUMBING PERM I T $ �` SPEC I ALS ASSESSMENTS, LTC.) NOT APPLICABLE.
/ ��7/✓ /i �f�'LI��/� l .J�.r� rlt�s FIXTURES ��rr(.
STATE SURTAX 6 x' STATE SURTAX 150("
./_,.� w� ��,� 1.1 SEE ATTACHED PAGE(S)
TOTAL :t> .3. 1 TOTAL // v
TOTAL PEE $ .C�' )
NEW
SINGLE FAMILY
-SINGLE
-DUPLEX
-COMMERC 1 AL
INDUSTRIAL
-RES. GARAGE
ALTERATION
DWELLING
^COMMERCIAL
--I NDUSTR I AL
SEAL
M)LAVAT
YPE OF FIXTURE OR ITEM
LCLOSET TOILETSH B&qlwl
W
I
TOTAL TIMES $1.00—`
�.�-17.Occupaney
TVPe of
Const, -li
Group
division
:.C` in
'.Sizes of ylgg.
1No. OR
MAK.
O:.c. Load
irotal) S4• Ft0�,_ (^rI
Storles
FireUse
Y
Firs Sprinklers
Required Dyes ONO
Zone
zone
OFFSTREET PARKING SPACES'
No. of
Dwelling Units
Covered
Uncovered
Special Approval$
Required
Received Not Required
ZONING
HEALTH DEPT.
FIkE DEPT.
SOIL REPORT
OFHER (SPeCIRy)
THIS PERMIT IS GRANTED UPON THE EXPRESS CONDITIONS THAT SAID OWNER AND HIS CONTRACTORS, AGENTS, WORKMEN
AND EMPLOYEES, SHALL COMPLY IN ALL RESPECTS WITH THE OR)1
0� E CITY OF MONTICELLO. GIVEN UNDER ��jF�
HAND OF THE BUILDING OFFICIAL OF THE CITY OF MONTICELLO THIS AY��OF ll�. rJ 19�
BUILDING OFFICIAL.
WHEN PROPERLY SIGNED AND SEALED, THIS