740208.pdft
BUILDING DEPARTMENT Applicant Fill o PERMIT 740208
PERMIT APPLICATION InBlde Heavy Linea
NAM E OF HUBINEBB)
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cc NAME
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ADDRESS`
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ADDRESS
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PERMISSIBLE
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LOT COVERAGE
L TU OVERAGE
PERMISSIBLE HEIGHT
PROPOSED HEIGHT
ACTUAL LOT AREA
TOTAL BLDG. AREA
REQUIRED YARDS
PROPOSED YARDS
FRONT SIDE REAR
FRONT BIDE REAR
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❑ DEMOLISH RETAINING
ALTER AVATE PENCE
LEGAL LOTARIANCE OR CONDITIONAL USE
I'1 YES rl NO PERMIT NUMBER
PLANNING DEPT. APPROVAL DATE!
STREET R/W
EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY
COMP, PLAN ST. R/W ... ........ FT. ............FT.
REMARKS
EI YES E] No
C]SPECIAL INSPECTOR REQUIRED
❑ YES NO
(OCCUPANCY GROUP
RESIDENTIAL ❑ AS
PLAN CHECKED BY
THIS SITE IS LOCATED IN THE CITY
El NEW LINE
LEINON-RESIDENTIAL Blax
ADD
'OHOEDD ND SODLD aA04 SALES TAX
REMARKS
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❑ DEMOLISH RETAINING
ALTER AVATE PENCE
2 ?
9a C
❑ ORCFILL j ,.(At...
REPAIR PRE-
El
INSP. POOL
t�
a1) L
NUMBER OF STORIES NUMBER OF
DWELLING
•y
UNIT.
,/ (�
NATURE OF WORK TO -BE -DONE
Valuation Fee Receipt No
Plan Check N......................
[O ���
BUILDING
4 PRO BED U8
aPLUMBING
PLOT PLAN (Indicate Building setback., abutting street.)
HEAT & GAB LINE
o
FENCE
e�/��• r.J dV o�
SIGN
tRETAINING
WALL
N
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
1 hereby nck¢owledga that I have nod this application; that We fe•
TOTAL AMOUNT DUE
/ / D
form¢tlon given iscorrect; and that 1 am the owner, or the duly author -
tied agent of the owner. I agree to Comply with City and state law. ngu-
lating doing
ATTENTION
APPLICATION APPROVAL
Construction; and In the work authorised thereby, no Delon
will be employed In violation of the Labor Code of the state of Waabington
THIS PERMIT
This application is not a permit until
relating to Workmeo'a Compensation (asuman.
AUTHORIZES
NOTE: Permit limit One Year DEMOLITIONS which
ONLY TiFE
signed by the Building Official or his Dep -
uty; and fees are paid, and receipt is ac-
be Completed 1.e. mgely days; MOPED -Ix BUILDINGS .hall be mm-
-IN(ExceptBU
WORK NOTED
kn a in spa lrovided.
Plct.,hall
Dieted In slz months.)
SIGNATURE ( NER OR AGENT) DATE BIONS
INSPECTION
C
DEPARTMENT
ZE
CITY OF
EDMON)
NOTE: App icdrrt Subject to Plan Check Fee
PR 6-3107
_ 7
Permit coven work to be dale private property ONLY.
Any
Any eon.truttloq an the D1011C (C sldewslks, driveways,
quire ep—t,
nrqurrn, tits) ++'Ill -quire teparele {rerml.el.n.
FILE