Riverchase-5/Re-CS 940622BUILDING PERMIT APPLICATION
Print or Type in a Clear, Legible Manner
0
0~
~J
0
0
I
I
q"O~,~ e. -, /
A~klress: Phe~e #:
Descfil~on of Work to be Done Class of Work:
[~New []Additlon [] Alteration [] Repair [] Demolition
Floor
S~cond Hoot
GRAY AREA FOR OFFICE USE ONLY
NOTICE
This pmnit be~x~n~ ~n and void it' work ~ coma'uctien m~ized is net
wi~in 1~0 '4'ys. etonnsmtction on wm'kis~mpended er aban~m~l feraperkxlof lgOdays
at any time after work is ~nced.
lherebyomifTthat lhawreadande~ufinedthlsap~on~nd know th~ same to be
and ccfrect. All provisions of laws and ntdinanccs 8ovcmin8 ~ type ~ work will be
cotntdied with wbdher specified herein ~r nec The 8t~nfinS ef · permit deft not presume to
~ive authority ~o viola~ or cancel the provisions of any othzr federal, ~ ~ local law
Plun~ing Cma-actor
M~x~a~ical ~
FPMC- 1 (4/94)
VI,~ABIL ITY
!
52'-0" ~
20'd ~[~E ~0£ 2Z6 LLeddo3 ~o £1~3 VOI:OI O0-~z-6nv