109 Morrison Ave (2)0
RECEIVEDOr CITY OF SANFORD
III -a 7nin BUILDING & FIRE PREVENTION
- - Application No: _ice � 11 R 5- - Documented
Job Address: �o� �►„��� so., 5�, ,�J,
Parcel ID:
Description of Work: 1, coy-,
Plan Review Contact Person: Br; —, �'us4-4
Phone: 32-i - a -q 9 - -71o61--Fax:
Property
Name D-sc
Street: l09
City, State Zip:
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Name �2%R„►
Street: Os --7
City, State Zip:
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PERMIT APP
�er-
Kon Value:_$- '+
Historic District: Yes ❑ No ❑
Zoning:
Title: cer&z<<4 e -
E -mail: !' L. ar i; sa" 5 C_, C
tro-
Information
_ Phone: yo-) - 330- 9 -7
_ Resident of property? : Ve S
,o'rftractor Information
Phone: 3Zr - 29 l 7 G -2-
Fax: Fax•
State License No.: CG -c -72-9(e
iitect/Engineer Information
Name: Phone:
Street:Q 5 3 d? 8 3 Fax:
City, St, Zip: E-mail:
Bonding Company: N �A-
Address:
Mortgage Lender: /J/4
Address:
PERMIT INFORMATION
Building Permit &
Square Footage: 120 Construction Type:
No. of Dwelling Units: Flood Zone:
Electrical
Ef-
New Service-- No. of AMPS:
Mechanical • (Duct layout required for new systems)
No. of Stories:
Plumbing ❑
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm ❑ No. of heads:
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