Sehedules used by Municipal Building Departments
Hoa o.
he ed sd spmved by te spetor of dings efore a prwit
APPLICATION
FOR
PERMIT TO BUILD.
Ta the Inpent of Biding
The andersigned hereby applies lor a permit to baild according to th
lellowing specifioatiens
Oauer's ae ad adds
Architect's name
4What is tbe loeation
Ne.
Ward
What i the parpose of bailding
Material od beilise
No, of feet froet
No. of leet rean
Na od feet den
tesements h
No el stores
Ha tenemet hosw, how many ros above secead story
to
No ol leet in height from the level of the graend to the highrt part ef the toal h
11
portice, seech, bay or baw wiindow sroiret arer the line of auy staeet or wae b
14
How sear 3
w of street
es of let
Sean
15.
Sire ofcarnying pertitionh
Number od stairwass
19
..
od ancess to rec0
Will the bailding be erected on lid or Slel land h
22-
what is the mteria of lanndatios
Will the rool be Rat, pitched, manand
4-
grates S
tleiing cr to te od the Ju
Vill
o el brick waln
Where locatedh
8. imated cost
Sioature of applic
REMARKS
ole teserter of Heidings, Ceatral eldinga
INSPECTOR OF BUILDINGS
CITY OF LAWRENCE
Owece
C
, La
peiin
This ri
aitestod
y of Se Ay y the sb
Is
r of Beilding
