city of poteau building permit application · city of poteau building permit application date _____...
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CITY OF POTEAU BUILDING PERMIT APPLICATION
Date _____________________ Permit # ________________
LOCATION
Addition ________________________ Lot ______________ Block ___________________
House number ________________ Street ____________________________________________________
INTENT
Build [] Remodel [] Repair [] Re-roof [] Re-side [] Add-on [] Move-in []
BUILDING TYPE
Residential [] ---------------------- Mobile Home [] Duplex [] Apartments [] Numbered Units []
Business []
Commercial []
Non-residential [] Describe _______________________________________________________
WATER, SEWER, MECHANICAL, PLUMBING, & ELECTRICAL
City water [] Rural water [] Private well [] Other [] Water tap $_____________
City sewer [] Septic tank [] Other [] Sewer tap $_____________
Street cut $_____________
Sign Install $_____________
Dimensions of structure ________________ Total sq. feet __________ Est. Cost_________ Bldg. Fees$ ____________
Present Occupy _____________ Occupancy upon Completion_______________
# of stories _______ Type of foundation: Block [] Brick [] Poured []
Type of floor ______________________ Exterior walls _____________________ Type of roof ___________________________
Windows ______________ Type of heating _____________________ Air conditioned: Yes [] No []
Mechanical Inspection $___________
# of water outlets ____________ Plumbing inspection $____________
Electrical inspection $____________
Plat Plans Filed []
Plans Filed []
Specifications [] Total $ ___________________
Authorized by ______________________ (Building Inspector
Approved by Planning Commission: Date______________ Signature_______________________________
The above proposed work shall be faithfully carried out as described and shown on accompanying plans, specifications, and Plat diagrams and not
otherwise: the provisions of the laws and ordinances applying to the premises and to the proposed work will be completed with, whether stated on the
application and plans or not and that the building and structures affected by the application will not be used for any other purpose then stated.
Owner _____________________________ Address _________________________________________ Phone __________________
Builder ____________________________ Address _________________________________________ Phone __________________
Plumbing Contractor________________________ Address ___________________________________ Phone __________________
Electrical Contractor ________________________ Address ___________________________________ Phone __________________
Signature ___________________________________________
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