Fillable Building License Application - BUILDING PERMIT

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Building License Application - BUILDING PERMIT

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Country of origin: US
File type: PDF

U.S.A. forms for City of Galena

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City of Galena
211 W. 7
th
* Galena, Kansas 66739
Phone (620) 783-5265 * Fax (620) 783-5111
The Oldest Mining Town in Southeast Kansas
1877
PLOT PLAN
NO SURFACE DRAINAGE TO ENTER SANITARY SEW
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
BUILDING ADDRESS:
BUILDING PERMIT NUMBER:
OWNER:
DATE ISSUED:
MAILING ADDRESS:
CITY: TELEPHONE:
BUILDING FEE: $
ARCHITECT:
CERTIFICATE OF OCCUPANCY MUST BE ISSUED
BEFORE BUILDING IS OCCUPIED
MAILING ADDRESS:
THE APPROVAL OF THIS APPLICATION AND THE
ISSUANCE OF A PERMIT DOES NOT LEGALIZE OR
AUTHORIZE ANY WORK THAT IS NOT IN
COMPLIANCE WITH THE CITY OF GALENA OR THE
STATE OF KANSAS REGULATING SAME
CITY: TELEPHONE:
ALL DEMENSION LUMBER MUST BE #3 OR BETTER
SUBDIVISION:
WHEN WILL PROJECT BE COMPLETED?
LOT NO:
WILL SURGACE DRAINAGE AFFECT ADJACENT
PROPERTY?
BLOCK NO:
CLASS OF WORK
ZONING DISTRICT
NEW DEMOLISH
TYPE OF CONSTRUCTION
ALTERATION REPAIR
USE GROUP CLASSIFICATION
ADDITION
MOVE
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Building License Application - BUILDING PERMIT

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Completed 12 July 2020

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