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HomeMy WebLinkAbout2300 Limousin Ct - Permits/Addition or Alteration - 05/12/1983ty of Fort S BUILDING INSPECTION DIVISION APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY I Applicant complete this part of form only. Press firmly using ball point pen. ,Job Address ,23o,., ` r,v ;,; ty; //y c T Name c Mail Address �•r�r� ,1rY:l; U.: //t! �' 3 .�p_'.•^-y / Phone `o Name Address o I U License No. Phone a Lot Block Filing Number Subdivision m PUD 9 ZL DESCRIPTION OF WORK Stock Options Plan No.Codes // Est. Total Cost l.o fir© (including labor, material, profit) 1 hereby acknowledge that I have read this application and state that the above is correct and agree to comply with all city ordinances and state laws regulating building construction. signed date — CLASS OF WORK — New -- Alteration - Addition Demolish Move 29 ❑ ❑ ❑ ❑ Plbg. Mech. Elec. Struct.• Fire Prot. ❑ ❑ ❑ a, ❑ Occ. Gr. AA- IType Const. (/ Use Zone Use of Building "r! & +< Floor Area Height No. Stories Lot Area Frontage Dec. load Occ. Change from Plat File No. No. D.U. Garage area Fin. Bsmt. area Type heat No. Fireplaces or stoves — RELEASES — Dates Zoning Engineering Fire Department Electric Department Water & Sewer Plan Review Special Conditions: Valuation GGO•!lG' FEES Plan Check Permit rT '!i'6• Parkland City Sales Tax / /1� N e Lu r '4 St. Oversizing Water Plant Investment Sewer Plant Investment Storm Drainage - _ Electric Underground Total Fees Off -Street Parking (NO. Cars) Interior Lot ❑ Corner Lot ❑ Reversed Corner Lot ❑ 0 d f ) f ) w ^AD m m to c 0 Street c O m a ZBA Case ff Date BBA Case N Date nsp. BuiltliQgl, j 'Approval „ r� b"�nsp (I date f1A Q I MAY 12W3 Permit No. Date Distribution: Original - Applicant: Blue - Oftic.; Ganary - Sales Tax: P,nk - Applic.M Tag - 131d, Insp.