HomeMy WebLinkAbout2603 Lodi Ct - Permits/Single Family New - 06/18/1984��../ V � �m "'Fort'
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rf • ' O Ort 'COIIli1S BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND. CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address fa0r' 4-
-Namef-
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Mail Address"iX.
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Phone
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Name 'rs.:
5
Address
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License No. a a
Phone..,,,,
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2
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Lot ff ,
Block s '.
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Filing Number `
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N
Subdivis n -'
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PUD
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DESCRIPTION OF WORK
0
Stock Options
Plan No. Codes
Est. Total Cost
(including labor, material, profit)
I 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.
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�!9 •� %� � date
— CLASS OF WORK —
New Alteration Addition Demolish Move
°a. ❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
Ell f7 :O' O_ ❑
Occ. Gr. t,'
Type Const. 11 A)
Use Zone L
r
Use of Building
Floor Area
Height f: §"6 '
No. 'Stories r'
Lot Area Y „_ '�: _
Frontage
Occ. load
Occ. Change from
Plat File No. sir_ - ? _
No. D.U.
Garage area
Fin. Bsmt. area
Type heat , .:+f
No. Fireplaces or stoves
—' RELEASES — Dates
Zoning
r`
Engineering M
V
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:.' t t k--
Valuation FEES
Plan Check
Permit
Parkland
r—, ; »-, ,•�,
City Sales Tax
St. Oversizing
'
t� 3
Water Plant Investment
r E }^
Sewer Plant Investment
i
Storm Drainage
Electric Underground
-`
Total Fees
Off -Street Parking
(No. Cars)
Interior Lot O�
Corner Lot ❑
Reversed Corner Lot ❑
c
J _"�
•a
a
4
v
( 2
r `V
Street
y /_
F'xrRMTS ?90 o Ci?
Pl-%FEE '5C"0.00
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ZBA Case # Date
BBA Case # Date
Building Insp7, Approval f
by
i ! `�date ! !'•.
Perrnit_No. r"" "�
Date/
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Distribution: Original - Applicani,,0ue_,`b ice: Canary' --Sales ;Tad': Eink - Applicant: Tag - Bldg. Insp. 0 ` -J. x �� .,�� •'