HomeMy WebLinkAbout2948 Garfield St - Permits - 12/31/1999 (4)city
M
S BUILDING INSPECTION DIVIS
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address t jl ,,,r •,
Name
m
c
Mail Address
Phone
Name
o
u
Address :(� .-t .Zitr.-
•
o
U
License No. '—y.. I �,y Phone
Contractor Sales Tax No.�'
meBlock
o
v
S
r ! rFAilin
°
PUD�
m
Parcel to '�7 e2 C IL "" }`�„ ^" !! .✓
DESCRIPTION OF WORK
dire
Stock Options
Plan No. Codes
t!F:_,�.Sr r
ESL 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.
y �
• signed
37
Applicant Tag - Bldg. Icap.
— CLASS OF WORK —
New Alteration Addition Demolish Move
tal ❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const. Use Zone
r
Use of Building
,�
Floor Areak�'Ccccha�nge
No. Stories
Occ. load �
j'hA,_
�'Plat
to.D.
File No%
Garage area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer •�
Plan Review
Special Conditions:
Valuation FEES
Plan Check
Permit
Parkland
_
City Sales Tax
St. Oversizing
i
Water Plant Investment
-
Sewer Plant Investment
Storm Drainage '
Electric Underground
Total Fees
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner
Lot ❑
�m
m
_IV
l I
l )
d
1
m
rn
T
N
0
Street
PMel TS
TOTL
15.00
0
•'r• , I
a
SEP.d6'38
ZBA Case #
Date
BBACase# a I
Date
Building Insp.
Approval
by ,(.
date
]�
/
Permit No.
r
Date
Distribution Original