HomeMy WebLinkAbout215 E Foothills Pkwy - Permits/Demolition - 05/17/1984Y't COII1r1S —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
Lc•iff/%! �'.'i `><f.!`hl ;!%llKi y _
Name
d
c
Mail Address
/
Phone
Name _'k• . �. w��A, ,. a- t�� .� - ',U
o
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Address
c
License No. Phone1Ei
Lot Block
Filing Number
,Z3
Subdivision
70
PUD
DESCRIPTION OF WORK
'JJ`.,
t!.OU :IAV—i (. t:.�,x
Stock Options
Plan No. Codes
_
Est. Total Cost
(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 vt , -. rx._ date
T
r
111151111
— CLASS OF WORK —
New
❑
Alteration Addition Demolish
1❑ ❑ ❑
Move
❑
Plbg.
❑
Mach. Elec. Shutt.
❑ ❑ ❑
Fire Prot.
❑
Occ. Gr.
Type Const. jtJIse Zone
Use of Building
Floor Area
Height
ries
Lot Area
Frontage
ad
E
Dec. 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
Distribution'. Original - APO.anl',:91,ri Oilice, Canary, Sales Tax�PinA ��Ppplicantl Taga=, B
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
m
m
_ID
V
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d
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d
in
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JLL
Street
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