HomeMy WebLinkAbout406 W Troutman Pkwy - Permits - 07/06/1983City of P'l (Chinn BUILDING INSPECTION DIVISION
APPLICATION FOR. BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
I Permit No. I Date I
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address #Q& moo.: noAJ A,etIJA
Name
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Mail Address-
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Phone
Name
Address _ _
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License No. -
IPhone
Lot
Block
Filing Number
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DESCRIPTION OF WORK
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 al I city
ordinances and state laws regulating building construction.
signed date
— CLASS OF WORK —
NewAlteration Addition Demolish Move
Ci ❑ ❑ ❑ ❑
Plbg. Mach. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr.
Type Const.
Use Zone ;i t 1
Use of Building
Floor Area
Height
No. Stories i
Lot Area
Frontage
Occ. load
Occ. Change from
Plat File No. ' Q y -
No. D.U.
Garage area
Fin. Bsmt. area _.
Type heat
No. Fireplaces or stoves -
- RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department (_..—
Water & Sewer U.
Plan Review
Special Conditions:
Valuation
FEES
Permit
Plan Check
St. Oversizing
Water Plant Investment
. 7
Sewer Plant Investment
Storm Drainage
,
Electric Underground
City Sales Tax
Total Fees
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2SA Case #
BBACase#
Building Insp. Approval
by date
Date
Date
Off -Street Parking
(No. Cars)
Interior Lot 6
Corner Lot ❑
Reversed Corner Lot ❑
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