HomeMy WebLinkAbout616 W Myrtle St - Permits/Furnace - 06/06/1988City f Fort C 7 7 i r_
C�1 L' V1 G C./llllllls WILDING IfV-SFTE-CTION 6iV1S16N
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address ��; . 1
Name _ALL
W
OI,
Mail Address
Phone- -_-- —_
y-�
o, Name A- i
/
, Address �4(414
r
License No.�� i �� Phoneme . �-
c
° Lot ''Block Filing Number
nit--- -- --- - -_ -
y' Subdivision
Q -- — —
PUD
Parcel #
DESCRIPTION OF WORK
Stock Options
Plan No._ --_ _..__ Codes
Est Tota: Cost 0
tincluding labor, materiai. 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 iaws regulating building construction_�/_
gned date
— CLASS OF WORK —
New Alt r n
Addition Demolish Move
Plbg. Mech.
Elec. Struct. Fire Prot.
Occ. Gr. Type Const.
Zone
Use of Building
Floor Area
eight
No. Stories
o
e
ge
Occ. load
Oc
i
.-Chang f
Ytai File No
A
Li
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
FEES
Plan Check
---- ------ ----
Permit
Parkland
City Sales Tax
St. Overslzing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
-M4,notion J ig A :.ol C'F C(- C,rj,r,-Sales Tax.?mi, 4ppIhcan[ Tag e!dg Inag
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
a
m
m
Ir
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I I I 1
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cr) n
0
LL
Street
1; ry
o
ZBA Case # Date
BBA Case # Date
Building Insp. Approval
by date
Permit No
Date