HomeMy WebLinkAbout1807 Indian Meadows Ln Thru - Permits/Garage - 07/22/1988 (2)Im
S BUILDING INSPECTION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address j,r(f ` ,� f '^ /F/.-I�i.P1 1{ i'•i�ctr rJ<
Name X,. i%..f±'�'-I j I
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Mail Addressi' :} t -t e.`
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Phone -7
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Name
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Address ! ti f tj �, ' 1 f
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License No. � J .; FryB�
P %� ;, _ i Y F
Contractor Sales Tax No. / "- •�
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Lot
Block
Filing Number
Subdivision
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PUD
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Parcel If
DESCRIPTION OF WORK
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Af
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Stock Options
Plan No Codes
CU 5
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Est. Total Cosh r +`•^�� i
(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.
r signed date
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑r t ❑ ❑
Occ. Gr. Type ConsL
lfse Zone
Use of Building c i' +"
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# Height
Lot A;ea
Frontage
EFile
Occ., Change from
No. D.U.
Fin. Bsmt. area
Type heat
No. Fireplaces or at
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation FEES
Plan Check
Permit
4 i
C�
Parkland
City Sales Taz
tl , ;, , l a
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
�' f' ,�
Dist ri to li on Original - Appl lcanl_791ue .�OI we: Canary Sales To Pink Applicant', Tag/ Bltlg. Iv6pM Jt r c�
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner
Lot ❑
m
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`m
m
1
m
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LL
Street
PRP,T5 43,510
TAXPM 48.t3
TBTL 92.63
f` ICK 9
H91923
1/4n2E .4
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7UL.2S'8R
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ZBA Case tt
Date
BBA Case p
Date
Building
Insp. -
Approval
by
date
Permit No.
Date