HomeMy WebLinkAbout911 Gilgalad Way - Permits/Single Family New - 05/21/1985✓ t, yOf FOTt COIZlI1S BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen. .
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Name
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License No. r:7 Q C-,.3
Phone
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Lo`�'r �r Block Filing Number
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Subdivision
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DESCRIPTION OF WORK
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Stock Options
Plan No. Codes
Est. Total Cost
(including labor, materlaala in ofitt�
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.
signed - � � •'G -�-7datg- �..
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— CLASS OF WORK —
New Alteration Addition Demolish Move
R� ❑ ❑ ❑ ❑
1Ibg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const.
Use Zone
Use of Building ., e t`{i,M r _
Floor Area 2s9n
I Height
No. Stories
Lot Area
Frontage L? r
Occ. load
Occ. Change from
Plat File No. y.y(y .0 . 3
No. D.U. I
Garage area
Fin. Bsmt. area
Type heat t:-Y!
No. Fireplaces or stoves
— RELEASES — Dates
Zoning 0 /' )y�J cf - jZr� -&&-
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Conditions:
^Special
Valuation - � -ti FEES
Plan Check ji;17 �'.
_
Permit%
Parkland
City Sales Tax
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St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
DisinbuUon Original - Apphcanl'.Blue- 0flicey Canary( Sales TY'A'PNA Apphcanl. Trg - Bldg. Insp.
Off -Street Parking
(No. Cars)
Interior Lot
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Corner Lot
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Reversed Corner Lot ❑
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1tJ�o5 Date
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Building Insp. ,{�f
Approval
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date
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Date
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