HomeMy WebLinkAbout3665 John F Kennedy Pkwy - Permits/Tenant Finish - 04/07/1987City of Fort Colliris BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address' 5
Name 4041j%te,WNW y!
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Mail Address j � -
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Phone 12,-411u�6
Name yranj
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Address "It -
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License No. -Atv
Phone L�q-tt-}�
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Lot
Block /
Filing Number
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Subdivision f,-
PUD /J
P
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Parcel #
DESCRIPTION OF WORK
Stock Options
Plan No. Codes
Est. Total Cost 5 55
(including labor, material, profit)
I hereby acknowledge that 1 have read this application and
state that the a ove is correct and agree to comply with all city
Iordinanc state laws regulating building construction.
_ _ i ad-
— CLASS OF WORK —
New Alteration Ad ition Demolish Move
❑ ❑ ❑
Plbg. Mech. E e _ Struct. Fire Prot.
❑ ❑ ❑
Occ. Gr. -�, Type Consty-�
Use Zone
'Mp5No.dtng-- -
Height Os
Lot Area
rontage
400dting-
Occ. Chan f m
oa
Fin. Bsmt. area
No. Fireplaces or stoves
— RELEASES — Dates
Zoning d
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review o4 0U
Special Conditions:
►�L.v o� NK
ST
o�
Valuation FEES
Plan Check -�
Permit
Parkland
City Sales Tax
St, Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees -
Off -Street Parking
(No.
Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
Y
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y
^^D
N
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0
Jll
Street of trr•t.
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1
TAXPM
75.01
TOIL
188.00
CHCK 18
N28787 13:40 A
APR.08'87
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ZBA Case #
Dale
BBA Case#
Date
Building Insp.
Approval
by
date
�- � I —
Permit No.
I
bate
.00
Dishi0utlon. Original - ADPlicant. Blue - Othce; Canary -Sales Tan: Plnk - Appl¢ant Tag