HomeMy WebLinkAbout321 Maple St - Permits/Footing and Foundation - 06/23/1988City
of Fort CoilinS BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of -form only.
Press firmly using ballpoint pen.
Job Address -32
L/ic2--/
Name
d Mail Address
o
22 —loco /
_Phone
Name
g Address 8-2-(fpUL
c `i5
U License No.
Phone 2
Contractor Sales Tax No.
o Lot
Block 2
Filing Number
y Subdivision
d
PUD
m
Parcel a
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 a ove Is orrect and agree to com ly with all city
ordinances a s[a, laws regulating uildi /construction.
signed date
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ El
Mech. Elec. Str❑uct. Fire Prot.
P og. Me ❑ ❑
Dec. Gr. Type Const.
Use Zone
Use of Building
Floor Area
Height
No. Stories
Lot Area
Frontage
Dec. load
Occ. Change from
Plat File No.
No. D.U.
Garage area
Fin. Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning C pZ
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
FEES
2Check
kTaxingt
Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Tag -Bldg. Insp.
OisUibulion:Original-Appl¢anC Blue -Office. Ganary-Sales Tax:.Pink-Applicant - _ 1{
Off -Street Parking T
(No. ars)
Interior Lot
Corner Lot
❑
Reversed Corner
Lot ❑
2
m
c
0
JLL
Street-
0
144
2
C
0
.�
Date
Date
pbyl
Approval
� date
4 Z
Date