HomeMy WebLinkAbout518 Affirmed Ct - Permits/Single Family New - 02/22/1988City of Fort^Colhns BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen..
1
Job Address /"n1 r (yJte! L
Name
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Mail Address
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Ph/one
Name f it v , rY' .. ...,
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Address ?_ ,mod
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License No.' A�/
Phone�2Z _ ZOSI-
Contractor Sales Tax No. 1786
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Lot 37
Block
Filing Number`
L
Subdivision
PUD
m
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Parcel #
DESCRIPTION OF WORK
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Stock Options
Plan No. 1J Codes
Est. Total Cost 7U U•
(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 Jstate laws regulating building construction.
signed date
= CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑
Flog. Mech, Elec. Struct. Fire Prot.
;G A ❑
Occ:JGr. Type st�
Use Zone
Use of eut IkrVgj !�
Floor Area Height
No. Stories Lot Areaidd
Frontages Va
Occ. load Occ. Change from
Plat File No. -
No. D.U.
Garage area 7�?�
t . esmt. area
Type heat rr f:A
No. Fireplaces or stoves_.
— RELEASES — Dates
Zoning
'
Engineering V
Fire Department
Electric Department
Water & Sewer
Plan Review C44K
Special Conditions:
Valuation ,5"j "'f�tr]r FEES
Plan Check
Permit
Parkland
(ats fin
City Sales Tax
St. Oversizing
/v Z/�Z. OI
Water Plant Investment
, &74
Sewer Plant Investment
y boo QO
Storm Drainager4(7• (07(0
�+"D>•
Electric Underground
:L •gip, !';'7
Total Fees
istribution Onn'nal -Applicant. Blue - OtTice, Canary S-0 Tax Pink - PppI1CaN; Tay'- tlidg. i p.
a .
Off-street Parking
(No. Cars)
Interior Lot
Corner Lot ❑
Reversed Corner Lot ❑
�y •, y
'v,
in
10
V ✓
691
Street
in
TOT'_ 2; 7-
i 21 " -4'
ZBA Case # Date
BOA Case # Date
Building Insp. II Approval
by l date
Permit No.
Date
l/ 6,..' ti W tI