HomeMy WebLinkAbout712 Cambridge Dr - Permits/Reroof - 09/23/1986,. .. .. r- 1� •. tie r
ty of Fort Colffi S 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 / f < ('. r'} ini)(i 10 j
Name
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Mail Address
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Phone ��'/� - -;S i<•'
Name h
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Address
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License No.
Phone
Lot"j`
Block --0—"
Filing Number
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Subdivision ^ al TCIV 4000 Q
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PUD
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Parcel #
DESCRIPTION OF WORK
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3S S.F S�1Fth"s5
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 above is correct and agree to comply with all city
ordinances and state/laws regulating building construction.
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— CLAs4SOOF WORK —
New Alteration` Addition Demolish Move
❑ ❑K ❑ ❑ ❑
Plbg. Mech. Elea Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const. Use Zone
Use of Building
Floor Area
Height' I t
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Lot Area �''� '' —
Frontage< -
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cc. Chang fromo.
Garage area ';
4Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
! ' .
Valuation FEES.-
:w: �, ` f ((..
Plan Check
Permit
Parkland
City Sales Tax::
St. Oversizing
Water Plant Investmerif-,
Sewer Plant Investment
Storm Drainage ,r,.
Electric Underground
'
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Distribution :Original - Applicant: _Blue i0nice: Canary - Sales Tax: Pink Applicant Tag',�Bltlg. Insp:� J )
I
Off -Street Parking '
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
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JLL
Street
PRMTS
44.51
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15.1.
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ZBA Case #
Date
BBACase#
Date
Building Insp. j ;„Approval
by I ,fldate
Date
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