HomeMy WebLinkAbout728 Cheyenne Dr - Permits/Addition or Alteration - 02/03/1983ty of Fort
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
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(Name Ii! JP! �. r�ii/JPU
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Phone
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(Name Y"f�s % !/' »' %�.^� ^�4.,
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(Lot
Block
Filing Number
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IPUD
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DESCRIPTION OF WORK
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Stock
Plan
Est.
(Including
Options _`-
No. Codes
Total Cost
labor, material, profit)
state
orbinsnces
I hereby acknowledge that I have read this application and
that the above is correct and agree to comply with all city
and state laws regulating building construction.
L. signed - J,;."'' date
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ al ❑ ❑
Plbg. Mach. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr.P Type ConsLf/n
Use Zone
Use of Building
Floor Area
Height
No. Stories
Lot Area
Frontage
Occ. load
Occ. Change from
Plat File No.
No. D.U.
Garage area
Fin. Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation
FEES
Permitp'
.� U
Plan Check
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
City Sales Tax
/3 ,� j3 :'<"?9 <' •'
Total Fees
Permit No.
Date
q�
1983
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ZBA Case #
Date
BBACase# .^
Date
BBuilding„Insp. 'Approval
bye!f,, .date
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
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Distribution Original - Applicant Blue - Office, Canary - Sales Tax, Pink - Applicant Tag - Bldg. Insp.