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Home My WebLink About801 Kimball Rd - Permits/Single Family New - 05/03/1983X 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 PO/ e,-. „• /i ;yv,`1• Name , T ,') . .^v rf •`+ i <s:•.+•u 1 i© d c Mail Address ' 3 � Phone 417 o Name:Ft- mAddress - , • U i /l��a .', r ,v r �. ,7/'m 1�� ' U License No. ,� _ y a Phone 444� : 71i 2 0 4 Lot Block Filing Number o Subdivision .onl /.•,' O PUD ex J DESCRIPTION OF WORK %Il %Is{J < f ,, N ' I _. p I S ce _ t 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 signeq,, _ date - CLASS OF WORK - New Alteration Addition Demolish Move . ❑ ❑ ❑ ❑ Plbg. Mach. Elec. Struct. Fire Prot. ❑ ❑ ❑ ❑ ❑ Occ. Gr. � Type Const. - . , a Use zone +Q L Use of Building _ ; j, - /-- FloorArea ht ^ dNo. Stories Frontage !! , , fOcc. 20cc. loatlPlat =from File No.Garage areat. area IType heat A F„laces or stoves -- - RELEASES — Dates Zoning 0 k '1 •3 - r. 3 Engineering Fire Department Electric Department Water & Sewer Plan Review Special Conditions: Valuation FEES Plan Check O • (j / G' Permit dw 9. 9a Parkland v S'90 • �0 City Sales Tax 3 %� • l`.S St. Oversizing 3•"/G •fig,-0 Water Plant Investment / �/•"/ 16 Sewer Plant Investment /„��$'Q,• 00 Storm Drainage Y/- •/— ElectricUnderground so Total Fees .J G �••� y Off -Street Parking (No. Cars) Interior Lot ❑ Corner Lot M Reversed Corner Lot 'D v o• m J > 'v � V lOt y Y n (p c 0 Jri by Street 0 1 ^ D > „r ZBACase# • Date BBA Case p Date Bull5lmg-Insp;, Approval •`/ �a1/1 by,1s :/,cinf.Ci� date 0, a Permit No. Date Distribution'. Original - Appbcan , Blue - ORme, Canary - Sales Tax. Pink - Applicant Tag - Bldg, Insp.