HomeMy WebLinkAbout924 Magnolia - Permits/Furnace - 04/09/1987Clty •Of - For't C0111115- I
_ BUILDINGNSPECTION DIWSION
APPLICATION FOR BUILDING- PERMIT AND. CERTINcATE OF OCCUPANCY, ,
- Applicant complete this part of'form only.,,
-�Pfess firmly u ing, bell point pen, '
'Job Address _
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Name`-
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Mail Address.
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'
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Name i
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m
Addres's --
.
Lic se No.' a
Phone
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Lot -"
Block Fi(ng Number
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.Subdivision -
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PUD_
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�
Parcel tip -
DESC PTION OF WORK
Stock - - Options'
'Plan No. - Codes -
Est.TotalCosf
(including labor, ater I, profit), - -
'* I hereby acknowledge that I have read this application and
-_.stale that * e above is correct and agree to comply with all city
ordinan s and state law regulating building construction..
signed - date-
:— CLASS OF WORK _
New,- Alte Addition Demolish : Moves,
•-.Plug. M c :Elec. Siruct.'" Fire Prot.
❑ - ❑ -. - ❑ ❑
Occ..Gr. '. Type Const...
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Zone
Use of Building
FloorArea ,-
Big
-
No. tores,ot
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Occ. 4dZt
I Occ. Ch
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Plat File No.
o: 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
Plan Check _ "
-
Permit- -
Parkland .
-
City Sales Tax
St. Oversizing -
Water Plant -Investment
- - -
Sewer Plant Investment _
.Storm Drainage
- '
Electric Underground -
Total,Fees
Off -Street Parking
;
- - (No. Cars) -_
Interior Lot - i
❑-
-_Corner Lot ; -
-❑
Reversed Corner Lot -
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-ZBA Case - -
,Date-_
SBACase#
Date -
Building Insp.
Approval
'date
-
by
..
Permit No. -
Date
O(g'rnalAppli¢anl;. Blue - Of/ic¢i Canary -Sales Taz: pink - Applicant: Tag - Bldg. Insp.
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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 AddresJs 'r✓'. i.F.r.. t
Name
m
Mail Address
O
w Phone
Name � .x. /
o
_
Address %�f1 s� (•).... •: �. (f .
'c
O
?6 JY •`
O
License No. /�'/L ', %j
Phone !✓r`Yl=� t.'.'/Z �
c
n
Lot
Block
— '
Filing Number
Subdivision
PUD
m
Parcel #
DESCRIPTION OF WORK
I C
Stock Options
Plan No. Codes
Est. Total Cost
(including labor, m`ai&uilI, 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.
�signetl (r•,,,. t e•. 1 date f. r.._
— CLASS OF WORK —
New Alter do Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. Mech Elec. Struct. Fire Prot.
❑ ❑' ❑ ❑ ❑
Occ. Gr. Type Const. 1
UseZone
Use of Building
Floor Area, , ;•
Height'J• 1
No. Stories}.
dot Areaj
Fro Cage
Occ. to (
Occ. Change from }•
Plat File No. S.-t� it, .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 Ci/%.•-fJ r" FEES
Plan Check
�-
Permit
Parkland
City Sales Tax
t 1%:�...3r�1d• lT
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
.Total,Eees \
Distribution: Original - Applicant,8` e; nary - Sales 1aPln� -tA4 cant, Tag\Jaftlg:_I_Ap.
Off -Street Parking
(No. Cars)
Interior Lot
❑
.Corner Lot
❑
Reversed Corner Lot ❑
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m
m
Is
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I
0
0
Street
T[)'". J
APt.1r43 397
0
a
ZBACase#
Date
BBA Case if a
Date
Building Insp. i ( f Approval
by '�,(• date
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Dale