HomeMy WebLinkAbout1025 Oxford Ln - Permits/Reroof - 11/17/1986 (2)City of Fort C lllnc-
B-U-i L D-11iiii 1-1N-S-RL IC-. T I <,J 4 D I VI S I O-N
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address vo� k
Name �1_g
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Mail Address
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Phone
Name
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Address
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License No.
Phori
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Lot
Block
Filing Number
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Subdivision
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PUD
Parcel #
DESCRIPTION OF WORK
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.
signed date
— CLASS OF WORK
New Alt r on Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. Mbich, Elec.- Stuuct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const.
Use Zone
Use of Building
Floor Area
Height
r
No. Stories
Lot Area
Frontage
Occ. load
Oco. Change from
Plat File No.
No. D.U.
Garage area
Fin. Bsni 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
umuiuuuon unginai - Applicant, Blue - Office, Canary - Sales Tax. Pink - Applicant Tag - Bldg. Insp.
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
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Street
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ZBA Case # Date
BBA Case # Date
Building Insp. Approval
by date
,, Permit No.
ate