HomeMy WebLinkAbout2420 Sheffield Cir W - Permits - 09/06/19888 F r - '.rins ... .n .' - - ,."yam"
1 y o C o 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 nlr�e. 4('
Name rieA LA Ail IcLA
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Mail Address
o
Phone
Name eC17 LIVE
Uo
Address 7
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License No. Phone
Contractor Sales Tax No.
Lot -
Block
Filing Number
aSubdivision
PUD
Parrry l # r>
DESCRIPTION OF WORK
,r
Stock Options
Plan No. Codes
Est. Total Cost T.&I
(including labor, material, profiq
1 hereby acknowledge that I have read this application and
state that the above is correct and agree to comply with ail city
ordinances and state taws regulating bujfkIing construction.
'Tigned date
t
— CLASS OF WORK —
New Alt ation Ad 'lion Demolish Move
❑ ❑ ❑
P g. Mech. Er. Struct. Fire Prot.
❑ ❑ ❑
Occ. Gr. ~ Type Const.
Use Zone
i Use of Building f° e -, I r, r-. ,,Tt r\( d ��
Floor Area j ,~. J
Height f'
No. Stories ,
Lot Area FiroAtage
Occ. load
Occ. Cha
a ro }
Plat File No.
A.
Garage area
Fin. . mt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
n
Plan Review �.
Special Conditions:
Valuation FEES
Plan Check
.
Permit
Parkland
City Sales Tax
!7 ,
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Distribulion: Original - Applionr. Glue 4Office: Canary - SaIC{s Tax..w kL Applicanl. Tag )Blbg. Insp.` f ,
Off -Street Parking /. di/`)
(No. Orar"s)
Interior Lot A
Corner Lot ❑
Reversed Corner Lot ❑
A
v
C
0
Street
l 1'l' L
T:
U
ZBA Case # Date
BBA Case # Dater
Building Insp. +'�, Approval
t'
by
Permit No.
Date