HomeMy WebLinkAbout2748 Pampas Dr - Permits - 07/11/1985�Aty of Poi-rit C"c7llin C- BAVIL.D-19G- I-I+S-rP-E.CTiON vI'li Tiv-i'i-
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address,27412/ bra,
Name L7LOL
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Mail AddressG-
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Phone z 4 - 3 `c)
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Name
Address
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License No.
Phone
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Lot
Block
Filing Number
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Subdivision
SPUD
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DESCRIPTION OF WORK
Stock j Options
Plan No. Codes
Est. Total Cost
lincluding 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.
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—
signed----- —— date
— CLASS OF WORK
il�evir__ Alteration Addition Demolish Move
❑ ❑ ❑ ❑
b Mec . EIC. Struct_ Fire Prot.
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Occ. Gr. Type Const.
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
Plan Check
Permit
t
Parkland
V
City Sales Tax
St. Overs iz i ng
Water Plant Investment
Sewer Plant Investment"?
Storm Drainage
_
Electric Underground
Total Fees
DISWDUIIC i) Ungmal - 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. .v Approval
by
date
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Permit Ato.:
Date