HomeMy WebLinkAbout2190 W Drake Rd - Permits/Tenant Finish - 06/03/1983 (2)Vlt�=OY' �0111115 BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
I I Fr
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address "D g i, - lirr4 Le P-J. Q2
Name '14 VA vi e
ki
Mail Address
3
Phone-Z-��
`
Name c,
Cd
Address ` iu%
V'ti
! f ( t't
License No. A 49
I Phone
c
21
Lot
Block
Filing Number
y
SubdivisionVrtte>irt�`i4Li
n
PUD�
d
J
+
DESCRIPTION OF WORK
fit:
dr
Stock Options
Plan No. Cdes
Est. Total Cost 9310 C>, 04)
(including labor,"material, profit)
l 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 consJtructic
+�jn.
sigFled d to
7?
— CLASS OF WORK —
New
❑
Alteration Add iti Demolish Move !
❑ C9'
PI
MecEleSt ct. FireProt!,��gy, O❑
Occ. Gr. L3�_
f
Type Con st.
Use Zone
Use of Buildirg
t
FloorArea
12�7 C Height F%4yYtr ,.�
No. Stories
Lot Area Frontage
Occ. load
Oec..Changp 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 Depa fitment
Water & Sewer
Plan Review
I
Special Condi
tions:
►
,t
I�;• i �-
Jfn
%4r, i
Valuation
FEES
Plan Check
I
Permit
- _r-
Parkland
City Sales Ta
,
St. Oversizingi
Water Plant I
vestment
Sewer Plant l6vestment
Storm Dr age
I;
Electric U(ide
round
Total Fee's
'� r
Off -Street Parkig
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
Street
ZBA Case #
B BA Case #
Building Ins
by
C.
'� Perm
!Wi
4
;A
a
Date
Date "
Approval,
j date
Date"
171