HomeMy WebLinkAbout2190 W Drake Rd - Permits/Tenant Finish - 06/05/1983ity Q ort Gollin�
APPLICATION FOR BUILDING PERMIT
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address r)t ,> U),
Name
Mail Address
3
Phone AeAz_ 29 co
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Name . F
m
Address 2, �L, ,C) ( )
0
License No. `s'
Phone 4E' l- 29(ol
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Lot
Block
Filing Number
Subdivision
ca
PUD
..A
DESCRIPTION OF WORK
Stock Options
Plan No. Codes
Est. Total Cost . '40
(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 dat
o
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BUILDING
AND CERTIFICATE
INSPECTION DIVISION
OF OCCUPANCY
— CLASS,OF WORK —
New
Alteration Addition Demolish Move
Plbg. _
Mech. Elec Struct• Fire Prot.
131" Q? ❑ ❑ ,
Occ. Gr. ,
_-d Type Const
Use Zone
Use of Building
(Ze�,
FloorArea
I2-4U
Height t'�(�c.:'
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 Departme�Int
Electric Department
Water & Sewer
Plan Review
Special Conditions:
^ {
over a.
c M%.
Valuation
145
S0. F
Plan Check 1
4 � er ,"
Permit
-
Parkland
City Sales Tani
St. Oversizingl
Water Plant Irivestment
Sewer Plant I
vestment
Storm Draina
e
Electric Underground
Total Fees
Off -Street Parking
j
(No. Cars)
Interior Lot
❑
Corner Lot
p
Reversed Corner Lot
❑
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c`d
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m
M Cl)
c
0
v JLL
Street
O
C
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ZBA Case #'
Date
BBA Case#
Date
Building I
Approval
by
j date
Permit No.
Date