HomeMy WebLinkAbout401 Guillemont St - Permits/Footing and Foundation - 08/11/1988Page is too large to OCR.
City of Fort -Col in
APPLICATION FOR BUILDING PERMIT
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address
TNameddress
Phone
Name
o
U
Address
C
O
U
License No,
Phone
Contractor Sales Tax No.
C
°
a
Lot
Block
Filing Number
N
Subdivision
0
M
PUD
rn
Parcel If J
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.
sig-:ed date
Valuation -} FEES
Plan Check
Permit
Parkland
City Sales Tax
-"
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
:' 7
uistnbubon: Original - Applicant: 81de - Office, Canary - Sales Tax, -P1nkr- Applicarif: rag - Bldg. Insp.
c
0
m
ZBA Case # Date
BBA Case # Date
Building Insp. Approval
by date
Permit No.
Date