HomeMy WebLinkAbout1439 FRONT NINE DR - PERMITS - 6/29/1984mof Port"'
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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 / / • - ;_ -"%,
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Name t t xr.l� �Cx 1,
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Mail Address �}/ y,t�\`Rj�r ij'�_
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fC, Phone !-�ff. "
'J./f.',•.
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Address
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t t'.^^'---ram..
License'No. ! �,.G �
Phone
Lot-_ •, .,y.
Block
Filing Number
Subdivision76
PUD f r
J
DESCRIPTION OF WORK
Stock Options
Plan No. —Codes
/�� �-oon
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.
,rc
6`fsigned
"/
- date`s
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑� ❑ ❑ ❑ ❑
Pibg. Mach. Elec., Struct., Fire Prot.
❑/ ❑ ff- o' ❑
Dec. Gr. (_ _
Type Const YX
Use Zone f / =
Use of Building of /,OCC K
Floor Area) , .
Height
No. Stories
r
Lot Area ✓ I. / , i7`
t�
Frontage 19
Occ. load t
Occ. Change from
Plat File No./�t_fiY (p .plo.
D.U. 7
Garage area • 1x5 .ft�
Fin. Bsmt. area 2
Type heat
No. Fireplaces or stoves
— RELEASES Dates
/— /
/
Zoning /� G i/. O' / 0
Engineering t/
Fire Department
Electric Department
Water & Sewer
Plan Review D A�
Special Conditions:
Valuation `y Z/ 611 FEES
Plan Check L -
z..�t sr�s2
Permit
_
j4;
Parkland!N<�
•��
City Sales Tax
St. Oversizing
�? , ' {, f• ;
Water Plant Investment
Sewer Plant Investment
_
Storm Drainage
Electric Underground
% `•--'�. t�
T tal F es
1
/
Off -Street Parking
(No. Cars)
Interior Lot ❑
5
Corner Lot /Q] .�
C1
Reversed Corner Lot ❑
{�^DF
c`
0
Jtih
7 {
Street
trUl! 1
PFI:MTS
726 30
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a JUN.29'84
ZBA Case R Date
BBA Case p Date
Building Insp. t ,e Approval
byo ,.-"r date
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!i f-
l
,Permit N(
t'
Date
Dist ri bution._ 0 rig final - Applicant atuew Rice: angry.- Sa lea Tax. Pr-,App6cantl 1.9 - Q. In;p.— y a ��