HomeMy WebLinkAbout913 E PROSPECT RD - PERMITS - 10/27/1988City of Fort COMI-IS 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 /p , crsPE X� ( ~
Name 7rrA_I 1-��_ 'S f .S L _
Mail-Add� 3
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I Phone �.
Name J�l7 if li`4 L> /4�ii+,,vr�
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Address
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1 License No. Phone
Contractor Sales Tax No.
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Lot
Block
Filing Number
Subdivision
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P --
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Parcel # �,_r "A ' C't1 L --
t - DESCRIPTION OF WORK
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Stock Options
Plan No Codes
Fr
Est. Total Costy'--_:
(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.
f. d
signed date
— CLASS OF WORK
New Alteration Addition Demolish Move
Plbg. Mech. lec. Struct. Fire Prot.
❑ Ll l ❑ ❑
Occ. Gr. IType C t. ` Use Zone
Use of Building
FloorAre� Height
No. Stories
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Lot Are Frontage
of
Occ load
nge
c. C from
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
-
_-�
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Distribubnn Original Apphcnnt. Blue - Of ic, Canary - Sales Tax Pink - Applicant. Tag - Bldg Insp
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
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LL
Street
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ZBA Case #
Date
BRA Case #
Date
Building Insp. Approval
by date
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Permit No.
Date