HomeMy WebLinkAbout919 SHORE PINE CT - PERMITS - 5/29/1987Co"in��
BUILDING INSPECTION DIVISION
G` T O f Fort Off -Street Parking (No. Cars)
y PERMIT AND CERTIFICATE OF OCCUPANCY ❑
APPLICATION FOR BUILDING Interior Lot ❑
— CLASS OF WORK — Move Corner Lot
Alteration Addition Demolish ❑ ❑
Applicant complete this part of form only. New ❑ ❑ Reversed Corner Lot
ball point pen. ❑ Struct. Fire Prot.
Press firmly using t Mech. Elec. ❑ ❑
i F Plbg. ❑ ❑
Elt Job Address Use Zone
.
Name L jr}.) � �- Occ. Gr.
Type Cons
�) Use of Building
� Mail Address " � htrA 'A A Height
` Floor Area
3 �Frontage
O t_- .:. Jr �J
Phone ` <� � No. Stories Lot Area
e from
Name �—� r n C C- Occ. load Occ. Chang No. D.U.
oAddress �{:a,. C'.� ' -'IIq Plat File No.
0 Fin. Bsmt. area
��L` r✓L:fl ��� r Garage area laces or stoves
o No. Firep
O � Phone ,�-�-L�i=' Type heat
License No. n. - J ` Dates
o Lot Block
Filing Number � —RELEASES —
u ,c
C-'`� Zoning
Subdivision _ (���-w4`
0 PUD — Engineering
Parcel # �� — Fire Department
J DESCRIPTION OF WORK — Electric Department
Water & Sewer
-! Plan Review
Special Conditions!
FEES
Valuation
_ Plan Check [
Options Parkland_ —
Stock Codes_ City Sales Tax ----
Plan No.
-- St. m
Oversizg _-_ --
Est. Total Cost Water Plant Investment
lincluding labor, ma enal, profit) licatipn and Sewer Plant Investment
I hereby acknowledge that I have read this apP with all city — ----
construction. Storm Drainage __ _
state that the above is correct and agree to comply Electric Underground
ordinancac'and state la regulating building ---
_---S.2�
date TotalF
'sInedt` `.�-- —_ Insp.
SIa. p k- Applicant', Tag -Bldg
Distribution. Original - Apphcan6 Blue Ott e Gana- y
sales T
Street
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TAXPM 13.75
TOTL 37.37
CHCt,
NO-0457 12:29 A
aUN.oi°87
Date
ZBA Case # Date
BBACase# Approval
Building Insp. date
---- I I Permit No.
Date
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