HomeMy WebLinkAbout925 QUAIL RUN - PERMITS - 6/9/1987City of Fort C011inS BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERAJT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Addressq2Y'lls-IIE U rii:
Name Rua
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Mail Address A
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Phone
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Name
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Address
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License No. !Phone
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Lot
Block
Filing Number
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Subdivision
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PUD
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Parcel #
DESCRIPTION OF WORK
Envi
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A- "A da Ft\
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.
signed date
— CLASS OF WORK
New Alteration Addition Dern isfj Move
❑ ❑ ❑ ❑ ❑
_
Pill Mech. Elea Struct Fire Print.
❑ ❑ ❑ ❑ ❑
Occ. Gr. -'
Type Col M
Use Zone �
Use of Building ;
FioorArea `r
Height
No. Stories
Lot Area -
Frontage
Occ. load
Oce. Change from
Plat File No.
No. D.U.
Garage area 2'
Fin. Bsmt. area-�
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning i
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review _ -+
Special Conditions:
4TDod25"
d t i/O or — !Z/.
Valuation•±• FEES
PIanCheck
Permit
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Parkland
City Sales Tax
St. Oversizing -
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
.'
r
Total Fees
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Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑'
Reversed Corner Lot ❑
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ZBA Case # Date
BBA Case # Date
Building Insp. Approval
by ' date
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Permit No,
Date