HomeMy WebLinkAbout411 S BRYAN AVE - PERMITS - 10/15/1987t
City. Of _ FOrt "C011inS 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' tJf arJ -
1
Mail Addre s 5 _
3
O
Phone
Namel�oun4tn < /a
o
U
Address _ -- -
C'
U
License No.
Phone -
Contractor Sales Tax No.
4
n
Lot -
Block
Firing Number"
,
Subdivision
PUD
rn
�
Parcel #
DESCRIPTION OF WORK
Stock Options
Plan No. Codes
_
O
Est. Total Cost 5 f -
(including labor, material, profit)
- 1 hereby acknowledge that 1 have read this application and
state that the above is correct and agree to comply with all city
ordinances Land state laws regulating building construction..
7 p-1Z-05"
signed - date
—'CLASS OF WORK —" -
New Alteration - Addition ' Demolish -• Move
-- ❑ ..❑, - .❑ ❑ -- ❑. ..
Plbg. Mech. -. -. Elec. Stfuct. Fire Prot:-'
Occ. Gr. Type Const.
Use Zone -
Use of Building r r ' afl
Floor Area Height - - - -
No. Startes
Lot Area -
Frontage -
Occ. load -
Occ. Change from
Plat 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 —3(c,"j' FEES
Plan Check -
Permit
S5
Parkland -
-
City Sales Tax �dXl=1C2
St. Oversizing --�
-
Water"Plant Investment
pc>o . Oa
Sewer Plant Investment �
(r (y 0 0 ��
Storm Drainage
"
-4r
Underground
_ 1>1
[Electric
Total Fees
Off -Street Parking
- - _ - - .(No. Cars) -
- Interior Lot - IL
Corner Lot , - ❑ -
Reversed Corner Lot . ❑
• _r
v
as
_Ias
V
m
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0
'VLL
PLNCR 203.45
Street PRNTS 422.55
TOTL 626.00
'-CHCK 6
N84263 12:36 A
OCT.16'89
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ZBA Case # - - Date
BBA Case# Date
Building Insp. G Approval - -
-
by- / date
278�
1C) tad
- Permit No:
Date -
3.00
Dlsmb.u.u. original - Applicant. Blue - office. Canary - Sales Tax:Ank = Applicant; Tag -'Bldg, Insp.