HomeMy WebLinkAbout415 E LAUREL ST - PERMITS - 9/29/1988 (2)ty o
Collins 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 4/11 �Zo
Name . a5
`u
Mail AddreZss
3
O
Phone w`
Nam x
a
Address Q �.
O
License No-/y,(TPhonee,, L
Contractor Sales Tax No.
22
Lot
Block
lFiling Number
Subdivision
m
PUD
v
Parcel t3
DESCRIPTION OF WORK
C
Stock Options
Plan No. Codes
as
Est. Total Cost
fincluding 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
ordin es and state laws regulating building constr ction.
signed date
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Plbg. Mech, V. Struct, Fire Prot.
❑ ❑ O ❑ ❑
Occ. Gr. Type C st
Use Zone
g
Height
g
Area
Frontage
c. Change from
No. D.U.
Garage area
Fin. Bsmi. 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
1 •O
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot Cl
Reversed Corner Lot ❑
m
y�a
V
( 1 f )
v
a
o
I
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Street
PR"TS 15.00
TOIL 15.00
CHCI,
IQ23e82 07:50 A
SEP M' 88
0
ZBACase# Date
BBA Cal Date
Building Insp. Approval
by date
-moo
91z91881
Permit No.
Date
ribution: Original - Applicant Blue - Office. Canary - Sales Tax. Pink - Atirgcanl; Tag - eltlg. Insp.