HomeMy WebLinkAbout4512 MAXWELL CT - PERMITS - 12/6/1999 (2)city
of Fort COLITIS 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 `i a,_ Ma _ p p J.(
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Name ,L -(�
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Mail Address _ --
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Phone J
Name z,
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Address
C
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License No. _ f "hone
Contractor Sales Tax No. L
c
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Lot -
Block
Filing Number
Subdivision
PUD
d
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Parcel # � , �� v -
DESCRIPTION OF WORK
!:Ai
Stockj•.!r"� vel - Options
Plan No.7 " I d ; Codes
EstTotalCost .1
(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
5
FM
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1� — CLASS OF WORK —
.Ne)v Alteration Addition Demolish Move
u ❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑' ❑ ❑
Occ. Gr. Type Const.
Use Zone %[ G
Use of Building "
Floor Area —L�
Height
No. Stories
Lot Area
Frontage
Occ: load
Occ. Change from
Plat File No. ��„
No. D.U.
Garage area i'CJZ)
Fin. Bsmt. area -
Type heat z ��
No. Fireplaces or stoves f
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review 11 L
Special Conditions:
Valuation FEES
Plan Check
Permit
Parkland
6-;�t , 'Yn
City Sales Tax
St. Oversizing
x , -.l_ 2 L�'a
Water Plant Investment
Sewer Plant Investment
,1J
Storm Drainage
Electric Underground
h 1
Total Fees
Off -Street Parking
cf
(No. Cars)
Interior Lot
❑
Corner Lot
' ❑
Reversed Corner Lot
❑
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a�i
—1D
m
m
in
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tl
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Street
x
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x.
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ZBA Case #
Date
BBACase#
Date
Building Insp. Approval
by date
o
Permit No.
Date
Dlslnbubon- Original - Applicant'S& - Office. Canary - Sales Tax. Pink - Appl e.nt,, Tag - Bid, Ins,.