HomeMy WebLinkAbout4512 MAXWELL CT - PERMITS - 12/30/1999city
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 -(�
`m
c
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
c
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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k
tl
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n-/• //o
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Street
x
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O
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,.