HomeMy WebLinkAbout636 S COLLEGE AVE - PERMITS - 3/30/1983city
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of Fort C•:9 � l' inS�; 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
Name �4M4, `t d ,, ?`z 4
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Mail Address
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Phone
Name t� ,
Address
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License No. 411- j ` �
Phone
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Lot
Block
Filing Number
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Subdivision
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PUD
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DESCRIPTION OF WORK
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kin 9, To a ,
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
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— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ Er— ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
Occ. Gr. f3 y,
Type Const.
Use Zone
Use of Building R&* e j ,ry o
FloorArea
Height
No. Stories
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 S'G • t= FEES
Plan Check
Permit
Parkland
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
❑
Reversed Corner Lot
❑
2
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Street
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ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval - _
by date _g
1 0074
MAR 3 0 INN
Permit No.
Date
Distribution: Original - Applicant; Blue - Office; Canary - Sales Tax; Pink -'Applicant: Tag - Bldg. Insp.