HomeMy WebLinkAbout642 MARIGOLD LN - PERMITS - 4/13/1988BUI
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APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address �•
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Name
d
Mail Address
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Phone j
Name
Q
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Address
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License No. Phone -
Contractor Sales Tat No.
Lot =BlockF
Filing Numb
Subdivision
PUD
Parcel # i�
DESCRIPTION OF WORK
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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 nd state laws regulating building construction.
j signed date
f
CLASS OF WORK —
N Alteration Addition Demolish Move
❑ ❑ ❑ ❑
Ibg. Mech. Elea Struct. Fire Prot.
❑! .ID R OL ❑
Occ: G"ri. / Type Cont. .. / Use Zone
Use,of Building
Floor Area ',jf�%
Height
Lot Area..�1' Frontage ,���
Occ. load
Occ. Change from
Plat File No. <' %0
No. D.U.
Garage area 411'`F,i
mt. area r�
Type heat i� ��
No. Fireplaces r
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation FEES
Plan Check
Permit '
�'-'.'"'•G..,.7
Parkland
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City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Off -Street Parking
(No. Cars)
Interior Lot Al
Corner Lot ❑
Reversed Corner Lot ❑
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Street i.�LQA� >'ftT.�` ' •i '3R' "Cr
APR.13'?s
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PRMTS 382.05
PKFEE 625.00
o TAXPM 684.75
STOVR 622.00
USEKC 266.00
TOTL 2579,80
CHCK 257
N23635 11:37 A
APR.15'88
ZBA Case # Date
BBA Case # Date
Building Insp. Approval
by date
2 g)�-n C
Permit No.
Date
1 100
).80
DistributionO,,i al - Applicant; Blu Office: Cenary Sales Tan. Pink -tAppliiant, Tag - Bldg. Ins,