HomeMy WebLinkAbout328 E SWALLOW RD - PERMITS - 8/8/1984T.y_ CollinsBUILDING INSPECTION �.,�
Cit of Fort C� DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address
Name
a)
Mail Address W . • . _. _
c
Phone s..
`o
Name ...:. r l,7 A ;
m
Address
c
-
O
License No.
Phone -
J'
C
2
n
Lot
Block
Filjng Number
d
Subdivision
0
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PUD
d
J
DESCRIPTION OF WORK
'It
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
— CLASS OF WORK
New Alteration Addition Demolish Move
❑ ❑ 4C ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ IR ❑ ❑ ❑
Occ. Gr.
Type Const.
Use Zone
Use of Building
Floor Area
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 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
❑
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to
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Street
C
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Cii
to
ZBPI Case #
Date
BBAt Case #
Date
Building Insp. Approval
by date
Permit No.
_ ti Date
DistributionOriginal - Applicant, Blue - Office; Canary - Sales Tax, Pink - Applicant; Tag - Bldg. Insp. I ±