1986, 09-10 Permit: 00013037 Storage ShedSIGNATURE OF
OWNER ORAGENT DATE
APPLICATION
JOB ADDRESS
/30 N CALVIN RD
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". S/ DARREN E
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/30 [[V7-. Ni,
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' N CALVIN RD
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SHED(10X3�`)
USE O~PERMIT:
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930 N CALVIN RD
'oilding Code Fee
*UILDINC
Valuation; Curr
STRUCTURAL
1440
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8014478
DATE:
09/10/86
00013037
BUILDING $35.00
Building Lou,.50
FE""'
$3.50
PAM~`'
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* of Floors 01 * of Bedrooms 000 * of Rooms 000
.`RIMARY STRUCTURE:
Desc; HAYSHED Group: M-1 Type: VN
Sg—Ft 360 Occupancy Load Rate 4.00
ECONDARY STRUCTURES:
-$1(6
OFFICE COPY
TOTAL FEE
TOTAL FEE
Permit Fee
$1.50
$35.00
35.00
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DEPARTMENTAL REVIEW
I certify that 1 have examined this application and state that the information contained in it and submitted
by me or my agent to com e s id application is true and correct.
Signature
Date t�
ApprovedCond.
Approval
Approval
Hold
Environmental Health Application # K3'— O/7 �r,
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W. 1101 College /�
Room 200 ! r
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19
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Planning/Zoning
N. 721 Jefferson
Engineers
N. 811 Jefferson
Utilities
N. 811 Jefferson
Plan Review/Fire Prevention
N. 811 Jefferson
Other (SEPA/Critical Material/etc.)
Fast Track/Special Inspection Information
Project Representative
I Phone
Address
I certify that 1 have examined this application and state that the information contained in it and submitted
by me or my agent to com e s id application is true and correct.
Signature
Date t�
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