HomeMy WebLinkAbout2508 Mathews St - Permits - 12/06/1999 (4)City of Fort Collins 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 MAfhewS
Name Lvi:�9466it
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Mail Address
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Phone Y
Name
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Address / j j/
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License No. r5
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Phone
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Lot
Block
Filing Number
6
Subdivision
0
PUD
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Parcel If
DESCRIPTION OF WORK
Stock Options
Plan No Codes
Est. Total Cost f� / r t r
(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.
1h
signed --� V�date,',
— CLASS OF WORK —
New Alter ion Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. ec It. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const.
Use Zone
Use of Building
Height
Lot Area , t
FrontageOcc.
Change from
=heatNo.
.
No. D.U.a
Fin. Bsmt. areallo.
Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation 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 ❑
a
m
m
y
T
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c
0
JLL
Street
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0
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ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by date
Permit No.
Date
Distribution.Original- Applicant; athrr_ofbca. Canary Sales Tan; Pink -Alpplicanc;Tag --Blr/q. 1ns\F