HomeMy WebLinkAbout2604 Killdeer Dr - Permits/Reroof - 08/23/1979CITY OF FORT COLLINS
APPLICATION FOR BUILDING PERMIT —SHORT FORM
Building Address
Date of Application
Named
3
Mail Addressed '/
O
City Tel. No,L23 S6
o
Name
ro
Address
City
0
U
City License NO.$' -.?S Tel. No.y S/- Pw
Occupancy Group A, B, C, D, E, F, G,
H, I, J Division 1, 2, 3, 4
Use Zone —RE, RL, RLM, RM, RH, RP, RMP
ML, MM, BP, BL, HB, BG, C, IL, IG
Fire Zone 1, 2, 3
PUD
Signature of owner
By Contractor
Class of Work
Plumbing _Roofing
Heating
_Fencing
Electric
_Sprink.
Gas Pipe
_Storm W—
Sign
_Other
Total Value Labor & Mat.
Description of Work
/gf 7 "e,_ U
T�it�Vo® Date issued
Bldg. fee
VALUE
-'a Y x) Other
Total q , W
Int. lot
Corner lot
Rev. C. L.
Street
Approved for Chief B.I.
Zoning