HomeMy WebLinkAbout2621 Meadowlark Ln - Permits/Reroof - 08/22/1979CITY OF FORT COLLINS
APPLICATION FOR BUILDING PERMIT —SHORT FORM
Building Address gq?e 1*.* 40'
Date of Application ex > 187�
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Nam a
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Mail A d d r e LA/.
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City iA) l' Tel. No..ZA3 f'
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Name n , %off
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Address $o. 4%4yEdo2 L7
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City 7—ad�o �O
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City License Nqs Tel. Now,,, 3
Occupancy Group A, B, C, D, E, F, G,
H, 1, 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
Permit No,
ate issued
�° N°
6 `" M "
dg. fee
VALUE
((o6.w
Other
Int. lot
Total Value Labor & Mat. I Corner lot
Description of Work
�e /QOo
ClontP.
.:5vza sx.a'f/s
.0 100.36.00
Total I9 , CO
Rev. C. L.
I
Street
Approved for Chief B.I.
Zoning
B.I. J9'�