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HomeMy WebLinkAbout2903 Bassick St - Permits/Single Family New - 03/27/1987of , 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 Q9,03 Ila`, — Name rnlC✓ of/ y c Mail Address _ t • , , ., '' p Phone '7.. ./•. •/� 0- Name er Address Mc U License No. Phone C Lot � Block Filing Number a Subdivision p A PUD m Parcel If ' F , +• _. - > — 1'°i' • DESCRIPTION OF WORK ^t- 1 4 'Stock f Options Plan No. r 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 ail city ordinances and state laws regulating building construction. signed date , — CLASS OF WORK — New Iteration Addition Demolish Move Plb Mechem ElecStrucl. Fire Prot. Occ. IK'? I Type Const 1- "gLUs`Q61[ i Use Zone Building 4 •FF1por Area Height No. Stories Lot Area 7 7Z Frontage 1;W1 Dec. load Occ. Change from Plat File No. ��6) No. D.U. Garage area Fin. Bsmt. area — Type heat No -irep alai ce .ar — RELEASES — Dates Zoning 3 ?© %/j Engineering G Fire Department Electric Department Water & Sewer Plan Review Special Conditions: Valuation S Plan Check. Permit ParklandCity Sales Tax St. OversizingWater AN, Plant Investment Sewer Plant InvestmentStorm DrainageElectric Underground ,., � (' .Total Fees- Z/, Off -Street Parking c.y (No. Cars) Interior Lot f Corner Lot ❑ Reversed Corner Lot ❑ n y 4 • V � ii� (7 \ t0 i > r� (n � vLL t StreetG'-�--1-' _ J ^ ft _ rl 1 C !LX! " ZBA Case # Date BBACase# Date Building Insp. ! / Approval i by 1 - date Permit No. Date Distribution:Original -Ap plicant. el ue- oliice.Canary - Sales Tax.Pink - AP p l i cantr Tag- 81 Jg. I ns,p S_ N \ _ `\\ x-'