HomeMy WebLinkAbout3009 W Lake St - Permits/Addition or Alteration - 12/03/1981CITY OF FORT COLLINS
APPLICATION FOR BUILDING PERMIT —SHORT FORM
Building Address pp W 4AA"v S
Date of Application /A. 19 V/
Name o o eri d
3
Mail Address 00A,f�P
O
City Tel. No. 8� • y
a
Name
L)
Address
m
City
0
U
I City License No. Tel. No.
Occupancy Group A, B, C, D, E, F, G,
H, I, J Division 1, 2, 3, 4
Use Zone —RE, RL, FILM, RM, RH, RP, RMP
ML, MM, BP, BL, HB, BG, C, IL, IG
Fire Zone 1, 2, 3
PUD
Signature of owner�zy
By Contractor
Class of Work
Plumbing
_Roofing —
Heating
_Fencing —
Electric
_Sprink. _
Gas Pipe
_Storm W—
Sign
_Other _
Pl9 tj �. Date�iCsue�d�
!� Bldg. fee
VALUE
Other
I nt. lot
Value Labor & Mat. Corner lot
SDo�5!—'
Description of Work
Sfov P •.-i �'ASe�r1
Total
Rev. C. L-
1
Street
Approved for Chief B.I
Zoning
B.I.