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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 3132 Eastbrook
Name Everitt Howes, Inc.
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Mail Address P D Beg 2125
3
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For a. CO 80522
Phone 484-8791
Name dill Gurski
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Address 3000 South College
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Fort Collins, CO W525
License No. L-1 Phone 4 — y
c
Lot ,2
Block
Filing Number
a
Subdivision Timberline Villa e
PUD i Y if
m
Parcel If 87304-16-052 _
DESCRIPTION OF WORK �"t
Sin le Famil
I
Stock Options
No. Codes
Ilan
Est.Total stab' 32
(Including labor, material, profit)
1 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,
`signed t ^'��l -date!
— CLASS OF WORK —
New Alteration Addition Demolish Move
O� ❑ ❑ ❑ ❑
P rggJ/ Mepc_ Elec.Struc_ -. Fire❑Prot.
Occ. Gr. (23Mj Type Const. ItieM1 °
Use Zone X/ y?
Use of Building Single Family 0aelling
FloorArea 1O16
Height 18r4r1
No. Stories 1
I Lot Area 4500
Frontage 50 00
Occ. load
Occ. Change from
Plat File No.
No. D.U. f
Garage area 440
Fin. Bsmt. area
Type heat GFA
No. Fireplaces or stoves
RELEASES — Dates
Zoning {1 k tl`''j 1 . .? ' b 6
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review r 9) -. /c , , J � i h-41
Special Conditions;
P'Valuation /jj} �"-"FtES
Plan Check
Permit r
1
Parkland
7/)9, 4",
City Sales Tax,
St. Oversizing
f
Water Plant Investment
C."1 ..
Sewer Plant Investment
Storm Drainage
A rf (
-Electric Underground
L.TcrtO Fees_ `;fit
'sJ
Off -Street Parking
(No. Cars)
Interior Lot •❑�
Corner Lot ❑ _ }:.
Reversed Corner Lot ❑ '
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IS) Ihl
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Street
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SEP.29'86
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ZBA CasC#" ,44. 0I 11 . 5 (s CG Date % )S
BBACase# r Date
Building Insp. Approval
by date
.ter
�'cPerrZIVNo. .-- 1
Date
DlstriDuti4n. Original - Applicant, Blue - Office; Canary - Sales Tax; Fmk - Applicant Tag - Bltlg. Insp
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