HomeMy WebLinkAbout1200 Matuka Ct - Permits - 12/06/1999 (3)CITY OF FORT COLLINS
APPLICATION FOR BUILDING PERMIT —SHORT FORM
Building Address
Date of Application 1 g80
Name5 ro e e
3
Mail Address
O
City Tel. No.
o
Name r r'e ✓
m
Address 5 SSoyr
City r- o ,hs
0
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City License No. ,L /,2,6 Tel. No.;2,�4 d7/,2
Occupancy Group A, B, C, D, E, F, G,
H, 1, J Division 1, 2, 3, 4
Use Zone —RE, RL, RLM,&, RH, RP, RMP
ML, MM, BP, BL, HB, BG, C, IL, IG
Fire Zone 1, 2, 3
PUD
Signature of owner✓
By Contractor ,�.ti�ti4iaz�7 �6 2
Class of Work
Plumbing
_Roofing _
Heating
_Fencing —
Electric
_Sprink. —
Gas Pipe
_Storm W_
Sign
_Other
Total Value Labor & Mat.
Description of Work
ailG 2 7 '1960
Permit No. Date issued
Bldg. fee
VALUE
Other
Total
Int. lot
Corner lot
Rev. C. L.
Q
Street
Approved for Chief B.I.
Zoning