HomeMy WebLinkAbout1325 Leawood St - Permits/Reroof - 07/22/1987City of Fort Collinc.
APPLICATION FOR BUILDING PERMIT
Applicant complete this part of form only.
Press firmly using ball point pen.
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Job Address Q
Name 117F 67774X/
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Mail Address 2 ,Z lt9r +O
03
—' LZr'LG i/YS CO 3`f3
Phone Z
Name
2
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Address
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U
License No.
Phone
Contractor Sales Tax No.
P
Lot L
BlockX,ft
Filing Number
b
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Subdivision A
o
m
PUD
v
Parcel N
DESCRIPTION OF WORK
o
Stock Options
Plan No. Codes
Est. Total Cost
',including labor, er rofio
1 hereby acknowledge that I have read this application and
istate that the above is c ct and agree to comply with all city
rdinances and staLwiawz regulating building construction.
Sig d da
5 BUILDING INSPECTION DIVISION
AND CERTIFICATE OF OCCUPANCY
— CLASS OF WORK —
New Altera n Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑
Occ. Gr. Type Const.
s ne
Use of Building
Floor Are
ight
No. Sto Ie
L
t A e
Occ. I d
O. Ch o
f
Plat File No.
. D.U.
Garage area
Fin. Bsmt. area
Type heat No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuatio FEES
Plan Check
Permit
Parkland
City Sales Tax
St. Oversizing
Water -Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Off -Street Parking
(No.
Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
a
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X
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Street TAXPM
49.50
TL
88.00
LI-10% IT
N22022 17:50 A
JUL.22'87
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D
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ZBA Case It
Date
BBA Case H
Date
Building
Ins
Approval
by
date
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Permit No.
Da
.00
m: Oiiginal - Applicant: Blue - Office: Canary - Sales Tax: -Pink - Applicant Tag - Bldg. Insp.