HomeMy WebLinkAbout1413 Centennial Rd - Permits/Other - 05/23/1979CITY OF FORT COLLINS
APPLICATION FOR BUILDING PERMIT —SHORT FORM
Building Address
Date of Application 1
Name
3
Mail Address ,
O
City Tel. No"'- - 5/;t)
5
Name r
Z
m
Address
City
U
City License No.5,/O3 Tel. No. Zry
Occupancy Group A, B, C, D, E, F, G,
H, 1, 1 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
By Contractor
Class of Work
Plumbing
_Roofing _
Heating
_Fencing —
Electric
_Sprink. —
Gas Pipe
_Storm W_
Sign
_Other _
Total Value)�G ��pt.
Description of Work
` ct)a'Ju J
Permit No.
Date issued
ONW 580
Bldg. fee
Ot7 Ov
Other
Total 57.00
Int. lot
Corner lot
Rev. C. L.
a
Street
Approved for Chief B.I.
Zoning
M