HomeMy WebLinkAbout1730 S College Ave - Permits/Electrical - 04/19/1988City
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
Name P -
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c
Mail Address L�
O
Phone
Name
Q
Address
V
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License No. � V Phone LArA
Contractor Sales Tax No. r1
0
Lot Block
Filing Number
6
Subdivision
m
PUD
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d
Parcel #
DESCRIPTION OF WORK
r
Stock Options
Plan No. Codes
dd1�
Est. Total Cost W
(including labor, mate al, profit)
I 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.
csged a'r �mmo �r�� tidat, ;
signed date
— CLASS OF WORK —
New Alteration Addition Demolish Move
m ❑ ❑ ❑ ❑
Plbg. Mach. Ell Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr.
Type Const.
Use Zone
Use of Building
Floor Area
eight
No. Stories
Lot AT �_ ro age
Occ. load
c . Singe too
Plat File No.
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 T
Special Conditions:
Valuation FEES
eck
�!
d
es Tax
-
sizing
*--Underground
lant Investment
lant Investment
rainage
Underground
Total Fees
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
_P
9
N
m
m
( 1 l 1
d
m
^
— a
y
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h
C
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Street
PRNTS 50.50
TOTL 50.50
CHCJi 5
N23749 15:42 A
APR.20'88
0
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0
ZBA Case # Date
BBA Case # Date
Building
Insp. Approval
by
date
8647
1 1/r�
Permit No.
Date
,D0
Original - Applicant', Blue - Oihce', Canary - Sales Tax'. Pink - ApplicaM Tag - Bldg. Insp.