HomeMy WebLinkAbout2036 Lexington Ct - Permits - 08/26/1983 (2)`'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
Name
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Mail Address,�p QX/.li O
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Name ' Ei� c SPCG�7 �re
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License No. S— _,5A (� Phone47fgy-3Q<f I
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Lot Block
Filing Number
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Subdivision
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DESCRIPTION OF WORK
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Stock Options
Plan No. Codes
Est. Total Cast -I ' e9v
(Including labor, material, 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.
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signed date
— CLASS OF WORK —
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Plbg, Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const. -
Use Zone
Use of Building
Floor Area
Height -
No. Stories
Lot Area
Frontage
Occ. load
Occ. Change from
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
Special Conditions:
Valuation
FEES
Permit
Plan Check -
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
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City Sales Tax
Total Fees
Permit No.
Date
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ZBA Case # Dale
BBA Case# Date'
Building In Approval
by date L
Off -Street Parking.
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
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Street
D raf iefion: Original - Applicant; Blue - Office: Canary - Sales Tax, Pink - Applicant; Tag - Bldg, Irap.