HomeMy WebLinkAbout204 1st St - Permits/Footing and Foundation - 08/28/1986r
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City of Fort Collins BUILDING INSPECTION DIVISION
ar APPLICATION FOR BUILDING PERMIT AND CERTIFiCATt-OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
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Phone
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Name"-*..%t.�/`if
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Address ' /.'J ".% w r',e 4!
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License No.
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Lot
Block
Filing Number
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Subdivision
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Parcel #
DESCRIPTION OF WORK
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Stock Options
Plan No. ~Codes
Est. Total Cost
including labor; material• profit)
- 1 hereby acknowledge that 1 have read this application and
state that the above is correct and agree to comply with all city
4'rdinances and state laws regulating building construction.
signed da e,
— CLASS OF WORK —
New Alteration Addition Demolish
❑ ❑ ❑ ❑
Move
❑
Plbg. Mach. Elec. Struct.
❑ ❑ ❑ ❑
Fire Prot.
❑
Occ. Gr. Type Const.
Use Zone
Use of Building
Floor Area
Height
No. Stories
ntage
Occ. load
ELotAreaED.U.
Flat File No.Garage
areaaType
heats
or stoves
— RELEASES —
Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation / ; ' FEES
Plan Check
Permit
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total -Fees
Distribution- Original - Appl ci art( Cana y - Sales Tax; Pink - ,plicanC Tag - Bltlg. I
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
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Street
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AL"6.28,06
ZBA Case # Date
BBA Case If ! f Date
Building
Insp. t�' t
Approval
by
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i'mit No.
Date