HomeMy WebLinkAbout204 S College Ave - Permits/Addition or Alteration - 04/04/1979CITY OF FORT COLLINS
APPLICATION FOR BUILDING PERMIT —SHORT FORM
Building Address Zb Y S- tnLC0C6-a=
Date of Application
Name r!o✓jr(0n we4C 11 F girl
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Mail Address?-(( U " S�
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City X n,sv3s 146, Tel. No.7*f
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Nam or� i-✓kC
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Address,Y'4.:i9J''Cf'� a.
City
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City License No.S*)" Tel. No.
Occupancy Group A, B, C, D, E, F, G,
H, I, J' Division 1, 2, 3, 4
Use Zone —RE, RL, RLM, RM, RH, RP, RMP
ML, MM, BP, BL, HB, BG, C, IL, IG
Fire Zone 1, 2, 3
PUD
Signature of owW*6_
By Contractor
Class of Work
Plumbing
_Roofing
Heating
_Fencing
Electric
_Sprink.
Gas Pipe
Storm W
Sign
_Other
Total Value Labor & Mat.
ZZ Oc,
Description of Work
1 r5c r � ply
-r'Jf[ 1- 64411E"c-
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(P�ermyitt No.
`w `� 3 ® 2
VALUE
a�
Int. lot —
Corner lot
Rev. C. L.
Date issued
Bl��te�o
Other
Total3_p, s�
Street
Approved for Chief B.I.
Zoning
B.I.