HomeMy WebLinkAbout2111 W Lake St - Permits/Reroof - 08/13/1979CITY OF FORT COLLINS
APPLICATION FOR BUILDING PERMIT —SHORT FORM
Building Address
Date of Application d / 19
Name
Mail Address 2
U
City Tel. No 733
S
Name r
m
Address o
City
ley �1
U
ity License No. —a 9,0 Tel, No,�a_�(,pl
Occupancy Group A, B, C, D, E, F, G,
H, I, J 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 ownerF
l�By Contractor
Class of Work
Plumbing
_Roofing _ 1
Heating
_Fencing _
Electric
—Sprink. _
Gas Pipe
_Storm W_
Sign
_Other _
Permit No,
VALUE
2,0W �
Int. lot _
Total Value Labor & Mat. I Corner lot
ripti& of Work
Date issued
Bldg. fee
Other
Totals ,ck�
Rev. C. L.
Street
Approved for Chief B.1.
Zoning