HomeMy WebLinkAbout2218 Mathews St - Permits/Reroof - 04/16/1979CITY OF FORT COLLINS
APPLICATION FOR BUILDING PERMIT —SHORT FORM
Building Address
Date of Application 19�
Name —),):L
3
Mail Address
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City _ c r C Tel. No. €
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Name
Address9 Fno c 'a
City ,, t C c
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City License No. S _ 7 3 Tel. No:c15.2 -4 c?s
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
Class of Work
Plumbing
_Roofing
Heating
_Fencing —
Electric
_Sprink. _
Gas Pipe
_Storm W _
Sign
—Other
Total Value Labor & Mat.
Permit No.
ALS 8
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I nt. lot
Description of Work
roo16aver C'orn�,
i C C 4:: W I't-h 4/ej.
5 c; H L 7"Yl�e
5 -4
Corner lot
Rev. C. L.
Street
Da
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Bldg. fee
Other
Total p ,,DO
Approved for Chief B.I.
Signature of owner 1..6/-12 Zoning
By Contractor i �� CCB.1. ��