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3425 Oregon Trl - Permits - 05/15/1985
;City -of Fort" Collin'S 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 2_J5' k`F -x f ' Name ` • ��� c Mail Address —�• j} jr( o ( 3 Phone ._ 9 - i_ - -o Name 7c[' _ r"l!_r_ :12i .. _,_ - t 11 vc iko Address r It:) i pi f11A CZ Cam, o ♦ % f L t U License No. %? � r Phone ^. ` 1 4 Q Lot Block f. Filing Number N Subdivision A _ PUD a J DESCRIPTION OF WORK 1 Stock Options Plan No. Codes Est. Total Cost C� (including labor, material, profit) I hereby acknowledge that 1 have read this application and state that the above is correct and agree to comply with all city ordinances,! -and state laws regulating building cpnstr ction. U1/(?"7 1` — CLASS OF WORK New Alteration Addition Demolish Move © ❑ ❑ ❑ ❑ Plbg. Mach. Elec. Struct. Fire Prot. ❑ ❑ ❑ ❑ ❑ Occ. Gr. Irfi ns Type Cot. - \ Use Zone Use of Building FloorArea Height - No. Stories Lot Area Frontage Occ. load I Occ. Change from Plat File No. No. D.U. Garage area Fin. Bsmt. area Type heat No. Fireplaces or stoves — RELEASES — Dates Zoning I:_.... ` Engineering Fire Department Electric Department Water & Sewer Plan Review Special Conditions: ti I Valuation FEES Plan Check F Permit Parkland City Sales Tax St. Oversizing Water Plant Investment Sewer Plant Investment Storm Drainage _ Electric Underground Total Few Distribution . Original - Applicant. Blue -011ie: Canary -Sales Tax. PinA - phcant. Trig,�g - Bltlq Insp. Off -Street Parking (No. Cars) Interior Lot ❑ Corner Lot ❑ Reversed Corner Lot ❑ xy to 1�7 ) 1�)1 ! —S � 7 m ^ Tu Tu U) T 0 0 li Street C O V ZBA Case # Date BBA Case # Date Building Insp. Approval by� date Permit No. y Date ' ,