HomeMy WebLinkAbout400 9th St - Permits - 12/19/1977PITY OF FORT COLLINS
APPLICATION FOR BUILDING PERMIT —SHORT FORM
Building
Address
Date of Application 19
Name
a�
3
Mail Address y
O
City Tel. o.
o
Name
t
m
Address
'
City-
U
City License No. L,1 % Tel. No gg.ly 3
Occupancy Group A, B, C, D, E, F, G,
H& Division 1, 2, 3, 4
Use Zone—RE,S RLM, 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.
5
Description of Work
/2 ;1 4 /�
1�e C/ -
elT0 0 OC1111
Signature of owner
9
By Contractor Q 0 yew I
PXnCj CJp. C�v 9 Date issued
VALUE
')Cn. of
a Other
Total 9. O O
I nt. lot
Corner lot
Rev. C. L.
Street
Approved for Chief B.I.
Zoning
B.I.