HomeMy WebLinkAbout412 E Pitkin St - Permits - 02/17/1977CITY OF FORT COLLINS
APPLICATION FOR BUILDING PERMIT —SHORT FORM
Building Address
Date of Application 19
d
Name
3
Mail Address
O
City Tel. No.
Name
t
m
Address
City
U
City License No. 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 owner
By Contractor
Class of Work
Plumbing Roofing _
Heating _Fencing _
Electric —Sprink. _
Gas Pipe _Storm W_
Sign _Other _
Total Value Labor & Mat.
Description of Work
Permit No. Date issued
Bldg. fee
VALUE
Other
Total
I nt. lot
Corner lot
Rev. C. L.
I
Street
Approved for Chief B.I.
Zoning
B.I.