HomeMy WebLinkAbout4313 Revere Ct - Permits/Addition or Alteration - 04/14/1988City of Fort Collins- 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 -,3, l (",
Name - -
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Mail Address / �� t , tE:rz
Phones
Name [�
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Address —7
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License No. !, Phone
Contractor Sales Tax No.
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Lot
Block '
Filing Number�7,+
aSubdivision
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PUD
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Parcel #
DESCRIPTION OF WORK
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XL
Stock Options
Plan No. _. Codes
Est. Total Cost
(including labor, m terra, profit)
I hereby acknowledge that I have read this application and
state that the above is correct and agree to comply with all city
ordinances and state laws regulating building constr coon.
signed I Vate
— CLASS OF WORK —
New Alteration Additioj3-Demolish Move
❑ ❑ ❑ ❑
Plb_g. j Meech Elec. / Struct. Fire Prot.
Occ. Gr. Type Const. Use Zone
Use of BuildingF PC
Floor Area
Refight
PJo. Stories
Lot Area
Fron g
Occ. load
Occ. Ch rig
om
Plat File No.
o.
Garage ar Fin.
Bsmt. area
Type heat No.
Fireplaces or stoves
— RELEASES — Dates
Zoning L/ .� t C
_Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review j V
Special Conditions:
�
`,Valuation FEES
Plan Check
Permit
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
_-�-
Total Fees
Distill Original - Applicant Blue Oga, Canary - Sales Tax Pink - Applicant. Tag - Bldg. Insp.
V7o Parking N /��
(No. Gars)
Interior Lot
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Corner Lot
Reversed Corner
Lot ❑
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Street e7
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ZBA Case #
Date
BBA Case #
_ _
Date
Building Insp.
Approval
by
date
/7
/ 4 l
Permit No.
I Date