HomeMy WebLinkAbout511 W Mountain Ave - Permits/Reroof - 08/15/1979CITY OF FORT COLLINS
APPLICATION FOR BUILDING PERMIT—SH RT FORM
Building Address �/� /L1oe'NiRy
Date of Application /3 19 _/J Y
Name 14, S M 22
Mail Address 5/1 L'), /wvtiTih
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City C"�,,3 Tel. No.
Name W//('r zip
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m
Address Ij-aT
City Got/yS
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City License No. Z '7t Tel. No.
Occupancy Group A, B, C, D, E, F, G,
H, 1, 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 LatZp Y —
Description of Work
2
Permit No. Date issued
r; j`:,<
C Q 7 9 Bldg. fee
p Itce w Other
Total_)- 0 a
I nt. lot
Corner lot —
Rev. C. L. —
Street
Approved for Chief B.I.
Zoning
B.I. / %"�