HomeMy WebLinkAbout600 E Pitkin St - Permits - 03/30/1984City 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 pailint pen.
Job Address D
Name /
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Mail Address
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Phone -'
Name
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Address
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License No.
Phone
Contractor Sales Tax No.
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Lot
Block
Filing Number
N
Subdivision
N
PUD -
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Parcel #
DESCRIPTION -OF WORK -
Stock Options
Plan No.` Codes
Est. Total Cost
(including labor, material, 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 construction.
signed date
— CLASS OF WORK —
New Altera ie' Addition Demolish Move
❑ ❑ ❑ ❑
Plbg. Mech. Elea Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Dec. Gr.
Type Const.
Use Zone
Use of Building
Floor Area ,fight
No. Ste rie, .
L Area
Frontage
Occ. load
Occ. Change f(om t
Plat File No.
No. D.U.
Garage area
Fin. Bsmt, area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
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
Distribution Original - Applicant Blue - Office'. Canary - Sales Tax: Pink - Applicant Tag - Bldg. Insp
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
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15
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Street
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ZBA Case #
Date
BBA Case #
Date
Building Insp. Approval
by date
Permit No.
Date
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