HomeMy WebLinkAbout613 W Mountain Ave - Permits/Reroof - 06/06/1980CITY OF FORT COLLINS
APPLICATION FOR BUILDING PERMIT —SHORT FORM
Building Address (�//_ &/ � 7t/iiL
Date of Application
Namer tJ
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3
Mail Address _ A.,J 114 j ,
O
City - Tel. N04,� // Ste'
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Name
m
Address �
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ty tz. L u.)C 7
0
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 ��
Plumbing Roofing r
Heating
_Fencing
Electric
Sprink.
Gas Pipe
Storm W
Sign
Other
Total Value Labor & Mat.
Description of Work
,31
Permit No. Date issued
Bldg. fee
VALUE
Other
Total
I nt. lot
Corner lot
Rev. C. L.
Street
Approved for Chief B.I.
Zoning
B.I. % v