HomeMy WebLinkAbout616 Peterson St - Permits/Reroof - 08/13/1979CITY OF FORT COLLINS
APPLICATION FOR BUILDING PERMIT —SHORT FORM
Building Address / /`,y�,yL
Date of Application 9113 19
Name .n, a,r�.�o ��a �_-
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Mail Ad' ress
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City Tel. Tel. No. 3-08
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Name
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Address
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City
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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, FILM, RM, RH, RP, RMP
ML, MM, BP, BL, HB, BG, C, IL, IG
Fire Zone 1, 2, 3
PUD
Signature of owne���Aillij'l�Jf- `l
By Contractor
Class of Work
Plumbing _Roofing X
Heating
_Fencing
Electric
Sprink.
Gas Pipe
_Storm W
Sign
_Other
Total Value Labor & Mat
ascription of Work
✓`Zits C,_G�/,'�,Y
Permit No. Date issued
V L§ m '?Bldg. fee
Other
Total.
I nt. lot
Corner lot —
Rev. C. L. —
Street
Approved for Chief B.I.
Zoning