HomeMy WebLinkAbout619 Powderhorn Dr - Permits - 08/15/1979CITY OF FORT COLLINS
APPLICATION FOR BUILDING PERMIT —SHORT FORM
Building Address .. C C, 6;; ? /2
Date of Application L 1_S1 19 G
a)Name
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Mail Address-/fC-�,t��
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City L( lei/1STel. No.
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Name /i`r4ln ''"
Ca
Address
oCity
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City License No. jf ' L,�� 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 Contract
Class of Work �/
Plumbing _Roofing X
Heating _Fencing
Electric Sprink.
Gas Pipe _Storm W
Sign _.Other
Total Value Labor & Mat.
Description of Work
S�
6r6109 .1 Date issued
Bldg. fee
VALUE
j6�_UL Other
Total j .Qp
I nt. lot
Corner lot
Rev. C. L.
Street
Approved for Chief B.I.
Zoning
B.I./i/)