HomeMy WebLinkAbout620 W Prospect Rd - Permits/Plumbing - 01/20/1981CITY OF FORT COLLINS
APPLICATION FOR BUILDING PERMIT —SHORT FORM
Building Address ZQ tk) . }?- rOs
Date of Application Z v 19 s
Name
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Mail Address
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City Tel. No.
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Name Lyy�
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Address
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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, RMB
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
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Permit No. Date issued
Bldg. fee
VALUE
Other
Total
Int. lot
Total Value Labor & Mat. Corner lot
Description of Work
Rev. C. L.
Street
Approved for Chief B.I.
Zoning
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