HomeMy WebLinkAbout322 N Impala Dr - Permits/Reroof - 11/19/1979CITY OF FORT COLLINS
APPLICATION FOR BUILDING PERMIT —SHORT FORM (ram
Building Address
Date of Application — 19
Name
3
Mail dress
O
City Tel. No.
o
Name e
5
m
Address
City
U
City License Noo�Tel. No.
Occupancy Group A, B, C, D, E, F, G,
H, 1, 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
By Contractor
Class of Work
Plumbing
_Roofing C
Heating
_Fencing —
Electric
Gas Pipe
_Sprink. _
_Storm W_
Sign
_Other _
Total Value�o: ytat.
Description of Work
Permit No.
A'LU
Date issued
Bldg. fee
Other
Total �_dV
I nt. lot
Corner lot
Rev. C. L.
Street
Approved for Chief B.I.
Zoning