HomeMy WebLinkAbout401 S Impala Dr - Permits/Reroof - 08/24/1979CITY OF FORT COLLINS
APPLICATION FOR BUILDING PERMIT —SHORT FORM
Building Address -//0)
Date of Application 8 1
.
Name
d
3
Mail Addr s i
O
/G �6 Tel. N _
o
Name
Address ) C
m
Ci
°U
City License NoL[-/$4 el. No.j;'93-9�k5
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
/ Class of Work
Plumbing
_Roofing
Heating
_Fencing —
Electric
—Sprink.
Gas Pipe
_Storm W_
Sign
_Other
Psued
/e�it
rmiit}No. DatflUG 2 4 1979
0,"5 ), e gg. fee
VALUE
I tSy 06 Other
Int. lot
Total Value Labor & Mat. Corner lot
Description of W�orrk�, Q�C
Signature of own f Pa._ n�
By Contractors % P ;P t
Total/ A , O �
Rev. C. L.
Street
Approved for Chief B.I.
Zoning
B.I.