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HomeMy WebLinkAbout209 Dartmouth Trl - Permits/Electrical - 01/25/1988City of Fort Collins BUILDING INSPECTION DIVISION APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY Applicant complete this part of form only. Press firmly using ball point pen. Job Address © 114 U k Tr, D! n S e � Cie 1 o O .,.� n10u�� t,.,, 805 2 S PhoneZZ � - 25S°I 7Address Phone Contractor Sales Tax No. ° c Lot tBlock Filing Number Subdivision PUD m Parcel # DESCRIPTION OF WORK c r C r - m r Stock Options Plan NoCodes Est. Total Cost (including labor, material, profit) I hereby acknowledge that I have read this application and state that the above is correct and agree to comply with all city ordinances and state laws regulating building construction. .a III p _ signed / d e Dislnbubon Original - Appbcant. Blue - Office Canary - Sales Tax. Pink - Applicant Tay - eldg. Insp Off -Street Parking (No. Cars) Interior Lot ❑ Corner Lot ❑ Reversed Corner Lot ❑ 'o `m `m d IV � 1 � 'm C/) c 0 ti Street _ 0 > ZBA Case # Date BBA Case # Date Bulldi lnsD.. Approval by date L.-� l �• Permit No. Date