HomeMy WebLinkAbout2012 Constitution Ave - Permits/Reroof - 09/25/1979CITY OF FORT COLLINS
APPLICATION FOR BUILDING PERMIT —SHORT FORM
Building Address 6-_T T, a 7
Date of Application 19
Name y AGE JJ pr/!L'
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Mail Address-k,4,9
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City �GL�IIL` Tel. No.; _46V)
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Name C'C r)� _
Address J.i,Z
E
City
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City License No 7 g 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 yl -1 �.�jV'Z
By Contractor
Class of Work �(
Plumbing _Roofing
Heating
_Fencing
Electric
—Sprink.
Gas Pipe
`Storm W
Sign
_Other
Permit No.
ClA R E! s
Int. lot
Total Value Labor & Mat. Corner lot
I
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Description of Woxk
Date issued
Bldg. fee
Other
Total j --
Rev. C. L.
Street
Approved for Chief B.I.
Zoning
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