HomeMy WebLinkAbout5224 Coralberry Ct - Permits/Footing and Foundation - 04/28/1987City
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 ,4 4 C .�
Name
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Mail Address j,rt c,
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3
O
Phone
Name Cd �h LOwJ Z c.
0
Address
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License No.
Phone 2 26 — a ()S-S
4
Lot 2 7
Block
Filing Number
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Subdivision
m
°
PUD U1 r1
m
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Parcel #
DESCRIPTION OF WORK
-----------------
Stock Options
Plan No. ptCod
Est. Total Cost _ �/OG —
(including labor. material, p ofit)
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.
signed date - —date
D istubution. Original - Applicant Blue - Office'. Canary - Sales Tax. Pink - Applicant. Tag - Bldg. Insp.
Off -Street Parking (No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
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a
m
d
V
m
0
Street
PRMTS 23.62
TAXPM 13.755
TOTL 37.37
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N29473 09:31 A
APR.28'87
ZBA Case #
BBA Case #
Building Insp.
Approval
date
Date
Date
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Permit No. Dat