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F Clty of Fort Collins BUILDING INSPECTION DIVISION
APPLICATIONJOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
-Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address 3306 LivamTc' ool Stmet
Name 'I'$"2-Tread, inc.
Mail Address 1800 V. Hogsetoot j 114.
o
Ft. Collins, Colorado 80526,
Phone 223-.5050
Name . Rqg9Y St raUSS
criAddress
1800 Flo HoWetooth Rd.
O
Fko Col-lins, Colorado 50526
U
License No. D-12
Phone 223-5050
°
E.
Lot i1
Block
Filing Number 2
Subdivision
saborou
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PUDYw �.
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DESCRIPTION OF WORK
Single PeOlI.y F F
f Z_
Stock 203 Options n®:me
Plan No. Codes -
Est. Total Cost $1W0'00
tincluding 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,
sinned • �- - —� 6 date
CLASS OF`WORK --:
News+ Alteration Addition Demolish. Move
Pl:bg� Mech. Elec. Struct " Fire Prot.
Occ. Gr. R 3
Type Const.
Use Zone r'
Use of Building
Floor Area
Height
No. Stories
Lot Area 6569
d
Frontage
Occ. load
Occ. Change from
Plat File NoJ---
No. D.U.
Garage area
Fin. Bsmt. area
Type heat
No. Fireplaces or. stoves
— RELEASES — Dates
Zoning/'r
Engineering
Fire Department
.Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation rr, A .01 FEES
Plan Check
Permit
Parkland
City Sales Tax
Hagen
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground .
Total Fees
Distribution: Onginal - Appticanti B!°:e,- Office "Eanaiy` Sales Tax: Pine- Applicant: T�ag�tiBldg` Insp\
r
Off -Street Parking 2
(No. Cars)
Interior Lot p•
Corner Lot ❑
Reversed Corner Lot ❑
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3.
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Street ;.
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ZBA Case # Date
BBA Case # f Date
Building Insp. r- Approval
by B,...i date
Permit No. t
Date
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