HomeMy WebLinkAbout3419 Carlton Ave - Permits/Sprinkler - 09/22/1986City of Fort Collins BUILDING INSPECTION DIVISION
I APPLICATION FOR BUILDING PERMT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Jot'Address
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Name
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Mail Address
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Phone
Name
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Address
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License No. t � ; -.
Phone -� r,., ➢r-"'7
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Lot J r
Block
Filing Number
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Subdivision G__
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PUD
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Parcel If s? _„ },y1 _ r
DESCRIPTION OF WORK
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Stock Options
Plan, No. Codes
Est. Total Cost
(including labor, materia), 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.
signed
— CLASS OF WORK —
New Alteration Addition Demolish Move
11 ❑ ❑ ❑ ❑
Fog. Mech. Elec. Struct. Fire Prot.
❑ ❑ ❑ ❑ ❑
Occ. Gr. Type Const.
Use Zone
Use of Building
Lot Area
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Occ. Change f.
LD.U.
Noa
FinNo
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions;
n FEES
eck
kPermit
des
Tax crsizinglant
Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
Off -Street Parking
(No. Cars)
Interior Lot ❑
Corner Lot ❑
Reversed Corner Lot ❑
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Case # Date
BBA Case # Date
Building Insp. Approval
by
date
PermitzLto.
Date
Distribution: Original - App cVt 1w'd 'i0(nce. Canary 2Sales Tax, Pink - Applicant: Tag -Bldg, Insp.